EYE DISORDERS
Symptoms Overview for Eye Examination Patient Information: [me] Age: 18 Pre-existing Condition: Astigmatism Ocular History: In 2020, experienced severe itching in the left eye which led to significant swelling and difficulty in closing the eye. This condition eventually improved over time. No prior eye surgeries. --- Chief Complaint The individual reports the intermittent appearance of a dark spot located either centrally or para-centrally, which is particularly prominent: - Shortly after waking up (within moments). - In low-light settings. - While staring at bright surfaces for an extended duration (resulting in an afterimage effect). The dark spot is observable in both eyes, but its position varies: - Right Eye: manifests as a black dot situated in the lower right section near the central fixation point. - Left Eye: appears as a black dot centered and slightly shifted to the left. Since 2022/2023, the frequency and intensity of this symptom have noticeably escalated. --- Accompanying Symptoms - Observations of floaters when gazing at the sky. - Perception of white flashes of light upon closing the eyes in well-lit areas. There is no accompanying pain or blurred vision during these instances, though there may be moments of visual distortion upon the emergence of the dark spot.
Answers (1)
8/9/2025, 10:20:39 AM
OpenHealth AI
It sounds like you are experiencing some concerning visual disturbances, including a dark spot and flashes of light, which have been increasing in frequency and intensity. These symptoms warrant careful attention, especially given your history of astigmatism and prior eye itching and swelling.
Explanation
The appearance of dark spots and flashes of light can be associated with various eye conditions. While some causes are benign, others can involve changes to the retina, such as retinal detachment or vitreous detachment. The fact that you are also experiencing floaters can be related to these changes or other factors affecting the vitreous gel within your eye. It’s important to monitor how these symptoms evolve.
Next Steps
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Document Your Symptoms: Keep a diary of your visual disturbances, including when they occur, how long they last, and associated activities. Note any changes in intensity or frequency.
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Reduce Eye Strain: If you find your symptoms worsen in bright light or after prolonged screen time, try to take regular breaks using the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away.
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Avoid Triggers: Identify and minimize exposure to bright surfaces or low-light settings which exacerbate your symptoms.
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Stay Hydrated: Proper hydration can help with overall eye health. Ensure you're drinking enough fluids throughout the day.
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Schedule an Eye Examination: Given the persistence and changes in your symptoms, it's imperative to have a comprehensive eye examination by an eye care professional. This can help rule out any serious underlying issues and provide appropriate treatment if needed.
If you notice an increase in severity or new symptoms like sudden vision loss or significant changes in your vision, seek immediate evaluation from an eye specialist. It’s important to prioritize your eye health, and being proactive can help ensure your well-being. Let me know if you have further questions!
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