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Medical Forum / General / Vision / September 2007

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benign explanation for "string of lights" ?

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Herbert.Kocks@gmail.com - 13 Sep 2007 18:16 GMT
This morning during breakfast, between cereal and coffee, I glanced at
the newspaper and realized I couldn't read it easily, because of a
string of "lights" (not flashes) in the center of vision.   The string
had the shape of half an outline of a Valentine's heart.

Then I noticed that the same string appeared with one eye, the other
eye, or neither eye.  Even in a dark closet, the string shone.

After 45 minutes or so, it slowly expanded and disappeared.  Now I'm
back to my nearsighted norm.

Is there a benign explanation?   Should I see an ophthalmologist asap,
or wait for the next occurrence?

Thanks, Herb
otisbrown@pa.net - 13 Sep 2007 18:42 GMT
Dear Herb,

Subject:  Things to check for.

It may be something, it may be nothing.

I saw the same thing.  I would suggest reading this link:

http://www.sightwise.org/

And then have a medical doctor (ophthalmologist) check
your retina.

Best,

Otis

On Sep 13, 1:16 pm, Herbert.Ko...@gmail.com wrote:
> This morning during breakfast, between cereal and coffee, I glanced at
> the newspaper and realized I couldn't read it easily, because of a
[quoted text clipped - 11 lines]
>
> Thanks, Herb
Neil Brooks - 13 Sep 2007 18:46 GMT
On Sep 13, 10:42 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:

> It may be something, it may be nothing.

Despite the obvious wisdom of these words, you'd do well to ignore
Otis, in lieu of the OD's and MD's who participate on this site....
Zetsu - 13 Sep 2007 18:45 GMT
Hi,

>Is there a benign explanation?

Strain of the mind caused an illusion.

After the 45 minutes you stopped exerting the strain which was causing
the illusion; the string disappeared.

>This morning during breakfast,

You were straining during your sleep, perhaps.

>Even in a dark closet, the string shone.

In a dark closet with your eyes closed?

>Should I see an ophthalmologist asap

You can do so, but you would do better to begin the rest methods and
cure yourself completely.
Neil Brooks - 13 Sep 2007 18:46 GMT
> Hi,
>
[quoted text clipped - 17 lines]
> You can do so, but you would do better to begin the rest methods and
> cure yourself completely.

You'd also do well to ignore this poster ... under all of its various
pseudonyms.
Zetsu - 13 Sep 2007 18:58 GMT
Hi,

>You'd also do well to ignore this poster

Why?

I only ever told the truth!
Mike Tyner - 13 Sep 2007 19:04 GMT
> Is there a benign explanation?   Should I see an ophthalmologist asap,
> or wait for the next occurrence?

It sounds like migraine aura.

If it stopped dead center ("respected the midline") then presumably it's
migraine, whether or not there was a headache.

-MT, OD
Zetsu - 13 Sep 2007 19:13 GMT
Hi,

Headaches is relieved by resting the mind.

Begin the cure of imperfect sight, and see for yourself.
Neil Brooks - 13 Sep 2007 19:43 GMT
On Sep 13, 11:13 am, Atchoo (Gesundheit!) wrote:

> Headaches is relieved by resting the mind.
>
> Begin the cure of imperfect sight, and see for yourself.

Hasn't relieved your proclivity toward verbal diarrhea, though.
Mike Tyner - 13 Sep 2007 22:30 GMT
> Headaches is relieved by resting the mind.

This post wasn't about headache. No headache was mentioned.

> Begin the cure of imperfect sight, and see for yourself.

And remember, if you tell someone this in the middle of a migraine attack,
they may hit you in the face.

-MT
lena102938 - 13 Sep 2007 23:12 GMT
> <Herbert.Ko...@gmail.com> wrote
>
[quoted text clipped - 7 lines]
>
> -MT, OD

Mike,
And if sometimes it is not "stopped dead center"
but  like complete  lost
of vision in both eyes for around 15 sec with acute "spot" pain in
the  head, following a headache.
can it be like  some "soft" (without obvious seizures)  form of
epilepsy?
Lena
Mike Tyner - 13 Sep 2007 23:57 GMT
> And if sometimes it is not "stopped dead center"
> but  like complete  lost

If it crosses the midline it's a whole different thing. But "half a
valentine" is almost pathognomonic.

> of vision in both eyes for around 15 sec with acute "spot" pain in
> the  head, following a headache.
> can it be like  some "soft" (without obvious seizures)  form of
> epilepsy?

Seizures show up in weird ways but visual aurae aren't common, and seizures
involving vision alone are pretty rare. If an occipital epileptic focus
exists, symptoms in early or partial seizures might lateralize like
migraine.

If it crosses the midline, first make sure it _is_ simultaneous in both
eyes, then worry about the Circle of Willis, basilar artery occlusion,
syncope or some more generalized problem. Visual symptoms in those problems
are rarely "organized," like migraine.

-MT
Don W - 13 Sep 2007 23:13 GMT
> <Herbert.Ko...@gmail.com> wrote
>
[quoted text clipped - 7 lines]
>
> -MT, OD

 So what does the migraine visual experience beholder have to watch
out for?  That is, could this turn out to be serious?

Don W.

PS.  Midline stopping, characteristic of this?
Mike Tyner - 14 Sep 2007 00:07 GMT
>  So what does the migraine visual experience beholder have to watch
> out for?  That is, could this turn out to be serious?

Well, first be sure it's migraine. But if so, the biggest concern is pain
control. Ophthalmic migraine is pretty benign, associated only with a mildly
increased risk of stroke.

Many doctors will do CAT or MRI in the workup but I don't think they turn up
many problems when it's migraine alone. Females who smoke or take
contraceptives deserve more attention.

> PS.  Midline stopping, characteristic of this?

Yes. It's a result of the optic chiasm and independent blood supply to the
each side of the brain.

-MT
Don W - 14 Sep 2007 03:44 GMT
> >  So what does the migraine visual experience beholder have to watch
> > out for?  That is, could this turn out to be serious?
[quoted text clipped - 13 lines]
>
> -MT

 So exactly what is the difference from an ophthalmic migraine vs a
"non-ophthalmic" migraine?  Is there any significance to the aura
starting at the extreme periphery and closing in to the midline?

Don W.
Mike Tyner - 14 Sep 2007 05:11 GMT
>  So exactly what is the difference from an ophthalmic migraine vs a
> "non-ophthalmic" migraine?

Headache. Ophthalmic is just migraine that doesn't progress to headache.
Instead, people sometimes admit feeling queasy, or sleepy, after the visual
symptoms.

-MT
Don W - 14 Sep 2007 07:27 GMT
> >  So exactly what is the difference from an ophthalmic migraine vs a
> > "non-ophthalmic" migraine?
[quoted text clipped - 4 lines]
>
> -MT

Mike,

 Thanks.

Don W.
otisbrown@pa.net - 14 Sep 2007 15:06 GMT
Dear Herb,

Subject: May be something -- may be nothing.

Issues like you state can be neurological in the
retina.

Since I had those "symptoms", and was aware
of this issue -- I kept on monitoring those symptoms.

The normal reaction is to ignore them -- which seems
to be the recommendation of Neil Brooks, and some
others posting here.  So the recommendations are:

1.  Neil Brooks >  Do not do anyting -- ignore the symptoms
and hope for the best.

2.  Otis >  Read the link about a person with a detached
retina -- and learn from it.

3.  Otis>  Continue to monitor these symptoms.  If you have
no further development, then Brook's recommendation
MIGHT be OK.

4.  Otis> If, over the next six months or so, you have
these "continued" reactions, then go back and read
the "detached retina" link.

This is a public forum, so you are going to get "suggestions"
that are all over the "map".

It is up to you to decide what you wish to do about it.

Best,

Otis

On Sep 13, 1:16 pm, Herbert.Ko...@gmail.com wrote:
> This morning during breakfast, between cereal and coffee, I glanced at
> the newspaper and realized I couldn't read it easily, because of a
[quoted text clipped - 11 lines]
>
> Thanks, Herb
Dr. Leukoma - 14 Sep 2007 15:17 GMT
On Sep 14, 9:06 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:

> Since I had those "symptoms", and was aware
> of this issue -- I kept on monitoring those symptoms.

Common sense.

> The normal reaction is to ignore them -- which seems
> to be the recommendation of Neil Brooks, and some
> others posting here.  So the recommendations are:

...and who would be the "others"?

> 2.  Otis >  Read the link about a person with a detached
> retina -- and learn from it.

In over 20 years of practice, I have never seen a case of an impending
retinal detachment that produced symmetrical homonymous scotomas of 45
minutes duration.

> This is a public forum, so you are going to get "suggestions"
> that are all over the "map".

Or, you could listen to a retired engineer whose attitudes toward
certain eye professionals in this group is an open book.

Which is why an internet forum is no substitute for a professional
examination.
RT - 14 Sep 2007 15:23 GMT
Getting a diagnosis over the internet is a dangerous enterprise,
particularly on an unmoderated group like this one. You might get some
anecdotal reassurances from people who have possibly experienced similar
issues; you might get some answers from posters who identify themselves
as doctors (but you have no idea of their credentials or how competent
they are, if they are trained in an area that applies to you, or even if
they are truly doctors!); you might get some answers from people who are
talking out of their a** and who suggest something that is either
harmful or has nothing to do with what you are experiencing.

If you have any symptoms that seem unusual to you and prompt you to seek
answers, make sure to make an appointment to see a medical professional
in person, never rely solely what you hear on the internet. Even the
most well-meaning person on the internet can lead you astray. There are
also many who simply don't care if the advice they offer you is helpful
or not. Sometimes it's hard to tell them apart.

If you don't know what kind of specialist to go to--optometrist,
ophthalmologist, neurologist, neuro-ophthalmologist, etc.--the best
place to start is with your general practitioner. S/he can make a
referral based on your symptoms and your medical history.

Signature

~RT

Neil Brooks - 14 Sep 2007 15:24 GMT
On Sep 14, 7:06 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:

> Subject: May be something -- may be nothing.
>
[quoted text clipped - 10 lines]
> 1.  Neil Brooks >  Do not do anyting -- ignore the symptoms
> and hope for the best.

Why must you always lie?  Are you physically incapable of honesty, you
f.cking idiot??

> 2.  Otis >  Read the link about a person with a detached
> retina -- and learn from it.
>
> 3.  Otis>  Continue to monitor these symptoms.  If you have
> no further development, then Brook's recommendation
> MIGHT be OK.

Why must you always lie?  Are you physically incapable of honesty, you
f.cking idiot?

> 4.  Otis> If, over the next six months or so, you have
> these "continued" reactions, then go back and read
[quoted text clipped - 4 lines]
>
> It is up to you to decide what you wish to do about it.

Why must you always lie?  Are you physically incapable of honesty, you
f.cking idiot?
Neil Brooks - 14 Sep 2007 16:32 GMT
> On Sep 14, 7:06 am, "otisbr...@pa.net" <otisbr...@pa.net> wrote:
>
[quoted text clipped - 15 lines]
> Why must you always lie?  Are you physically incapable of honesty, you
> f.cking idiot??

Come on, Uncle Otie.  This was NOT rhetorical.  I'm actually
interested in knowing if you are CAPABLE of differentiating between
lies and truth.

I never said what you attributed to me, and you do this all ...
the ... time ... to ... everybody.

Is this just an incredibly weak-minded tactic by a person with no
substantive arguments to make, or can you NOT tell the difference
between lies and truth?

I'm curious.  Others may be, too.

Thanks.
 
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