Black blind spot in eye when go out in bright day

[Stevani1212]

4 months ago I develop this black blind spot in my left eye. It on appear when I go outside in sunny day and when I wear my myopic glasses, it slightly better. It dissapear when I go to my room where the light is sufficient. I have visited 5 doctors and get my OCT, fundus photo, my eyes dilated but everything was fine. I am scared that I have AZOOR. I have high astigmatism about 1.75 in my both eye. I saw glare and halo around light. Is that the symptoms of AZOOR?

[Stevani1212]

Hi doc Hagan.

Update here. After I met neuro opt, she suspect I've got CSR but my fundus is clean so she think I should do ct scan.

Based on your opinion, every white dot syndrome or azoor or CSR should be seen in my fundus exam right?

Thanks

[Stevani1212]

Doc. I've come to 6 eye doctor in 3 months inc. neuro opt and get my eye dilated a lot of time. Is it dangerous if I get my eyes dilated like this? Because I started to worry my eye will get worse after I get my eyes dilated. Thanks doc.

[John C Hagan III, MD, FACS, FAAO]

Having your eyes dilated repeatedly is not dangerous. If the neuro=ophthalmologist thinks you have CSR the best test for that is a fluoroscene angiography. Head CT is not a test for CSR but almost all Neuro-ophthal  want to get head CT or head MRI     Have you had a fluoroscene angiography and or macular OCT. Hard to imagine you going to 6 eye doctors (if eye MD ophthalmologists) and not having those. Follow through with the Neuro oph

[Stevani1212]

I have macular OCT but the result is fine.
Haven't get FFA yet because I worried about side effect.
I really confused about my eye doctor :(

[John C Hagan III, MD, FACS, FAAO]

I have had a fluorscene angiogram myself.  Not that bad. You can have CSR that doesn't show up on macular OCT.

[Stevani1212]

Doctor Hagan, after my self examination, that blind spot will be like sheer almost transparent in room light. Even in night, I still can see everything. Maybe it is a big floater. But I will go to neuro opt on thursday. Thank you

[John C Hagan III, MD, FACS, FAAO]

Let us know what the Neuro  ophthal ways.  Best thing it could be would be unusual floater.

[John C Hagan III, MD, FACS, FAAO]

Hopefully all the "eye doctors' you saw were Eye MD ophthalmologists.   This is too complicated for a non-MD optometrist. You should also have had a visual field test (also known as peripheral vision test) and an Amsler Grid test.   AZOOR should have shown up in the exams you had.  If you want to see a 6th consult I would suggest a neuro-ophthalmologist.  With 5 normal eye exams its not likely anything serious. If something changes or new happens you need a re-evaluation

[Stevani1212]

Thanks for your answer doctor. Hopefully it's just a big floater and not anything serious

[Stevani1212]

Doctor Hagan, I just wanna ask.. is that true that in funduscopy or slit lamp, sometimes there's no different between people with AZOOR and  healthy eye? Thanks for your answer

[Stevani1212]

The five doctors that I have visited are opthoalmologist. They are vitreo retina specialist.

[John C Hagan III, MD, FACS, FAAO]

AZOOR  shows up with dilated exam and special testing of peripheral retina  Its not a diagnosis 5 retina surgeons would all miss. suggest neuroophthalmologist as your next consult with visual field tests.

[Stevani1212]

One question more doc, if the black spot is dangerous or connected with my retinal, then it should be there all the time right?
I mean they shouldn't go when I go to a dark place or room with sufficient light.

[John C Hagan III, MD, FACS, FAAO]

Correct.  do suggest visual field and neuro-ophthalmology consult

[Stevani1212]

I wanna add some information :
1. My black blind spot only appear in bright sunny day.
2. It dissapear when I go to room with sufficient light

Thanks anyway.
Sorry for my broken English. I am from non English speaker country