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I have a gray splotch in the center of vision in my right eye. Is this an emergency?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Arnab Pal

Medically reviewed by

Dr. Vinodhini J.

Published At August 14, 2020
Reviewed AtFebruary 1, 2024

Patient's Query

Hello doctor,

I see a leaf shape gray splotch in the center of my vision on my right eye. When I look with both eyes, it goes away, but when I cover my left eye, I see it. It started last night. Is this an emergency? I am a diabetic and I take insulin Novolin 70/30 twice daily.

Answered by Dr. Arnab Pal

Hello,

Welcome to icliniq.com.

You have complained about a sudden onset of gray splotch in your central vision of the right eye, which curiously disappears when you see with both eyes. Well, it seems there is definitely a problem in the central or paracentral visual field of your right eye, which is compensated by the normal visual field of your left eye when both eyes are open together. Central or paracentral visual fields can be affected in either optic nerve disease (drug effect/nutritional among many causes) or a lesion of the central part of retina called macula. Though the exact cause cannot be ascertained by online means and in-person examination is a must, I can guide you to get the tests at an eye clinic which includes thorough retina examination including optic nerve and macula, OCT (optical coherence tomography) macula of the right eye and automated perimetry (AP 24-2) both eyes. Though it is unlikely to be a corneal problem, it also must be ruled out. But unfortunately, though it is not an emergency per se, any sudden onset problem in vision warrants eye examination in person.I hope this helps.

Patient's Query

Thank you doctor,

I was able to get an appointment but not until Tuesday. Based on your opinion, is it safe to wait until then?

Answered by Dr. Arnab Pal

Hello,

Welcome back to icliniq.com.

I can reassure you, waiting until Tuesday definitely will not harm. I hope it turns out nothing too serious.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Arnab Pal
Dr. Arnab Pal

Ophthalmology (Eye Care)

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