Bright spots in vision...I don't understand

[jayjaydelaloire]

Hi,
31y/old, have migraine since I am a kid, and first ophtalmic migraine when I was 23.
After a marathon in 2006, I noticed little bright spots in the center of my vision while I was jogging. I can see it better on bright surface, or in the sky for example. I still can see but it is weird like hyper sensitive vision.. it is quite circular bright points, when I blink I can see it clear, if I run faster the more it appears, it disappears when I rest, few minutes.

I went to a neuro last year to have answers, he just told me it was linked to ophtalmic migraine, but doesn't know why.
I just wonder what could be the link, the "aura" is very different from this phenomenon because it happens while exercise and the shape of the "image" is not the same.

I was thinking about uhthoff, but it affects both eyes the same way, and I not have blurr vision. and no other symptoms, never had optic neuritis before.

So, I just wonder if I should see another neuro to get second opinion.

Many thanks for any advice,

J

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

CHECK THIS OUT ABOUT DANGERS OF MARATHONS
https://digitaleditions.walsworth.com/publication/?m=11307&i=204134&p=1&ver=html5

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

Good luck
JCH MD

[jayjaydelaloire]

OK. Thanks a lot for your prompt advice.
J

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

Most medical schools have neuroophthalmologists.

Ask your neurologist or your ophthalmologist to assist you in a referral.

JCH MD

[jayjaydelaloire]

Sorry, I meant neurologist. I think there is no neuroophtalmologist or maybe in Paris (I am french).

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

Neuro can mean neurosurgeon, neurologist or neuroophthalmologist. You need the latter. Find one at www.aao.org near you and get in to see him/her.

JCH MD

[jayjaydelaloire]

Hello Dr Hagan

Some good news but the mystery persists ! My post is quite old (2009!) but still in the search !

I did a brain ct scan for an other issue and it came back clean ! Did an eye fundus / clean. Blood pressure tests and glycemia tests / all clean. Doppler of neck arteries / all clean (did also lyme disease test / vita B12 + iron cause  I am veggie since a long time = all clean).

From 2009, I read hundreds of posts from people with similar "condition" (if we can call it a condition). Most of them are migrainers like me. Neuros have a tendancy to draw a link between migraines and this kind of vision disturbance, without any other clue available.

To conclude I am still not blind, still running, just annoyed when these bright spots appear and bother me, like old friends in my eyes ! The phenomenon is a little bit more present now but aging maybe does not help ! who knows.

I did not tell this detail but I have astygmatism and little myopia (since 1998). Migraines with aura still there more or less.

What I noticed during there years, is : the more I run, the more I feel tired, the spots "appeared" more quickly. Example of marathon training: day 1 training = few spots quickly appear quickly disappear / day 4 (10k per day)  = plenty of spots in the center of my vision. That's it. But I will continue to run as long as I can and not remain in the couch I promise -:)

That was a quick update to share !

Bye
J

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

=