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Possible vision anomalies

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Hi, i was wondering if you could help me. Im 21, and recently i have been having these episodes with my vision when im trying to get to sleep. It usually occurs that i turn off the light and shut my eyes to go to sleep and my vision goes very static and dizzy and it feels like my eyes are constantly moving. Eventually, after a while of trying to get to sleep with this happening i open my eyes and my vision is really static, dizzy and unfocused (kind of like watching a really bad quality colour TV because of the intense static) and my vision gets so intensely unreal that it feels like im about to black out. When i look in the mirror my pupils are pretty dialated. And i dont know if it helps but whenever im tired i get what looks like little black worms swimming around in my vision. Any help would be much appreciated. Thank you very much.

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replied June 14th, 2010
Vision and Eye Disorders Answer A13152

The symptoms you reported (vision goes very static and dizzy and it feels like eyes are constantly moving when going to sleep, black worms when feeling tired), might actually be a sign of a completely normal health condition.

The problems with the focus when going to sleep might be related to nearsightedness. Otherwise, the constantly moving of the eyes is actually nystagmus. Nystagmus is a form of involuntary eye movement. It might be benign, but can also be a sign of a neurological disorder. The black worms when feeling tired are usually called floaters. In most cases, they are benign representing the proteins in the vitreous body of the eye. The person is more likely to see them when the eye is tired or when there is white background. They are more frequent in summer when there is more light.

You might want to visit an ophthalmologist for a physical examination of the eye and the vision. If the doctor detects that the nystagmus and the floaters are of pathological origin you might be referred to a neurologist or Ear, Nose and Throat specialist for additional examination. The treatment would depend on the underlying cause.

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