I'm Dr. Stan, and I will be assisting with your question. Few questions.
Is this the first time you noticed the circular black spots?
Any change in your ability to see? (any vision change), Which eye? light sensitivity?
Does the black spots move with change in head position? Did you first noticed this after vomiting?
Any medical problem? Diabetes? Hypertension?
Have you had any eye surgery before like Cataract surgery?
After I receive your answer, I will evaluate and give you good information to help you. Thanks.
Thank you for your reply.
It's likely that one or more of the tiny blood vessels inside your eye ruptured do the brief increase explosive intraocular pressure from vomiting. In general, it will re-absorb and clear without any intervention, but it can take weeks to months sometimes. However, other concerns such as impending retinal detachment or severe posterior vitreous detachment need to be excluded by your eye doctor with a good dilated eye exam.
If you are currently taking aspirin or other blood thinner like coumadin, dipyridamole, etc, you should stop them until you get evaluated. In addition, avoid severe valsalva or belching, such as severe coughing or vomiting. Avoid lifting heavy weights (>50LBs). It's also important that your blood pressure stay controlled at this time. So, please plan to see your eye doctor within the next few days for a dilated eye exam. However, if you notice worsening of vision, pain or more black spots, flashes or floaters, then please go to the nearest ER and request evaluation by on-call eye doctor. I trust that you will do well.
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