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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10605
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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Friday night late with a huge black spot on my right eye, has legs

Customer Question

I started Friday night late with a huge black spot on my right eye, has legs, and is almost like a cluster of little black spots around it. I can hardly see out of my right eye. Should I go to an E.R.
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. Rick replied 5 years ago.
Hi. I'm online and happy to answer your question today.
Dr. Rick and other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 5 years ago.
Does this spot move when you move your eye?

Are you seeing any flashes of light?

Do you have any medical problems or take any medicines?
Dr. Rick and other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 5 years ago.
Oops your accepted too soon :o)

I'm still here and looking forward to your response so we can continue to work on your question.
Customer: replied 5 years ago.
I just went for a physical on Thursday, BP was 104/60, labs all normal. Spots are floating. No flashes of light. Taking 5 mg of Amlodipine x1. Did start some Flonase for allergies on Friday. Took my BP yesterday, was 120/76.
Expert:  Dr. Rick replied 5 years ago.
Ok. The most likely cause for your condition is called a posterior vitreous detachment, a common event that occurs in many people.

You have a thick gel material in the middle of your eyes called the vitreous. Over time as it liquefies, this gel material collapses on itself, forms little clumps that you can see as dots, lines or bugs. As these clumps form the vitreous pulls away from the wall of the eye. In the process it can stimulate the retina -- causing the flashes that you may see.

It is recommended that you see your ophthalmologist to look at the retina to make sure there are no problems such as a retinal hole or tear. In most cases, there are no problems, but this exam is precautionary and allows for preventative treatment of any lesions that are found.

If you notice a sudden increase in floaters, flashes of light (like a lightning storm), or a shadow/veil in the periphery of your vision, this can be worrisome for a retinal detachment. You would need to contact your ophthalmologist promptly in that case.

My concern in your case is that a PVD usually doesn't seriously impact your vision. This makes me worried that you may have had bleeding inside your eye and the "spider" you are seeing is the blood floating around inside your eye.

A trip to the ER will only be valuable if an ophthalmologist can come in and examine you there....regular ER docs don't have the equipment or the training to deal with this issue.

Does this make sense to you?

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