Discussions By Condition: Eye conditions

Pulsating Vision & Black Spots When Coughing

Posted In: Eye conditions 8 Replies
  • Posted By: Mulsiphix
  • February 13, 2009
  • 05:34 PM

Current Conditions
High Blood Pressure: 140/85 average (undergoing treatment for almost one year)

This has been going on for almost two months now. When I get stressed my vision begins to pulsate to the rhythm of my heart. When the "pulses" occur my vision becomes around 50% covered with "gray clouds". It is generally translucent though so it does not impair my sight in any way. When getting up from a sitting down position and when coughing I see black shapes. Sometimes I see a black crescent moon shape in the center of my vision, other times black clouds cover my area of sight (like that mentioned above), and occasionally there is a black ring around the outer boarder of my vision. These black spots DO block the covered area(s) of my vision. However, this blackness lasts only a second or two before completely fading.

Is this normal? I plan on seeing a doctor very soon but I just moved so I am waiting for my benefits to start up again. I'm not sure if I need to try and break the bank by paying out of pocket right away or if this can wait until my benefits kick in or if I probably have nothing to worry about at all. Any insight would be most appreciated.

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8 Replies:

  • One thing I forgot to mention is that both eyes are affected simultaneously and that I can see the blackness even with my eyes closed.
    Mulsiphix 1 Replies
    • February 13, 2009
    • 06:33 PM
    • 0
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  • Hi Mulsiphix, how i dont know but there is two things i would do,dont put off seeing your doctor, if this is related to high blood pressure i think it would be wise to get seen to sooner rather than later, also get your eyes tested, there are some tests that check the actual pressure in your eye ball, im not sure what the symptoms would be if pressure was building, but your eyes are important so i wouldnt take any risks with them by waiting. Best wishes :)
    Tootsie 628 Replies
    • February 13, 2009
    • 07:28 PM
    • 0
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  • I agree, it would be better for you to get it checked out as soon as you can..it seems quite possibly blood pressure related. Could you relate it to possibly anxiety? Are you on any meds that could be exacerbating the problem? are you having any problems with your neck or headaches..tight muscles..etc? k
    kwinzy 5 Replies
    • February 16, 2009
    • 04:33 AM
    • 0
    Flag this Response
  • How well controlled is your high blood pressure? It sounds (to me, I'm not expert though) that your BP is uncontrolled. The eye stuff sounds like it might be caused by high BP, while the blackness when you stand sounds to me like a some form of vasomotor syncope. Do you faint or just see darkness? These 'floaters' you see are no joke, get it checked. It's possible you have warning signs of a detached retina or some sort of posterior vitreous detachment. You might need a tilt table test. I would definitely see a doc as soon as you can as BP issues can wreak havoc on many things, including your eyes.
    Harmonium 322 Replies
    • February 16, 2009
    • 05:28 AM
    • 0
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  • Hi, I have the same problem....pulsating vision which beats with the rhythm of my own heart beat, and sometimes black spots when coughing. this started a few years ago. I have been to doctors about this, I have been to my opthamologist. I have a family Hx of high blood pressure, but mine is okay, I bought a blood pressure monitor just to monitor my BP and HR, I am a registered nurse so I am very on top of these things. I even check my BP at work if I feel a bit stressed. I also monitor my blood sugar even though I am not diabetic. I did an echo & ECG recently because I can sometimes literally feel my heart beat and sometimes it is irregular. They were normal. I had a 24hr monitor on at one point. Result was okay too. My blood work was fine except my c-reactive protein was high; should not be above 2.4mg/L mine was about 3.3 which means I had some form of inflammation or other issues and it being this high doubles my risk of heart disease; this is being dealt with. My eye doctor checked my eyes also for glucoma; since my grandfather had glucoma when he died. Levels should be between 9-21, mine is 12 this still does not mean you cannot have glucoma, so the doctor took pics of the inside of my eyes and he said it was fine.He look at the inside after dilating my pupils, he said my eyes are healthy. i also have floaters which I also developed a few years ago. He said many people have floaters and not even know that they do, as long as they do not get worse, so I monitor it. My eye doctor said always check if you see a blanket of blackness covering your vision, could be from top to bottom or bottom to top which could mean retinal detachment, see your doctor immediately. I wear glasses for myopia and astigmatism. I would suggest to see your doctor; both eye doctor and physician for a full check up. When I exercise I see stronger pulsation because my heart beat stronger and faster, so I don't exercise when I am alone. Once I jumped up off my sofa from a deep sleep and ran up my stairs when I realize I was late for an appointment and at the top of the stairs my heart went into an irregular rhythm and I felt faint and started hugh black spots, I lay down for a while, had a headache after. I had an arrythmia. I know this because I work on a cardiac floor that's when I had the echo and all that stuff done. Doctor cannot find why all this is happening. I am just being monitored now for any changes and I am 41 years old.
    Anonymous 42,789 Replies Flag this Response
  • Ive had the same sysmptoms since I was 19 years old I am 30 now. Every Dr. dosent know what it is did you ever find anymore information ?
    Anonymous 42,789 Replies
    • December 21, 2010
    • 01:59 PM
    • 0
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  • I have this pulsating vision when walking up stairs and sometimes when defecating. It is accompanied by a pulsation that I can feel in the back of my head at the base of my skull. It is definitely linked to the vascular system. I have been told that it is nothing to be worried about and that it is most likely an ocular migraine, but could be something else. I've often wondered if the perception is coming from the blood vessels in the eye or the blood vessels in the visual cortex. I'm inclined to think that it's the visual cortex.
    Anonymous 42,789 Replies Flag this Response
  • I am so glad to find other people that have this problem too. It started not long after the floaters for me... I noticed I have a lot of floaters about 4-5 years ago, and noticed the heartbeat pulse in my vision not long after that. My blood pressure is very healthy, I was even told that today at my doctor appointment (for sinus issues). Although my blood pressure is relatively low, I do think it has something to do with it. When I exercise or get nervous, it gets worse. I have had a couple scintillating scotomas in the last couple years, but apparently they're nothing to worry about. I rarely get migraines. I've been meaning to see an ophthalmologist because my optometrist thinks I may have consistently high pressure readings, but I need other tests done as I might just have thick corneas causing the reading to be off. I'm only 26! I didn't think these sort of things happened until you were a senior citizen, or had serious health problems. I do wonder now, since it seems my sinus problems are a lot worse than I imagined they were, if my inflamed sinuses put the additional pressure on my eyes? Or increase the blood flow in that area? In retrospect, I do seem to notice it more during the warmer months of the year. Hmmm... maybe my sensitive sinuses are causing all the problems... I may have to ask about that at my follow up appt
    Anonymous 42,789 Replies Flag this Response
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