If you have glaucoma and notice new small, faint, stationary black spots in your vision, it is understandable to feel concerned. Glaucoma usually causes changes in vision over time, but these changes often happen slowly and are not usually seen as sudden, stationary black spots.[1] Most people with glaucoma do not notice symptoms until the disease is more advanced.
Black spots in vision can have many causes. While glaucoma can lead to areas of vision loss, these typically start in the side (peripheral) vision and progress slowly. Sudden or new black spots are not a common sign of glaucoma and may be caused by other eye conditions, such as changes in the retina or vitreous (the gel inside the eye).[1][2]
Your eye pressure is described as high-normal, and it is usually higher in your right eye, which does not have any black spots. This difference does not necessarily mean the black spots are unrelated to glaucoma, but it is important to monitor both eyes closely. Regular eye exams, including tests of your optic nerve and visual field, help track glaucoma and catch any changes early.[1][2]
It is important to let your eye doctor know about these new symptoms. They may want to do a thorough eye exam to check for other possible causes and make sure your glaucoma is not progressing. If you notice any sudden changes in vision, pain, or flashes of light, contact your eye doctor right away.
While glaucoma can cause vision changes, new stationary black spots are not typical and should be checked by your eye care professional to rule out other causes and ensure your eyes stay healthy.[1][2]
References
- Glaucoma: Diagnosis and Management. Thomas C. Michels MD MPH, Oana Ivan PA-C. American Academy of Family Physicians (2023).
- Glaucoma in Adults—Screening, Diagnosis, and Management: A Review. Stein JD, Khawaja AP, Weizer JS. JAMA. 2021;325(2):164-174. doi:10.1001/jama.2020.21899.
