The most common phosphenes are
pressure phosphenes, caused by rubbing the closed eyes. They have been known since antiquity, and described by the Greeks.
The pressure mechanically stimulates the cells of the
retina.
Experiences include a darkening of the visual field that moves against
the rubbing, a diffuse colored patch that also moves against the
rubbing, a scintillating and ever-changing and deforming light grid with
occasional dark spots (like a crumpling fly-spotted flyscreen), and a
sparse field of intense blue points of light. Pressure phosphenes can
persist briefly after the rubbing stops and the eyes are opened,
allowing the phosphenes to be seen on the visual scene.
Hermann von Helmholtz
and others have published drawings of their pressure phosphenes. One
example of a pressure phosphene is demonstrated by gently pressing the
side of one's eye and observing a colored ring of light on the opposite
side, as detailed by Isaac Newton.
Another common phosphene is "seeing stars", from a
sneeze, laughter, a heavy and deep cough, blowing of the nose, a blow on the head or
low blood pressure (such as on
standing up too quickly
or prior to fainting). It is possible these involve some mechanical
stimulation of the retina, but they may also involve mechanical and
metabolic (such as from low oxygenation or lack of glucose) stimulation of
neurons of the
visual cortex or of other parts of the visual system.
Less commonly, phosphenes can also be caused by some diseases of the retina and nerves, such as
multiple sclerosis. The British National Formulary lists phosphenes as an occasional side effect of at least one anti-anginal medication
[citation needed]
(available only by medical prescription in the United Kingdom). In some
cases, phosphenes can be produced by movement of the retina inside the
eye, for example in cases of
retinal detachment.
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