Background Visual snow syndrome (VSS) is a benign but distressing condition which diagnosed by persistent visual symptoms for more than 3 months with no identifiable cause. Visual symptoms include dotted vision, photophobia, nyctalopia, palinopsia, diplopia, and entoptic phenomena. The condition known to aggravate by exertion of eyes and may associate with conditions like migraine, fatigue, depression and anxiety. Pathophysiology of the VSS is still unclear and there is no definitive treatment up to date. Case A 36-year-old IT specialist presented with 6 months history of diplopia while looking at computer screen for more than 20 min. In addition, he had generalized fatigue, photophobia and impaired night vision with normal examination findings. Structural and functional assessment of his visual pathway was unremarkable. Symptoms were initially thought to be due to Myasthenia gravis and started treatments, which he failed to respond. As later revealed he sees black and white dots all over his visual field with intermittent visual floaters which he had been ignored for about 8 months. These characteristic symptoms with normal examination and investigation findings directed us to the diagnosis of VSS. Proper reassurance, tinted glasses for photophobia and short breaks in-between work had improved his condition to a significant extent. Conclusion VSS is a real and disabling condition. It can present in various ways. Even though there is no definitive treatment for this condition, reassurance and symptomatic treatment may help the majority.