Eye Flashes: Could They Indicate a Pituitary Tumor? - Oncology

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Flashes of light in the eyes?


I have been experiencing flashes in my right eye for several months, and they occur in a fixed position (I already have floaters).
The doctor examined my retina and found no issues.
Previously, a doctor suggested that I see a neurologist, but during the consultation, the doctor determined that my condition was not serious, as there were no jagged flashes and no headaches.
However, this time the doctor recommended that I undergo a CT scan of the brain.
Although I sometimes experience brief pain in my right temple when I feel fatigued, it only lasts a few seconds.
Does this symptom lean towards a pituitary tumor?

Niming, 10~19 year old female. Ask Date: 2016/04/18

Dr. Lai Yicheng reply Oncology


Hello, student: Based on your described symptoms, it does not seem like a pituitary tumor.
Is your menstrual cycle normal? I recommend you see an endocrinologist for a proper diagnosis.
Changhua Hospital cares about you.
Dr.
Lai Yi-Cheng

Reply Date: 2016/04/18

More Info


Understanding eye flashes can be quite complex, especially when considering the potential underlying causes. In your case, the persistent flashes in your right eye, combined with your history of floaters, raise important questions about their origins. While it’s understandable to be concerned about the possibility of a pituitary tumor, the symptoms you describe do not strongly indicate this condition.

Flashes of light in the vision, often referred to as "photopsia," can occur for various reasons. The most common cause is related to the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can shrink and pull away from the retina, leading to sensations of flashes or light. This is particularly relevant for individuals with a history of floaters, as these are often a result of similar vitreous changes. The flashes you experience, especially if they are localized and not accompanied by other symptoms like significant headaches or visual field loss, are likely related to these benign changes rather than a serious condition like a pituitary tumor.

Regarding your concern about a pituitary tumor, it’s important to note that such tumors typically present with a range of symptoms, including hormonal imbalances, headaches, and visual field defects, particularly affecting peripheral vision. The absence of these symptoms in your case, along with the fact that your eye examination showed no retinal issues, suggests that a pituitary tumor is less likely. The recommendation for a brain CT scan is a precautionary measure to rule out any serious conditions, but based on your description, it seems that the likelihood of a pituitary tumor is low.

Additionally, the brief episodes of discomfort you experience in your right temple area could be related to tension or fatigue rather than a neurological issue. Stress and prolonged screen time can lead to muscle tension around the eyes and temples, which might explain the transient pain you feel.

It’s also worth mentioning that while flashes and floaters can be alarming, they are often benign and do not indicate a serious problem. Regular eye examinations and monitoring your symptoms are essential. If the flashes become more frequent or are accompanied by other symptoms like a sudden increase in floaters, loss of vision, or significant headaches, it would be prudent to seek immediate medical attention.

In summary, while your symptoms warrant further investigation, particularly with the planned brain CT scan, the characteristics of your eye flashes and floaters do not strongly suggest a pituitary tumor. Maintaining open communication with your healthcare providers and following their recommendations will help ensure your ocular health is monitored appropriately. If you have further concerns or if your symptoms change, do not hesitate to reach out to your eye care professional for guidance.

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