the Difference Between Flashing Lights and Floaters in Vision - Ophthalmology

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Flashing issues


I would like to ask Director Gao.
Are the flashes associated with floaters the same as the flashes caused by retinal traction? I went for an examination for the flashes, and after a dilated fundus exam, the doctor said there was no problem and that it was a symptom of floaters.
I have been very worried about the issue of flashes.

Xian, 30~39 year old female. Ask Date: 2016/05/02

Dr. Gao Pilin reply Ophthalmology


Hello, Xian: Both floaters and flashes associated with retinal traction are forms of vitreous degeneration.
If a dilated eye exam has shown no issues, there is no need for concern.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should visit a medical institution for treatment.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2016/05/02

More Info


When it comes to understanding the difference between flashing lights and floaters in vision, it is essential to grasp the underlying mechanisms and potential implications of these symptoms. Flashing lights and floaters are both visual phenomena that can be concerning, but they arise from different causes and have different implications for eye health.

Floaters are small specks or strands that drift through your field of vision. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the formation of floaters. They are generally harmless and are a common occurrence, especially in older adults. However, if floaters suddenly increase in number or are accompanied by flashes of light or a shadow in your vision, it may indicate a more serious condition, such as a retinal tear or detachment.

Flashing lights, on the other hand, are often described as seeing brief bursts of light in the peripheral vision. This phenomenon can occur when the vitreous humor pulls on the retina, causing it to stimulate the photoreceptors in the retina, which results in the perception of light. Flashing lights can also be associated with migraines or other neurological conditions. While occasional flashes may not be a cause for concern, persistent or frequent flashes, especially if they are new, warrant further evaluation by an eye care professional.

In your case, since your doctor performed a dilated eye exam and found no issues with your retina, it is reassuring that the flashes you are experiencing are likely related to floaters and not a retinal tear or detachment. However, it is crucial to monitor your symptoms. If you notice any changes, such as an increase in the number of flashes or floaters, or if you experience a sudden loss of vision, you should seek immediate medical attention.

It's also worth noting that anxiety about visual symptoms can exacerbate the perception of these phenomena. Many individuals become hyper-aware of their vision, especially when they are experiencing symptoms like flashes or floaters. This heightened awareness can sometimes lead to increased anxiety, which may make the symptoms feel more pronounced. Engaging in relaxation techniques and focusing on other activities can help alleviate some of this anxiety.

In summary, while both flashing lights and floaters can be concerning, they are typically benign, especially when evaluated by an eye care professional who finds no underlying pathology. However, it is essential to remain vigilant and report any significant changes in your vision to your healthcare provider. Regular eye exams are crucial for maintaining eye health, particularly as we age or if we have pre-existing conditions that may affect our vision.

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