Flashing Lights in Vision: Risks and Prevention Tips - Ophthalmology

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Flashing issues


Hello,
1.
I have a prescription of -700 diopters, and I often see flashes of light whenever I move my eyes, such as when I look up at the blackboard; they are continuous, and sometimes the flashes appear wavy.
Although my examination showed no issues, the doctor mentioned that there are many areas of my retina that are very thin and close to breaking, but I don't need laser treatment yet.
I would like to know if seeing flashes indicates a high probability of developing retinal tears or detachment in the future, or is it possible that I may remain fine? Are there any preventive measures I can take? Since my eyes constantly look in different directions, I keep seeing flashes; is this harmful?
2.
If I do develop a retinal tear and undergo laser treatment, what potential side effects could occur? Or does it depend on the individual?
3.
When I close my eyes momentarily, I faintly see a white, net-like pattern of blood vessels.
What could this indicate in terms of health issues? Thank you.

Jiao Lü de Gao San Sheng, 10~19 year old female. Ask Date: 2016/05/03

Dr. Gao Pilin reply Ophthalmology


Dear anxious senior high school student,
1.
The flashes of light may indicate that the vitreous is pulling on the retina.
Currently, the examination shows no issues, and you just need to continue monitoring.
It is actually rare for flashes to lead to retinal disease.
The flashes themselves are harmless.
2.
Laser treatment is a form of destruction that uses energy to reattach your retina.
Consequently, there will be some corresponding visual field loss in the area treated by the laser, but since it occurs in the peripheral vision, it is usually not noticeable.
3.
The "retinal lattice" typically refers to the fibers of the vitreous.

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.
Please note that online responses are for reference only; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Sincerely,
Gao Pilin

Reply Date: 2016/05/03

More Info


Hello! Thank you for your detailed questions regarding flashing lights in vision, retinal health, and potential risks associated with these symptoms. Let’s break down your concerns and provide some clarity.


1. Flashing Lights and Retinal Risks
Flashing lights in your vision, especially when accompanied by high myopia (like your 700-degree prescription), can indeed be a cause for concern. The flashes you see are often due to the vitreous gel in the eye pulling on the retina, which can happen as the vitreous body undergoes changes with age or due to high myopia. When the retina is thin, as your doctor mentioned, there is an increased risk of retinal tears or detachment.
While not everyone who experiences flashes will develop a retinal tear, the presence of these symptoms, especially with a history of high myopia, warrants careful monitoring. Regular eye examinations are crucial. If you notice an increase in the frequency or intensity of the flashes, or if you experience new symptoms like a sudden increase in floaters or a shadow in your vision, you should seek immediate medical attention.


Prevention Strategies
To help prevent potential complications, consider the following strategies:
- Regular Eye Exams: Keep up with your scheduled eye exams, especially with a history of retinal thinning. Your eye doctor can monitor any changes in your retina.

- Protective Eyewear: If you engage in activities that could lead to eye trauma, wearing protective eyewear can help prevent injuries that might exacerbate retinal issues.

- Limit Eye Strain: Ensure you take regular breaks when using screens or reading. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Healthy Lifestyle: Maintain a balanced diet rich in antioxidants (like vitamins C and E), omega-3 fatty acids, and leafy greens, which can support overall eye health.


2. Laser Treatment and Potential Side Effects
If a retinal tear is detected, laser treatment is a common and effective method to prevent retinal detachment. The procedure involves using a laser to create small burns around the tear, which helps seal the retina to the underlying tissue.
While laser treatment is generally safe, potential side effects can include:
- Temporary Visual Disturbances: Some patients may experience temporary changes in vision, such as seeing spots or flashes after the procedure.

- Peripheral Vision Changes: In some cases, there may be slight changes in peripheral vision, but this is usually minimal.

- Recurrence: There is a small chance that new tears could develop in the future, necessitating further treatment.

The outcome of laser treatment often depends on individual factors, including the extent of the retinal damage and the overall health of the eye.


3. Seeing a White Network of Blood Vessels
Seeing a white, net-like pattern when you close your eyes could be related to several factors. It might be a phenomenon related to the visual system, such as the afterimages or visual noise that some people experience. However, if this is a new symptom or if it is accompanied by other visual disturbances, it is essential to discuss it with your eye care professional.
In conclusion, while flashing lights can be alarming, especially with a history of high myopia, regular monitoring and preventive measures can help manage the risks. Always communicate any changes in your vision to your eye doctor promptly. Your proactive approach to eye health is commendable, and I encourage you to continue seeking clarity and care for your vision. Thank you for your questions, and I wish you the best in maintaining your eye health!

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