Retinal Detachment: Symptoms and Concerns for Patients - Ophthalmology

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Retinal detachment issues?


Doctor, I have floaters in my vision, and recently when I'm about to fall asleep (half asleep, half awake), I sometimes see a flash of light.
I'm not sure if it's my eyelids twitching.
I’ve researched and found that retinal detachment can cause flashes of light, an increase in floaters, or a decrease in vision, but I don’t have any of those symptoms.
I would like to know if this could be a sign of retinal detachment (I have myopia over 600, but not quite 700).

AMY, 10~19 year old female. Ask Date: 2016/05/07

Dr. He Jianxian reply Ophthalmology


It's not counted, but since your myopia is quite high, it is recommended to undergo a dilated eye examination.

Reply Date: 2016/05/07

More Info


Retinal detachment is a serious eye condition that occurs when the retina, the light-sensitive layer of tissue at the back of the eye, separates from its underlying supportive tissue. This separation can lead to permanent vision loss if not treated promptly. Understanding the symptoms and concerns associated with retinal detachment is crucial for patients, especially those with risk factors such as high myopia (nearsightedness), which you mentioned having.

Common symptoms of retinal detachment include:
1. Flashes of Light: Patients often report seeing flashes of light, particularly in their peripheral vision. This phenomenon occurs due to the retina being stimulated as it begins to detach.

2. Increased Floaters: The appearance of new floaters or an increase in the number of floaters can be a warning sign. Floaters are small specks or clouds that drift through your field of vision and are typically harmless, but a sudden increase can indicate a problem.

3. Shadow or Curtain Effect: Some patients describe a shadow or curtain effect that obscures part of their vision. This can happen as the retina detaches and can lead to significant vision loss if not addressed.

4. Blurred Vision: Blurred or distorted vision can also be a symptom, particularly if the macula (the central part of the retina responsible for sharp vision) is affected.

In your case, you mentioned experiencing flashes of light while transitioning between sleep and wakefulness, as well as having floaters. While these symptoms can be concerning, it is important to note that not all flashes or floaters indicate retinal detachment. Many people with high myopia experience these symptoms without having a detachment. However, the presence of flashes, especially if they are new or increasing, warrants a thorough examination by an eye care professional.

Given your high myopia (600 to 700 degrees), you are at an increased risk for retinal detachment. High myopia can lead to changes in the structure of the eye, making the retina more susceptible to detachment. Regular eye examinations are essential for monitoring your eye health, especially if you notice any changes in your vision.

If you are experiencing any of the symptoms mentioned above, particularly new flashes of light or a sudden increase in floaters, it is advisable to seek immediate medical attention. An eye care professional can perform a comprehensive examination, including a dilated fundus exam, to assess the condition of your retina and determine if there is any detachment or other issues that need to be addressed.

In summary, while your current symptoms may not definitively indicate retinal detachment, they should not be ignored, especially given your high myopia. Regular monitoring and prompt evaluation of any new or worsening symptoms are key to maintaining your eye health and preventing potential vision loss. If you have any concerns or notice changes in your vision, do not hesitate to reach out to an eye care specialist for further evaluation and guidance.

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