Vitreous Degeneration: Why Am I Seeing Flashes? - Ophthalmology

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Vitreous degeneration with flashes of light?


Hello, doctor.
A few days ago, I asked you a question, but recently I've been frequently seeing flashes in the corner of my left eye, which makes me feel anxious, so I would like to ask you again.

1.
Recently, whenever I turn my head or blink, I see flashes, especially in white environments.
This has been ongoing for about a week.
During the examination, the doctor noted some pebble-like degeneration in the corner of my eye and a slight thinning at the nasal wing.
Could this be related to the pebble-like degeneration?
2.
Before the fundus examination, I had a fundus photography done, and there were some white spots in the images.
Is that related?
I apologize for having so many questions, and thank you for your patience in reading this.

Lin Tongxue, 20~29 year old female. Ask Date: 2016/10/31

Dr. Cai Wenyuan reply Ophthalmology


Hello, the pebble-like degeneration is not related to your symptoms.
The white spots observed in the fundus photography are also not a concern, so there is no need to worry too much.
Wishing you peace and good health.
Sincerely, Dr.
Cai Wenyuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/10/31

More Info


Seeing flashes of light in your vision, especially when moving your head or blinking, can be concerning and often leads to anxiety about potential underlying issues. Based on your description and the context of vitreous degeneration, let’s delve into the possible causes and implications of these symptoms.

1. Understanding Flashes of Light: The flashes you are experiencing, particularly when turning your head or blinking, are commonly referred to as "photopsia." This phenomenon occurs when the vitreous gel inside the eye pulls on the retina, which can happen due to vitreous degeneration. As the vitreous shrinks and becomes more liquid, it can tug on the retina, leading to the perception of flashes of light. This is often benign, especially if you have had a thorough examination and your retina appears healthy.

2. Vitreous Degeneration: The term "geode-like degeneration" you mentioned refers to a specific type of vitreous degeneration where the gel becomes more liquefied and can form pockets. This is a normal part of aging and is not necessarily indicative of a serious problem. However, it can lead to symptoms like the ones you are experiencing. The fact that your doctor has noted this condition suggests that it is being monitored, but it does not automatically imply that you are at risk for retinal tears or detachment.

3. White Spots on Fundus Photography: The presence of white spots on your fundus photography can be related to various factors, including changes in the vitreous or the retina. These spots can sometimes represent areas of retinal pigment epithelium changes or other benign conditions. If your doctor has reassured you that these findings are not concerning, it is likely that they are part of the normal aging process or a benign condition.

4. When to Worry: It’s essential to monitor the frequency and intensity of the flashes. If you notice an increase in the number of flashes, especially if accompanied by new floaters, a shadow in your vision, or a sudden decrease in vision, you should seek immediate medical attention. These could be signs of a retinal tear or detachment, which require prompt treatment.

5. Managing Anxiety: It’s completely understandable to feel anxious about your vision, especially if you have a history of eye issues. However, it’s crucial to focus on the information provided by your healthcare professionals. Regular check-ups and open communication with your eye doctor can help alleviate concerns. If you find that your anxiety is overwhelming, consider discussing it with a mental health professional who can provide strategies to cope with these feelings.

6. Maintaining Eye Health: To support your eye health, consider the following practices:
- Regular Eye Exams: Keep up with your scheduled eye exams to monitor any changes in your vision or eye health.

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

- Protect Your Eyes: Wear sunglasses that block UV rays when outdoors and take breaks from screens to reduce eye strain.

- Stay Hydrated: Proper hydration can help maintain the health of the vitreous gel.

In conclusion, while flashes of light can be alarming, they are often benign, especially in the context of vitreous degeneration. Regular monitoring and communication with your eye care provider are key to managing your symptoms and maintaining your eye health. If you have further concerns, do not hesitate to reach out to your eye doctor for reassurance and guidance.

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