Flashing Lights After Blinking: Eye Health Insights - Ophthalmology

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After blinking, the eyes feel like there is a light flashing?


Hello Dr.
Gao: Two months ago, I suddenly experienced issues with floaters.
I went to an ophthalmology clinic for a dilated eye examination, and the doctor said there were no holes or bleeding in the retina, suggesting that the floaters were likely caused by the relaxation of the eye muscles.
Since then, I often notice a faint shimmering light in my eyes after turning off the lights at night, and when I turn my head quickly, my vision starts to flicker.
However, that's not what I'm most concerned about.
More strangely, in the past two months, I have experienced about four instances where, after returning to my dormitory from outside at night (I’m not sure if it’s related to moving from a dark area to a bright one), I feel like the lights are flickering, as if the voltage is unstable, turning on and off intermittently.
Every time I blink, the light seems to dim twice, and it lasts for about a minute before returning to normal.
I asked the clinic doctor about this, but there were other patients around, and the doctor seemed busy.
I felt he didn’t fully understand what I was saying; he only mentioned that the floaters had not increased and that the flickering was not a concern.

Yang Meinv, 20~29 year old female. Ask Date: 2016/11/29

Dr. Gao Pilin reply Ophthalmology


Hello, Ms.
Yang: The flashes you are seeing are mostly caused by retinal discharge, which may be due to the vitreous pulling on the retina.
Both flashes and floaters are related to the degeneration of the vitreous.
If you notice any abnormalities, it is best to seek medical attention as early as possible.
Although there may not be a significant issue, early detection generally leads to better outcomes.
The ophthalmology department at Puzi Hospital in Taiwan 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; it is necessary to visit a medical facility for proper evaluation.
I hope to have the opportunity to assist you.
Dr.
Gao Pilin

Reply Date: 2016/11/29

More Info


Flashing lights in the eyes, especially after blinking or transitioning from dark to light environments, can be a concerning symptom for many individuals. Your experience of seeing flashes of light, particularly after spending time in a dark environment and then moving into a brighter one, is not uncommon. This phenomenon can be attributed to several factors related to eye health and function.

Firstly, it’s important to understand that the eye is a complex organ that relies on a delicate balance of light perception and neural processing. When you move from a dark area to a well-lit area, your eyes undergo a process known as "light adaptation." This process involves the photoreceptors in your retina adjusting to the increased light levels. During this adaptation phase, some individuals may experience temporary visual disturbances, such as flashes or flickering lights. This is generally a normal response and should resolve quickly as your eyes adjust.

In your case, the flashes you describe occurring after blinking or when transitioning from dark to light could be related to the vitreous gel inside your eye. As you mentioned, you have experienced floaters (or "flying mosquitoes"), which are often caused by changes in the vitreous humor. The vitreous can pull away from the retina, leading to sensations of flashes of light, especially when you move your eyes quickly or blink. This is known as "photopsia." While your recent eye examination indicated that there were no retinal tears or bleeding, it’s crucial to monitor these symptoms, as they can sometimes indicate changes in the vitreous that may require further evaluation.

Regarding your experience of lights flickering or appearing unstable, this could be related to several factors. One possibility is that your eyes are experiencing a temporary disruption in visual processing, which can occur due to fatigue, stress, or even prolonged screen time. Given that you mentioned spending significant time on the computer, eye strain could contribute to these visual disturbances. It’s essential to take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to help reduce eye strain.

Additionally, the sensation of lights flickering when transitioning from dark to light could also be influenced by the way your brain processes visual information. If you are particularly sensitive to changes in light, this could amplify the perception of flickering lights.
To address your concerns and prevent further issues, consider the following recommendations:
1. Regular Eye Exams: Continue to have regular check-ups with your eye care professional. If symptoms persist or worsen, seek a more thorough evaluation, including visual field tests or imaging studies if necessary.

2. Manage Eye Strain: Ensure you are practicing good eye hygiene, especially if you spend long hours in front of screens. Adjust your workstation to reduce glare, use proper lighting, and take frequent breaks.

3. Monitor Symptoms: Keep a log of when these symptoms occur, their duration, and any associated activities. This information can be helpful for your eye care provider in diagnosing any underlying issues.

4. Healthy Lifestyle: Maintain a healthy diet rich in antioxidants, stay hydrated, and protect your eyes from UV light by wearing sunglasses outdoors.

5. Consult a Specialist: If you continue to experience these symptoms, consider consulting a retinal specialist who can provide a more in-depth assessment of your retinal health.

In conclusion, while the symptoms you describe can be alarming, they are often benign, especially in the context of your recent eye examination. However, vigilance is key, and maintaining open communication with your eye care provider will ensure that any potential issues are addressed promptly.

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