Vitreous Degeneration: Causes of Eye Flashes After Overuse - Ophthalmology

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Vitreous degeneration


Hello doctor, I have been experiencing eye strain lately, and when I take off my glasses and move my eyes from side to side, I see flashes of light.
However, when I keep my eyes still, there are no flashes.
Why is this happening?

Manman, 10~19 year old female. Ask Date: 2017/02/19

Dr. Chen Anping reply Ophthalmology


Dear Manman,
Regarding the condition you mentioned, it is due to vitreous degeneration.
It is recommended that you visit an ophthalmology clinic for an examination.
The Hualien Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2017/02/19

More Info


Vitreous degeneration, commonly referred to as vitreous floaters or flashes, is a condition that many individuals experience, particularly those with myopia (nearsightedness) or as they age. The vitreous is a gel-like substance that fills the eye and helps maintain its shape. Over time, this gel can undergo changes, leading to a phenomenon known as posterior vitreous detachment (PVD). This process can result in the perception of flashes of light, especially when the eye is moved rapidly or when looking in certain directions.

When you experience flashes of light upon moving your eyes, it is typically due to the vitreous gel pulling on the retina. The retina is the light-sensitive layer at the back of the eye, and when the vitreous pulls away from it, it can stimulate the retinal cells, causing the sensation of light flashes. This is often more pronounced in individuals who have experienced vitreous degeneration or who have a history of myopia, as the vitreous is more likely to undergo changes in these cases.

Your observation that flashes occur specifically when you turn your head or move your eyes suggests that the movement is causing the vitreous to exert tension on the retina. This is a common occurrence and is generally not a cause for alarm, especially if the flashes are infrequent and not accompanied by other symptoms such as a sudden increase in floaters, a shadow or curtain over your vision, or significant vision loss.

However, it is crucial to monitor these symptoms closely. If you notice an increase in the frequency or intensity of the flashes, or if you develop new visual disturbances, it is essential to seek an eye examination promptly. An eye care professional can perform a thorough examination, including a dilated fundus exam, to assess the health of your retina and rule out any potential complications, such as retinal tears or detachments.

In terms of treatment, there are currently no effective medical interventions specifically designed to reverse vitreous degeneration. Most management strategies focus on monitoring and addressing any associated symptoms. If the flashes are bothersome or if there is a significant risk of retinal complications, your eye doctor may discuss options such as laser treatment or vitrectomy, although these are typically reserved for more severe cases.

In conclusion, the flashes you are experiencing are likely related to vitreous degeneration and the mechanical interaction between the vitreous and the retina during eye movement. While this is a common occurrence, it is essential to remain vigilant and consult with an eye care professional if you notice any changes in your symptoms. Regular eye examinations are crucial for maintaining eye health, especially for individuals with a history of myopia or other risk factors for retinal issues.

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