Seeing Flashing Lights When Blinking in the Dark: Is It Normal? - Ophthalmology

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Flashing lights when blinking in the dark?


I have floaters and went to the hospital for dilation.
The doctor said there is no degeneration and everything is normal.
However, recently after turning off the lights, I see small white flashes when I blink, but they disappear when I open my eyes.
Is this normal?

K, 10~19 year old female. Ask Date: 2017/03/02

Dr. He Jianxian reply Ophthalmology


When blinking, eye movement can sometimes cause the vitreous to pull on the retina, leading to the occurrence of flashes and floaters.
If the frequency is too high, it is advisable to visit an ophthalmologist for a dilated eye examination.

Reply Date: 2017/03/02

More Info


Seeing flashing lights or small white spots when blinking in the dark can be concerning, especially for individuals with a history of eye conditions like floaters (also known as "myodesopsia"). Based on the information provided, it seems that you have already undergone a thorough examination, including dilation, and your doctor has confirmed that there are no signs of retinal degeneration or other serious issues. This is a positive indication that your eyes are generally healthy.

The phenomenon you are experiencing may be related to a few different factors. First, it is important to understand that our visual system is quite sensitive to changes in light and dark environments. When you are in a dark room and then blink, the sudden change in light perception can cause the brain to interpret these signals in unusual ways, leading to the perception of flashes or spots of light. This is often referred to as "phosphene," which is a sensation of seeing light without light actually entering the eye. Phosphenes can occur due to mechanical stimulation of the retina, such as blinking or even just moving your eyes.

Additionally, the presence of floaters can also contribute to this experience. Floaters are tiny clumps of gel or cells inside the vitreous humor of the eye that can cast shadows on the retina, especially in low-light conditions. When you blink, the movement of the vitreous gel can cause these floaters to shift, creating the appearance of flashes or spots of light. This is generally considered a benign condition, especially if you have been evaluated by an eye care professional and no significant issues were found.

It is also worth noting that the brain plays a significant role in how we perceive visual stimuli. In low-light conditions, the brain may enhance certain signals, leading to the perception of flashes or lights that are not actually present. This can be a normal response of the visual system as it adjusts to varying light levels.

However, while these explanations may provide some reassurance, it is essential to remain vigilant about any changes in your vision. If the flashing lights become more frequent, change in character, or are accompanied by other symptoms such as a sudden increase in floaters, loss of peripheral vision, or any other visual disturbances, it is crucial to seek immediate medical attention. These could be signs of more serious conditions, such as retinal detachment or other retinal issues, which require prompt evaluation and treatment.

In summary, seeing small white flashes when blinking in the dark can be a normal phenomenon, especially in the context of having floaters and after a thorough eye examination showing no abnormalities. However, always prioritize your eye health by maintaining regular check-ups with your eye care provider and reporting any new or concerning symptoms. Your eyes are vital, and staying informed about their health is key to preserving your vision.

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