Flashing Lights and Retinal Health: What You Need to Know - Ophthalmology

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I had a retinal examination two weeks ago, and last night I experienced flashes of light?


Hello Doctor: I would like to consult you.
I have been experiencing floaters and visited a large hospital for a retinal examination about two weeks ago.
After dilation, the results were the same as six months ago.
The retina in my left eye is thinner, but the doctor mentioned that it is the same area as before and has not become thinner compared to six months ago; the degree of thinning is only slightly more pronounced.
My right eye is completely normal, and he advised me to have an examination once a year.
Last night, when I turned off the lights to go to sleep, I turned my eyes a few times, and during the first four turns, I noticed larger flashes of light in my left eye (each turn produced smaller flashes).
After the fifth turn and until this morning, there were no more flashes.
Should I be concerned about this? Thank you for your guidance.

Mr. Chen, 20~29 year old female. Ask Date: 2017/03/24

Dr. Cai Wenyuan reply Ophthalmology


Hello, there is no need to worry, but please adhere to the schedule for check-ups.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/24

More Info


Flashing lights in your vision can be concerning, especially when you have a history of conditions like floaters (myodesopsia) and a thin retina. Based on your description, it seems you have undergone a thorough examination recently, which is reassuring. However, let’s break down your concerns regarding flashing lights and retinal health.

1. Understanding Flashing Lights: Flashing lights, or photopsia, can occur due to various reasons, primarily related to the vitreous gel in the eye. As we age or due to certain conditions, the vitreous can pull away from the retina, leading to flashes of light. This is often referred to as posterior vitreous detachment (PVD). In your case, since you mentioned that the flashes occurred when you turned your eyes, this could be related to the movement of the vitreous gel against the retina. The fact that the flashes diminished after a few occurrences is a positive sign, suggesting that it may not be an acute issue.

2. Retinal Health: Given that your retina was checked recently and found to be stable, with only slight thinning, it’s crucial to monitor any changes. A thin retina can be a risk factor for retinal tears or detachment, but if your ophthalmologist has indicated that there are no significant changes, it is likely that your condition is stable. Regular check-ups, as advised by your doctor, are essential to catch any potential issues early.

3. When to Worry: While occasional flashes, especially if they are transient and not accompanied by other symptoms, may not be a cause for alarm, you should be vigilant. If you experience an increase in the frequency or intensity of the flashes, or if they are accompanied by other symptoms such as a sudden increase in floaters, a shadow or curtain over your vision, or any significant vision loss, you should seek immediate medical attention. These could be signs of a more serious condition, such as retinal detachment.

4. Preventive Measures and Care: To maintain your eye health, consider the following:
- Regular Eye Exams: Continue with your annual check-ups as recommended by your ophthalmologist. This is crucial for monitoring any changes in your retinal health.

- Healthy Lifestyle: A balanced diet rich in antioxidants (like vitamins C and E, omega-3 fatty acids) can support eye health. Staying hydrated and managing systemic health conditions (like diabetes or hypertension) is also vital.

- Limit Eye Strain: If you spend long hours on screens, practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain and fatigue.

- Protective Eyewear: Wearing sunglasses that block UV light can protect your eyes from potential damage.

5. Conclusion: In summary, while the occasional flashes you experience may not be a cause for immediate concern, it’s essential to remain observant of any changes in your vision. Your recent eye examination indicates stability, which is a good sign. However, maintaining regular check-ups and adopting a healthy lifestyle will be beneficial for your overall eye health. If you have any doubts or if your symptoms change, don’t hesitate to reach out to your eye care professional for further evaluation. Your vision is invaluable, and proactive care is key to preserving it.

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