Halos Around Lights: Is It Glaucoma at 17? - Ophthalmology

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Iridescence issue


At night, while on the road, I notice that some car headlights or streetlights appear to have a halo effect, while others do not.
Especially with headlights in the distance, they seem to emit rainbow-like colors, but as the car gets closer, the halo effect becomes less noticeable.
It's not just a glare; the light appears streaked and sometimes looks like a rainbow.
However, I don't see this halo effect with the lights at home.
Could this be a sign of glaucoma? I'm only 17 years old and I'm really scared.

Niming, 10~19 year old female. Ask Date: 2017/04/08

Dr. Cai Wenyuan reply Ophthalmology


Hello, the likelihood of glaucoma is not high, but please make sure to have regular medical check-ups.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/04/08

More Info


Experiencing halos or rainbow-like effects around lights, especially at night, can be concerning, particularly for a young individual like yourself. While it’s understandable to worry about conditions like glaucoma, it’s important to consider various factors that could contribute to your symptoms.

Firstly, halos around lights can be caused by several conditions, and they are not exclusively linked to glaucoma. In your case, the fact that you are only 17 years old makes it less likely that you would have glaucoma, which is more common in older adults. However, it’s essential to rule out any potential issues through proper eye examinations.

One common cause of halos is refractive errors, such as myopia (nearsightedness), which you may have if you are experiencing difficulty seeing distant objects clearly. When light enters the eye, it may not focus correctly on the retina, leading to visual distortions like halos. Additionally, if you have astigmatism, which is an irregular curvature of the cornea or lens, this can also contribute to the perception of halos and glare around lights.

Another factor to consider is dry eyes. If your eyes are not adequately lubricated, this can lead to visual disturbances, including halos. Environmental factors, such as exposure to wind, smoke, or prolonged screen time, can exacerbate dryness. If you wear contact lenses, particularly hard lenses, they can also contribute to dryness and discomfort, especially if worn for extended periods.

Furthermore, the phenomenon you describe, where the halos appear more pronounced with distant lights and diminish as they get closer, could be related to how your eyes adjust to different light intensities. This is known as light adaptation, and it can vary from person to person. The perception of halos can also be influenced by the contrast between the bright light source and the darker surroundings, which is why you may notice them more in low-light conditions.

In some cases, conditions like cataracts, which can cause clouding of the lens, may lead to similar visual disturbances, but this is typically not seen in younger individuals without other risk factors.
Given your age and the nature of your symptoms, it would be prudent to continue monitoring your situation and consult with an eye care professional if the symptoms persist or worsen. They may recommend a comprehensive eye exam, including tests for refractive errors, dry eye assessment, and possibly a dilated fundus examination to ensure that your retina and optic nerve are healthy.

In summary, while your symptoms may be concerning, they are not necessarily indicative of glaucoma, especially at your age. Factors such as refractive errors, dry eyes, and light adaptation are more likely culprits. It’s essential to maintain regular eye check-ups and communicate any changes in your vision to your eye care provider. This proactive approach will help ensure that any potential issues are addressed promptly and effectively, allowing you to feel more at ease about your eye health.

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