Eye Symptoms: When to Seek Medical Attention - Ophthalmology

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Eye symptom consultation


Hello, Director Tsai: In the past year or two, I have experienced a phenomenon where, without moving my head, whenever I move my eyes as far right and upward as possible (looking left and downward does not trigger any symptoms), I hear a sound similar to glass beads falling or colliding (the sound seems to originate from my right ear or near the temporal region of my skull).
Additionally, in dark spaces, I can see what appears to be faint flashes of light.
This situation ceases when my eyes return to their original position or when I move my head.
May I ask, Director Tsai: 1.
What kind of condition could this be based on the description? 2.
Is it necessary to seek immediate medical examination or treatment? Thank you, Director Tsai.

Niming, 30~39 year old female. Ask Date: 2017/07/09

Dr. Cai Wenyuan reply Ophthalmology


Hello: Please take the time to have a medical examination to check for any abnormalities.
Wishing you peace, health, and well-being.
Sincerely, Dr.
Cai Wenyuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/07/09

More Info


Hello! Thank you for your detailed inquiry regarding your eye symptoms. Based on your description, it sounds like you are experiencing some unusual sensations when moving your eyes, particularly when looking to the right and upward. Let's break down your concerns and provide some insights into potential causes and when to seek medical attention.


1. Possible Conditions
The symptoms you describe—hearing a sound similar to glass beads dropping or colliding, along with seeing faint flashes of light—could be indicative of a few different conditions:
- Vitreous Detachment: As we age, the vitreous gel that fills the eye can begin to shrink and pull away from the retina. This can cause visual disturbances like flashes of light and may be accompanied by floaters. The sound you hear could be related to the movement of the vitreous gel.

- Retinal Issues: While less common, the combination of flashes and sounds could also suggest a potential issue with the retina, such as a tear or detachment. This is a more serious condition that requires immediate attention.

- Ocular Migraines: Some individuals experience visual disturbances, including flashes of light, as part of an ocular migraine. This typically does not involve pain but can be alarming.

- Eustachian Tube Dysfunction: The sound you hear might not be directly related to your eyes but could be associated with issues in the ear or Eustachian tube, which connects the middle ear to the back of the nose.


2. When to Seek Medical Attention
Given the nature of your symptoms, it is crucial to take them seriously. Here are some guidelines on when to seek medical attention:
- Immediate Attention: If you experience a sudden increase in flashes of light, a significant increase in floaters, or a shadow or curtain effect in your vision, you should seek immediate medical attention. These could be signs of retinal detachment, which is a medical emergency.

- Persistent Symptoms: If the symptoms persist or worsen, even if they are not accompanied by other alarming signs, it is advisable to consult an eye care professional. They can perform a thorough examination, including a dilated eye exam, to assess the health of your retina and vitreous.

- Associated Symptoms: If you experience any additional symptoms such as headaches, dizziness, or changes in hearing, it would be wise to seek medical advice sooner rather than later.


Conclusion
In summary, while some of your symptoms may be benign, the combination of auditory sensations and visual disturbances warrants a thorough evaluation by an eye care specialist. It is always better to err on the side of caution when it comes to eye health, as early detection and treatment can significantly improve outcomes in cases of serious conditions. Please make an appointment with an ophthalmologist or optometrist as soon as possible to discuss your symptoms in detail and receive appropriate care. Thank you for reaching out, and I hope you find relief soon!

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