Rainbow Vision After Flashing Lights: Is It Glaucoma? - Ophthalmology

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I see rainbow vision when the flash is activated?


I see rainbow vision when I look at a flash of light, but it only occurs with the flash.
Is this glaucoma? I have congenital allergic conjunctivitis; could this be the reason? Is it true that the harder the eye, the higher the intraocular pressure?

Wo you wenti, 10~19 year old female. Ask Date: 2017/08/10

Dr. Cai Wenyuan reply Ophthalmology


Hello, please seek medical examination.
Thank you.

Reply Date: 2017/08/10

More Info


The phenomenon of seeing rainbow-like halos or colors around lights, especially after exposure to bright flashes, can be concerning and may lead one to wonder about underlying eye conditions such as glaucoma. However, it is essential to understand the various factors that contribute to this visual experience.

Firstly, the appearance of rainbow halos around lights is not exclusively indicative of glaucoma. This visual effect can occur due to several reasons, including but not limited to:
1. Corneal Issues: The cornea is the clear front surface of the eye. If there are irregularities or swelling in the cornea, light can scatter in unusual ways, leading to the perception of halos. Conditions such as corneal edema or irregular astigmatism can cause this effect.

2. Lens Opacities: The lens of the eye can develop opacities or cataracts, which can scatter light and create halos around lights. This is particularly common in older adults but can occur in younger individuals as well.

3. Dry Eyes: Poor tear quality or insufficient tear production can lead to dry eyes, which may cause visual disturbances, including halos. When the tear film is unstable, it can lead to light scattering, resulting in the perception of rainbow colors around lights.

4. Refractive Errors: Conditions such as astigmatism can cause light to bend unevenly as it enters the eye, leading to halos and glare.
5. Migraine Aura: Some individuals experience visual disturbances, including halos, as part of a migraine aura. This can occur even without a headache.

Regarding your specific question about whether the presence of rainbow vision after flashing lights is related to glaucoma, it is important to note that while glaucoma can cause visual disturbances, the typical symptoms associated with it include peripheral vision loss, eye pain, and seeing halos around lights, especially in low-light conditions. However, the presence of halos alone does not confirm glaucoma.

As for your concern about congenital allergic conjunctivitis, this condition primarily affects the surface of the eye and can lead to symptoms such as redness, itching, and tearing. While it may contribute to discomfort and visual disturbances, it is not directly linked to the formation of halos around lights.

The notion that "the harder the eye, the higher the intraocular pressure" is somewhat simplified. Intraocular pressure (IOP) is influenced by the balance between the production and drainage of aqueous humor within the eye. While a stiffer eye may correlate with higher IOP, it is not a direct cause-and-effect relationship. Regular eye examinations are crucial for monitoring IOP and assessing the health of the optic nerve, especially if you have risk factors for glaucoma.

In conclusion, while the appearance of rainbow halos after exposure to bright lights can be alarming, it is essential to consider the broader context of your eye health. If you are experiencing persistent visual disturbances, it is advisable to consult with an eye care professional. They can perform a comprehensive eye examination, including measuring your intraocular pressure and assessing the health of your cornea and lens, to determine the underlying cause of your symptoms and recommend appropriate treatment or management strategies. Regular check-ups are vital, especially if you have a history of allergic conjunctivitis or other eye conditions.

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