Flashing Lights: Is It Related to My Eye Floaters? - Ophthalmology

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Seeing flashes of light


Hello, Dr.
Tsai.
I have myopia of -5.00 diopters in both eyes and have been experiencing floaters recently.
For the past month, when I wake up in the morning and just open my eyes, I notice flashes in the corners of my eyes that last for about 10 seconds.
Sometimes it's in my left eye, sometimes in my right eye.
This only happens right after I wake up.
However, I had a fundus examination and was told that my retina is not particularly thin and there are no holes.
I was too nervous during the examination and forgot to ask if this is a symptom of floaters.
I'm really worried.

A-Yuan, 20~29 year old female. Ask Date: 2018/03/27

Dr. Cai Wenyuan reply Ophthalmology


Hello, Ah-Yuan.
The symptoms you are experiencing are consistent with floaters.
Regular check-ups are sufficient, and there is no need for concern.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/03/27

More Info


Flashing lights in your vision can be concerning, especially when you have a history of eye conditions like myopia (nearsightedness) and floaters. Based on your description, it seems that you are experiencing flashes of light primarily upon waking, which lasts for about 10 seconds and occurs in either eye. This phenomenon can indeed be related to your existing floaters, but it’s essential to understand the underlying mechanisms and when to seek further medical evaluation.

Flashing lights, or photopsia, often occur due to the interaction between the vitreous gel (the clear gel that fills the eye) and the retina. As we age or due to certain eye conditions, the vitreous can become more liquefied and may pull away from the retina. This pulling can stimulate the retina, causing the perception of flashes of light. In your case, since you have floaters, it’s possible that the vitreous gel is still in the process of detaching, which can lead to these transient flashes, especially when you change positions, such as when you wake up.

The fact that these flashes occur only upon waking and last for a short duration is somewhat reassuring. It suggests that they may not be related to a serious retinal issue, especially since you have had a recent eye examination that ruled out significant problems like retinal tears or detachments. However, it is crucial to monitor the frequency and intensity of these flashes. If they become more persistent, occur in conjunction with a sudden increase in floaters, or are accompanied by a loss of vision, you should seek immediate medical attention.

In terms of your concern about whether these flashes are a symptom of your floaters, it is indeed possible. Floaters themselves are typically harmless and are caused by tiny clumps of gel or cells within the vitreous that cast shadows on the retina. However, the presence of floaters can sometimes be associated with changes in the vitreous that lead to flashes.
It’s also worth noting that stress and anxiety can exacerbate visual symptoms. If you were particularly anxious during your eye examination, it might have contributed to your heightened awareness of these flashes.
In summary, while the flashes you are experiencing could be related to your floaters and the normal aging process of the vitreous, it is essential to stay vigilant. If the symptoms change or worsen, or if you experience new symptoms, such as a curtain-like shadow over your vision or significant changes in your visual field, it is crucial to return to your eye care professional for a thorough evaluation. Regular follow-ups are essential, especially with your history of myopia and floaters, to ensure that any potential issues are caught early.
In the meantime, try to reduce eye strain by taking regular breaks from screens and ensuring proper lighting when reading or working. Maintaining a healthy lifestyle, including a balanced diet rich in antioxidants, can also support overall eye health.

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