Seeing Pulsating Blood Vessels and Flickering Lights in Vision - Ophthalmology

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Seeing pulsating blood vessels and flickering lights in your vision can be concerning, especially when accompanied by symptoms like palpitations. Based on your description, it seems that you are experiencing visual phenomena that may be related to both your cardiovascular health and the condition of your eyes.

When you mention seeing a net-like pattern of blood vessels that pulsates in sync with your heartbeat, this could be attributed to a phenomenon known as "visual pulsatile tinnitus." This occurs when the blood flow in the vessels near the retina or in the optic nerve is perceived visually, particularly during moments of increased heart rate or blood pressure, such as when climbing stairs. The increased heart rate can cause a heightened awareness of these visual sensations, making them more pronounced.

The flickering lights or flashes you see when you open your eyes may be related to a condition known as "photopsia." Photopsia can manifest as flashes of light or flickering in the visual field and is often associated with retinal issues, such as retinal detachment or vitreous detachment. However, it can also be benign and related to the way light interacts with the structures in your eye, particularly if you have a history of eye trauma or conditions like myopia (nearsightedness).

Given your history of heart palpitations and the fact that you have been evaluated by a cardiologist, it is reassuring that no significant issues were found. However, it is essential to continue monitoring your symptoms. If you experience any changes in your vision, such as a sudden increase in the frequency or intensity of these visual disturbances, or if you notice any new symptoms like a loss of vision, it is crucial to seek immediate medical attention.

In terms of management, here are a few recommendations:
1. Regular Eye Exams: Since you have a history of eye issues, including high myopia and potential retinal concerns, regular visits to an ophthalmologist are essential. They can perform comprehensive eye exams to monitor the health of your retina and other structures.

2. Monitor Cardiovascular Health: Since your symptoms seem to correlate with heart rate changes, keeping track of your heart health is important. If you notice any patterns or triggers for your palpitations, discuss these with your cardiologist.

3. Stay Hydrated and Manage Stress: Dehydration and stress can exacerbate both heart palpitations and visual disturbances. Ensure you are drinking enough water and managing stress through relaxation techniques or physical activity.

4. Avoid Eye Strain: If you are spending long hours in front of screens or reading, take regular breaks to reduce eye strain, which can contribute to visual disturbances.

5. Document Symptoms: Keep a journal of your symptoms, noting when they occur, their duration, and any associated activities. This information can be helpful for your healthcare providers in diagnosing and managing your condition.

In conclusion, while your symptoms may be benign, they warrant careful monitoring and evaluation. If you experience any worsening of your symptoms or new visual changes, do not hesitate to seek medical advice. Your health and well-being are paramount, and proactive management is key to addressing any potential issues.