What are the symptoms of retinal detachment?
Hello, doctor.
I have 20/900 vision in one eye and 20/800 in the other, and I have floaters.
A few months ago, I had a dilated retinal examination, and the doctor said there were no issues, just simple degeneration.
However, recently, when I close my eyes and move them all the way to the left and right, I see a small white flash that appears for a moment and then disappears.
What could this symptom be? Additionally, what do the flashes look like?
Chen, 10~19 year old female. Ask Date: 2018/06/23
Dr. Cai Wenyuan reply Ophthalmology
Hello: This is a similar phenomenon, and I recommend 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: 2018/06/23
More Info
Retinal detachment is a serious condition that can lead to permanent vision loss if not treated promptly. Given your history of high myopia (900 and 800 degrees) and the presence of floaters, it is crucial to be aware of the symptoms associated with retinal detachment and to seek medical attention if you experience any concerning signs.
Symptoms of Retinal Detachment
1. Floaters: These are small specks or cobweb-like shapes that float across your field of vision. They are common in individuals with myopia and can be a normal part of the aging process. However, a sudden increase in floaters, especially if accompanied by flashes of light, should prompt an immediate eye examination.
2. Flashes of Light: Flashes may appear as brief bursts of light in your peripheral vision. They can occur when the vitreous gel inside the eye pulls on the retina. If you notice new flashes, especially if they are persistent, it is essential to consult an eye care professional.
3. Shadow or Curtain Effect: Some individuals report a shadow or curtain-like effect that obscures part of their vision. This can be a sign that the retina is detaching from the underlying tissue.
4. Sudden Vision Changes: Any sudden changes in vision, such as blurriness or a decrease in visual acuity, should be taken seriously. This includes the sensation of seeing a "white flash" or any unusual visual disturbances.
Your Symptoms
In your case, the experience of seeing a small white flash when you turn your eyes could be related to several factors, including:
- Vitreous Detachment: As the vitreous gel shrinks with age or due to myopia, it can tug on the retina, causing flashes of light. This is often benign but should be monitored.
- Retinal Tear or Detachment: The presence of flashes, especially in conjunction with floaters, could indicate a retinal tear or detachment. The white flash you describe may be a sign of the retina being stimulated or irritated.
What to Do Next
Given your symptoms and the potential risks associated with retinal detachment, it is crucial to take the following steps:
1. Immediate Eye Examination: Schedule an appointment with an ophthalmologist as soon as possible. They may perform a dilated eye exam to assess the retina for any tears or detachment.
2. Monitor Symptoms: Keep track of any new symptoms, such as an increase in floaters, new flashes of light, or changes in your peripheral vision. Documenting these changes can provide valuable information to your eye care provider.
3. Avoid Eye Strain: While waiting for your appointment, try to minimize activities that strain your eyes, such as prolonged screen time or reading in poor lighting.
4. Educate Yourself: Understanding the symptoms of retinal detachment can empower you to seek help promptly. Familiarize yourself with the signs and maintain regular eye check-ups, especially given your history of high myopia.
Conclusion
In summary, while floaters and flashes can be common, especially in individuals with high myopia, any new or worsening symptoms should be taken seriously. The white flash you are experiencing when moving your eyes could be related to vitreous changes, but it is essential to rule out any potential retinal issues. Prompt evaluation by an eye care professional is crucial to ensure your vision remains protected. Remember, early detection and treatment are key to preventing permanent vision loss associated with retinal detachment.
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