Flickering Water Waves in Vision: Causes and Solutions - Ophthalmology

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The phenomenon you are experiencing, described as flickering water waves in your vision, can be quite concerning, especially given its persistence over the past two years. Based on your description, it appears that you are observing a type of visual disturbance that can be associated with several underlying causes.
Firstly, the flickering water waves you see, particularly when looking at bright surfaces like the sky or white walls, may be related to a condition known as visual aura. This is often associated with migraines, even in the absence of a headache. The visual disturbances can manifest as shimmering lights, zigzag patterns, or, as you described, flickering waves. These symptoms can occur without any accompanying pain and may last from a few minutes to several hours.
Another possibility is related to the vitreous humor in your eyes. As people age or due to certain conditions, the vitreous gel can become more liquid and may pull away from the retina, leading to visual disturbances such as floaters or flashes of light. This is generally benign, especially if your retina has been checked and found to be healthy. However, if there is any traction on the retina, it could potentially lead to more serious issues, which is why regular monitoring is essential.

You mentioned that your eye examinations have shown normal retinal health and intraocular pressure, which is reassuring. However, the presence of white spots moving in your vision could indicate issues with the vitreous or even the early stages of retinal detachment, although this is less likely given your previous assessments.
The fact that these symptoms are exacerbated by bright light suggests that your eyes may be sensitive to light, a condition known as photophobia. This can be caused by various factors, including dry eyes, eye strain, or even neurological conditions. Your mention of feeling better when taking B vitamins could indicate that nutritional deficiencies may play a role in your symptoms, as certain vitamins are crucial for maintaining eye health and proper nerve function.

Given that you have a history of poor blood circulation and anemia, it is also worth considering that these systemic issues could contribute to your visual symptoms. Poor circulation can affect the delivery of oxygen and nutrients to the eyes, potentially leading to visual disturbances.
In terms of next steps, it would be advisable to consult with a specialist in neuro-ophthalmology or a retinal specialist. They can provide a more comprehensive evaluation of your symptoms, particularly focusing on the interaction between your visual disturbances and any potential neurological implications. Additionally, if you have not already done so, consider discussing your symptoms with a general practitioner who can assess your overall health, including circulation and nutritional status.

In the meantime, maintaining a healthy lifestyle, including regular exercise to improve circulation, a balanced diet rich in vitamins and minerals, and ensuring adequate hydration, may help alleviate some of your symptoms. Furthermore, practicing good eye hygiene, such as taking regular breaks from screens and ensuring proper lighting while working, can also be beneficial.

In summary, while your symptoms may be benign, they warrant further investigation to rule out any serious underlying conditions. Regular follow-ups with eye care professionals and possibly a neurologist will help ensure that your vision remains healthy and that any potential issues are addressed promptly.