Sudden Eye Flickers: Causes and Concerns for Your Vision - Ophthalmology

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Retinal issues?


Recently, I have experienced a brief flash in my eyes, not the kind of flashes associated with light, but more like the moment of blinking, even though I am not actually blinking.
I can clearly feel this flash happening about 2 to 4 times a day.
I am quite worried.
Could this be due to my recent fatigue, or is there a problem with my eyes? I have a history of floaters, but previous examinations did not reveal any issues.

Xiao Yu, 10~19 year old female. Ask Date: 2018/12/11

Dr. Cai Wenyuan reply Ophthalmology


Hello, please rest your eyes and monitor the situation.
If the symptoms persist, seek medical attention.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/12/11

More Info


Experiencing sudden eye flickers can be concerning, especially when they occur frequently. Based on your description, it sounds like you are experiencing brief episodes where it feels like your eye is blinking or flickering, even though you are not consciously doing so. This phenomenon can be attributed to several factors, and understanding these can help alleviate your concerns.

Firstly, it is important to note that the sensation of flickering or blinking without actual eye movement can be related to a few benign conditions. One common cause is eye fatigue or eye strain, which can occur after prolonged periods of screen time or intense focus on tasks such as reading. When the eyes are overworked, the muscles that control eye movement may become fatigued, leading to involuntary spasms or flickers. This is often accompanied by symptoms such as dryness, discomfort, or a feeling of heaviness in the eyes.

Another potential cause is ocular migraines. These are typically characterized by visual disturbances, such as flickering lights or temporary blind spots, and can occur without a headache. While ocular migraines are generally harmless, they can be alarming when they happen. If you have a history of migraines, this could be a possibility.

Additionally, stress and anxiety can also manifest physically in various ways, including muscle tension around the eyes. This tension can lead to involuntary muscle contractions, which might feel like flickering. Given that you mentioned feeling tired, it is possible that fatigue and stress are contributing to your symptoms.

Since you also have a history of floaters (or "flying mosquitoes"), it is essential to monitor any changes in your vision. Floaters are typically harmless, but if you notice a sudden increase in their number, or if you experience flashes of light or a curtain-like shadow over your vision, it is crucial to seek immediate medical attention, as these could be signs of retinal detachment or other serious conditions.

In your case, since you have already undergone an eye examination that did not reveal any significant issues, it is likely that your current symptoms are related to fatigue or stress rather than a serious eye condition. However, it is always wise to consult with an eye care professional if you have ongoing concerns or if your symptoms change or worsen.

To alleviate your symptoms, consider implementing the following strategies:
1. Take Regular Breaks: Follow the 20-20-20 rule—every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain.

2. Stay Hydrated: Ensure you are drinking enough water throughout the day, as dehydration can contribute to dry eyes and discomfort.

3. Manage Stress: Engage in relaxation techniques such as deep breathing, meditation, or yoga to help reduce overall stress levels.

4. Limit Screen Time: If possible, reduce the amount of time spent on screens, especially before bedtime, to help your eyes rest.

5. Consult an Eye Care Professional: If your symptoms persist or worsen, schedule an appointment with an ophthalmologist or optometrist for a thorough evaluation.

In conclusion, while occasional eye flickers can be concerning, they are often benign and related to fatigue or stress. Monitoring your symptoms and taking proactive steps to care for your eyes can help alleviate your concerns and improve your overall eye health.

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