Nighttime Vision Issues: Flickering Lights and Eye Fatigue - Ophthalmology

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Hello Doctor, I would like to ask about a recent issue.
I've been experiencing a sensation where when I look at lights, it feels like they turn off and on again, but this lasts for about one second.
This often happens at night.
Additionally, I also feel like the lights are flickering.
Could this be due to eye strain or something else?

Niming, 10~19 year old female. Ask Date: 2019/01/03

Dr. Liang Ce reply Ophthalmology


It is recommended that you visit an ophthalmology clinic for an examination by a physician.
Wishing you good health!

Reply Date: 2019/01/03

More Info


Nighttime vision issues, such as flickering lights and sensations of eye fatigue, can be concerning and may stem from various underlying factors. Based on the symptoms you've described, it is essential to consider both physiological and environmental influences on your vision.

Firstly, the phenomenon of seeing flickering lights, especially in low-light conditions, can be attributed to several factors. One common cause is the adaptation process of the eyes when transitioning from darkness to light. When you spend an extended period in a dark environment, your pupils dilate to allow more light in, and your photoreceptors (rods and cones) adjust to the low-light conditions. When suddenly exposed to bright lights, such as turning on a lamp or looking at a light source, your eyes may experience temporary discomfort or a flickering sensation as they struggle to readjust. This is a normal physiological response and typically resolves quickly as your eyes adapt.

Another potential cause of flickering lights could be related to eye fatigue or strain, especially if you have been engaging in activities that require intense focus, such as reading or using digital devices for prolonged periods. Eye fatigue can lead to symptoms such as blurred vision, dryness, and light sensitivity, which may exacerbate the perception of flickering lights. It is crucial to take regular breaks when engaging in visually demanding tasks, following the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

Additionally, if you have a history of myopia (nearsightedness) or other refractive errors, wearing glasses that are not properly prescribed or using lenses that are not suited for your specific needs can lead to visual distortions, including the perception of flickering lights. If you notice that the flickering sensation is more pronounced when wearing your glasses, it may be worth consulting with an eye care professional to ensure your prescription is accurate and that your lenses are in good condition.

Moreover, certain medical conditions can also contribute to nighttime vision issues. For instance, conditions like retinal detachment, vitreous detachment (which can cause floaters or flashes of light), or even migraines can lead to visual disturbances. If you experience persistent flickering lights, especially if accompanied by other symptoms such as headaches, visual field loss, or significant changes in vision, it is essential to seek a comprehensive eye examination.

In summary, the flickering lights you are experiencing at night could be a result of normal eye adaptation processes, eye fatigue, or potentially an issue with your vision correction. It is advisable to monitor your symptoms and consult with an eye care professional if they persist or worsen. Regular eye examinations are crucial, especially if you have pre-existing conditions like myopia, to ensure your eye health is maintained and any potential issues are addressed promptly. Taking care of your eyes through proper rest, hydration, and appropriate lighting can also help alleviate some of the discomfort you are experiencing.

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