Eye Drops: Concerns About Dry Eyes and Flashing Lights - Ophthalmology

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Eye drop issues?


Hello Doctor, I have been visiting an ophthalmologist for the past month due to issues with dry eyes and floaters.
On Wednesday, I had my first fundus examination, and the retina appeared normal.
The doctor prescribed artificial tears and methacholine eye drops (this is the first time I've received this medication; previous doctors only prescribed dilating drops).
However, today around noon, about half an hour after using the eye drops, my vision suddenly flashed like lightning (I initially thought it was a light bulb malfunction), but it hasn't happened again since.
Should I have my retina re-examined immediately, or can I continue to observe? Should I keep using the eye drops? My frequent visits have been quite concerning for my parents, so I wanted to consult with you first.
Thank you!

Niming, 20~29 year old female. Ask Date: 2019/08/23

Dr. Cai Wenyuan reply Ophthalmology


Hello: You can continue to observe and keep taking the medication.
Wishing you safety and health.
Sincerely, Dr.
Cai Wenyuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/08/23

More Info


Hello! Based on your description, it seems you are experiencing a combination of dry eye symptoms and occasional visual disturbances, such as flashing lights. Let’s break down your concerns and provide some clarity on what might be happening.


Understanding Your Symptoms
1. Dry Eyes: Dry eye syndrome occurs when your eyes do not produce enough tears or when the tears evaporate too quickly. This can lead to discomfort, a gritty sensation, and sometimes visual disturbances. The artificial tears your doctor prescribed are intended to provide lubrication and alleviate these symptoms. It’s important to continue using them as directed, especially if they help relieve your discomfort.

2. Flashing Lights: The sudden flash of light you experienced could be related to several factors. In many cases, flashes of light are caused by the vitreous gel inside the eye pulling on the retina, which can happen with age or due to changes in the vitreous. This is often benign, especially if it occurs infrequently and resolves quickly. However, it can also be a sign of more serious conditions, such as retinal tears or detachments, particularly if accompanied by other symptoms like a sudden increase in floaters or a shadow in your vision.


When to Seek Further Evaluation
Given that you recently had a thorough eye examination and your retina was deemed normal, the isolated incident of flashing light may not be cause for immediate concern. However, if you experience any of the following, you should contact your eye care provider promptly:
- Increased Frequency of Flashes: If the flashes become more frequent or persistent.

- New Floaters: A sudden increase in floaters or seeing new shapes or shadows in your vision.

- Changes in Vision: Any significant changes in your vision, such as blurriness or loss of peripheral vision.


Continuing Eye Drops
You should continue using the prescribed eye drops as they are essential for managing your dry eye symptoms. Artificial tears can help maintain moisture on the surface of your eyes, which may also reduce the frequency of visual disturbances related to dryness. If you notice that the drops are not providing relief, or if your symptoms worsen, it would be wise to follow up with your eye doctor for further evaluation.


Conclusion
In summary, while the flashing light you experienced could be benign, it’s essential to monitor your symptoms closely. Continue using your artificial tears, and if you notice any changes or worsening of your symptoms, don’t hesitate to reach out to your eye care professional. Regular communication with your doctor is crucial, especially when managing conditions like dry eyes and monitoring for potential retinal issues. Your health and peace of mind are paramount, and it’s always better to err on the side of caution when it comes to your vision.

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