Floaters and Flashing Lights in Your Vision: When to Seek Help - Ophthalmology

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Vitreous floaters and flashes?


Hello Doctor: Recently, I have been experiencing floaters in both eyes, and occasionally (every two weeks or once a month) I notice flashes in the corner of my right eye, which last for about half an hour.
I have undergone a fundus examination, and the doctor said there were no issues.
I would like to know if it is normal for the flashes to last about half an hour? Should I undergo another fundus examination?

Xiang, 20~29 year old female. Ask Date: 2019/11/14

Dr. Gao Pilin reply Ophthalmology


Hello, Xiang: Floaters are a phenomenon of vitreous degeneration, which can also pull on the retina and cause flashes of light.
As long as this pulling persists, flashes will continue to be seen.
Therefore, a dilated fundus examination is necessary.
If the examination shows no issues and there are no significant changes, self-monitoring is sufficient.
The Ophthalmology Department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2019/11/14

More Info


Experiencing floaters and flashing lights in your vision can be concerning, especially when they occur frequently or last for extended periods. Based on your description, it seems you have been experiencing floaters, which are common visual disturbances, and intermittent flashes of light in your right eye. You mentioned that these flashes can last for about half an hour and that you have already undergone a thorough eye examination, which did not reveal any significant issues.

Floaters are typically caused by changes in the vitreous gel that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the perception of floaters. They can appear as small dots, lines, or cobweb-like structures in your field of vision. While floaters are generally harmless, they can sometimes be associated with more serious conditions, such as retinal tears or detachments, especially if they are accompanied by flashes of light.

Flashes of light, or photopsia, occur when the retina is stimulated, either by the vitreous tugging on it or by other factors. The fact that your flashes last for about half an hour is noteworthy. Typically, flashes associated with vitreous changes are brief and may last only a few seconds. Extended flashes could indicate a more significant issue, particularly if they are recurrent or accompanied by other symptoms such as a sudden increase in floaters, a shadow or curtain effect in your vision, or a loss of peripheral vision.

Given that you have already had an eye examination and your doctor found no immediate concerns, it is essential to monitor your symptoms closely. If the flashes persist, increase in frequency, or are accompanied by any new visual disturbances, it would be prudent to seek further evaluation from an eye care professional. A follow-up examination, including a dilated fundus exam, may be necessary to rule out any potential retinal issues.

In terms of whether the flashes are normal, it is essential to consider individual circumstances. While some people may experience occasional flashes without any underlying problems, others may have more serious conditions that require intervention. Therefore, it is always better to err on the side of caution.

Additionally, if you find that your symptoms are exacerbated by prolonged screen time or eye strain, it may be beneficial to implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice can help reduce eye fatigue and may alleviate some discomfort associated with prolonged computer use.

In conclusion, while your current symptoms may not indicate an immediate problem, ongoing vigilance is crucial. If you notice any changes in your vision or if the flashes become more frequent or prolonged, do not hesitate to seek further evaluation. Your eye health is paramount, and timely intervention can prevent potential complications.

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