Seeing Rainbow Halos Around Streetlights: Possible Causes Explained - Ophthalmology

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Seeing a rainbow halo around a streetlight?


Last week, I had a visual field test and a fundus examination, both of which were normal.
A few days ago, I noticed rainbow halos around streetlights, so I immediately visited an ophthalmologist.
My intraocular pressure was normal, and there was no corneal edema.
The doctor was unsure of the cause.
Could this phenomenon be due to dry eyes or fatigue? Or could it be undiagnosed glaucoma?

Vivi, 20~29 year old female. Ask Date: 2020/03/04

Dr. He Jianxian reply Ophthalmology


Hello Vivi: First, it is important to understand that glaucoma is not possible, as only acute glaucoma can cause such a condition.
If you are wearing glasses, dirty lenses or impurities in your tears could also lead to similar issues.
Dr.
He Jianxian, Ophthalmologist, Nantou Hospital.

Reply Date: 2020/03/04

More Info


Seeing rainbow halos around streetlights can be a perplexing experience, especially when you've recently undergone thorough eye examinations that yielded normal results. The phenomenon you're describing is often related to the way light interacts with moisture in the air and the condition of your eyes, rather than being indicative of a serious underlying eye condition like glaucoma.


Possible Causes of Rainbow Halos
1. Light Refraction and Dispersion: When light from streetlights passes through raindrops or water vapor in the air, it can refract and disperse, creating a spectrum of colors similar to a rainbow. This is a common occurrence during rainy or humid conditions. The water droplets act like tiny prisms, bending the light and separating it into its constituent colors.

2. Tears and Tear Film Quality: Another significant factor could be the quality of your tear film. If your eyes are dry or if the tear film is unstable, it can lead to light scattering, which may result in halos or rainbow-like effects around bright lights. Conditions such as dry eye syndrome can cause the tear film to become uneven, leading to visual disturbances, especially in low-light conditions.

3. New Glasses or Lens Issues: If you've recently changed your glasses, the new lenses may not be optimized for your vision or may have imperfections that could cause light to scatter differently than your previous lenses. This can lead to visual artifacts, including halos around lights.

4. Eye Fatigue: Prolonged screen time or focusing on close objects can lead to eye strain, which may exacerbate visual disturbances. Fatigue can affect how your eyes process light, potentially leading to the perception of halos.

5. Environmental Factors: Weather conditions, such as rain or fog, can enhance the visibility of halos due to the increased presence of moisture in the air. This is particularly noticeable at night when streetlights are on, as the contrast between the bright light and the dark surroundings makes the halos more prominent.


Should You Be Concerned?
Given that your recent eye examinations, including visual field tests and intraocular pressure checks, returned normal results, it is unlikely that you are experiencing symptoms of glaucoma or any other serious eye condition. However, if the halos persist or worsen, or if you begin to experience other symptoms such as vision loss, pain, or significant discomfort, it would be prudent to follow up with your eye care provider.


Recommendations
- Monitor Symptoms: Keep track of when you notice the halos. Are they more prevalent in certain conditions, such as when it's raining or when you're particularly tired? This information can be helpful for your eye care provider.


- Stay Hydrated: Ensure that you are adequately hydrated, as dehydration can contribute to dry eyes.

- Use Artificial Tears: If you suspect that dry eyes may be contributing to your symptoms, consider using over-the-counter artificial tears to help maintain a stable tear film.

- Follow Up: If the phenomenon continues or if you have any concerns, don’t hesitate to return to your eye doctor for further evaluation. They may suggest additional tests or adjustments to your current eyewear.

In summary, while seeing rainbow halos around streetlights can be disconcerting, it is often a benign phenomenon related to environmental conditions and the quality of your tear film. Keeping an eye on your symptoms and maintaining good eye health practices can help you manage this experience effectively.

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