Eye problems can sometimes be accompanied by headaches?
During regular activities such as reading or using the computer, I do not experience any flashes.
However, I notice flashes when I exert myself during bowel movements or while doing deep squats.
A year ago, I experienced many small, flickering lights, but now it appears as if I am seeing bright lights that blink like a wink (which used to occur occasionally a year ago, but now happens daily).
Is this worsening? My blood pressure is generally on the lower side; could this have an impact? Which medical specialty should I consult for examination?
Li, 60~69 year old female. Ask Date: 2020/03/24
Dr. Liao Yaopan reply Family Medicine
Hello, regarding your inquiry, it is recommended to seek assistance from an ophthalmologist for evaluation.
Online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.
Reply Date: 2020/03/24
More Info
When experiencing eye issues and headaches, particularly symptoms such as flashes of light or visual disturbances, it is crucial to understand the potential underlying causes and when to seek medical help. The symptoms you've described—flashes of light occurring during physical exertion or deep squats—can be indicative of several conditions, some of which may require prompt medical attention.
Flashes of light in the vision, known as photopsia, can occur for various reasons. One common cause is the vitreous gel in the eye pulling away from the retina, which can happen as we age. This condition, known as posterior vitreous detachment, is generally benign but can sometimes lead to more serious issues, such as retinal tears or detachments. The fact that you mentioned these flashes have become more frequent and now occur daily is concerning and warrants further investigation.
Additionally, the presence of low blood pressure can influence your overall health and may contribute to symptoms like dizziness or lightheadedness, especially during physical activity. However, low blood pressure alone is less likely to be the direct cause of visual disturbances unless it leads to inadequate blood flow to the eyes or brain.
Given your symptoms, it is advisable to consult an ophthalmologist, a medical doctor specializing in eye and vision care. They can perform a comprehensive eye examination, which may include a dilated fundus examination to assess the retina and vitreous for any abnormalities. If necessary, they may also refer you to a neurologist if there are concerns about neurological causes for your headaches or visual symptoms.
In addition to seeking medical advice, it is essential to monitor your symptoms closely. If you experience any sudden changes in vision, such as a significant increase in the number of flashes, the appearance of new floaters, or a shadow or curtain effect in your vision, you should seek immediate medical attention. These could be signs of a retinal tear or detachment, which is a medical emergency.
In summary, while occasional flashes of light can be benign, the increase in frequency and the nature of your symptoms suggest that it is time to seek professional evaluation. An ophthalmologist will be able to determine the cause of your symptoms and recommend appropriate treatment or management strategies. Remember, early detection and intervention are key to preserving your vision and overall eye health.
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