White Light in One Eye: Causes and Concerns Explained - Ophthalmology

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Appearance of white light in the eye?


Hello doctor, I would like to ask about a recent issue.
When I sit or squat for a long time and then stand up, I notice white flashes in the peripheral vision of my left eye, while my right eye is fine.
Additionally, I've been feeling my heart racing lately.
I would like to know if this could be related to blood pressure issues or eye problems, since only one eye is affected.
Thank you, doctor.

Mr. Chen, 20~29 year old female. Ask Date: 2020/05/07

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Chen: Your issue may be related to blood pressure.
Standing up after squatting for a long time could lead to cerebral hypoperfusion, resulting in visual disturbances.
The peripheral white light you are experiencing could also be due to vitreous traction, as the action of standing may cause the vitreous to move and pull on the retina.
However, if you are experiencing a rapid heartbeat, it is important to check for arrhythmias or the possibility of anemia.
I recommend that you first consult a cardiologist.

In Taiwan, the ophthalmology department at Puzi Hospital is available:
Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM
Wednesday from 2:00 PM to 4:30 PM.

Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.

Best regards,
Gao Pilin

Reply Date: 2020/05/07

More Info


Hello! Thank you for your question regarding the appearance of white light in your left eye, particularly when standing up after sitting or squatting for a long time. This symptom, along with your increased heart rate, raises some important considerations that we should address.

The phenomenon of seeing white light or flashes in one eye can often be attributed to several potential causes, particularly related to the vitreous humor and retina. One common explanation is that the vitreous gel, which fills the eye, can pull on the retina as you change positions. This pulling can create the sensation of flashes of light, often described as "photopsia." This is especially prevalent in individuals who have conditions like floaters or posterior vitreous detachment, which is common as people age or in those with myopia (nearsightedness).

Since you mentioned that this occurs specifically in your left eye and not the right, it could indicate that there is localized vitreous traction affecting that eye. However, it is crucial to rule out any more serious conditions, such as retinal tears or detachments, which can also present with similar symptoms. Given your description, it would be prudent to have a comprehensive eye examination, including a dilated fundus exam, to assess the health of your retina and vitreous.

Regarding your concern about your heart rate and whether it could be related to blood pressure issues, it is essential to consider that changes in posture (like standing up quickly after sitting or squatting) can lead to a temporary drop in blood pressure, known as orthostatic hypotension. This can cause symptoms such as dizziness, lightheadedness, and even visual disturbances. If you are experiencing a rapid heartbeat alongside these visual symptoms, it could be a response to your body adjusting to the change in position or could indicate an underlying cardiovascular issue that warrants further investigation.

In summary, the appearance of white light in your left eye, particularly when changing positions, could be due to vitreous traction or other ocular issues. However, the accompanying symptoms of a rapid heartbeat and potential blood pressure changes suggest that a thorough evaluation by both an ophthalmologist and possibly a cardiologist may be beneficial. It is crucial to address both the ocular symptoms and any cardiovascular concerns to ensure your overall health and well-being.

I recommend scheduling an appointment with an eye care professional as soon as possible to investigate the cause of the white light in your eye. Additionally, if you continue to experience rapid heart rates or other cardiovascular symptoms, consider consulting with a healthcare provider to assess your blood pressure and heart health. Taking these steps will help you gain clarity on your symptoms and ensure that any necessary treatments or interventions are implemented promptly. Thank you for your inquiry, and I wish you the best in your health journey!

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