Retinal Issues: Managing Flashing Lights and Visual Disturbances - Ophthalmology

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Retinal issues?


Hello Doctor: I experienced a sensation of flashing lights after having a retinal tear and a posterior vitreous detachment in the first year of junior high.
I asked the ophthalmologist about any retinal holes, and he said there were none.
However, I would like to know how to alleviate the flashing sensation and prevent further traction on the retina.
Additionally, I have two types of visual disturbances: 1.
When looking through a screen, the lines of the screen interfere with my vision (not in the macula area).
I inquired at an optical shop, and the owner suggested it could be an interference.
2.
Sometimes, when looking at the floor of a community building, the lines appear to shake.
Thank you.

Guanjie, 20~29 year old female. Ask Date: 2020/07/10

Dr. Gao Pilin reply Ophthalmology


Hello Guan-Jie: The flashes of light caused by the vitreous pulling on the retina cannot be alleviated and you will have to wait for the vitreous to gradually separate.
This disturbance is likely caused by fibrous structures within the vitreous and should not be considered a pathological condition.
I apologize, but there is no way to improve this situation; you can only learn to coexist with it.
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 on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only, and it is essential to seek medical care at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/07/10

More Info


Hello! Thank you for sharing your concerns regarding the visual disturbances you are experiencing, particularly the flashing lights and the interference in your vision. It’s understandable to feel anxious about these symptoms, especially when they affect your daily life and studies.

From your description, it seems you are experiencing a combination of visual phenomena, including flashes of light and visual distortions, which can be quite alarming. These symptoms can often be attributed to a variety of underlying causes, particularly related to the retina and the vitreous body of the eye.


Understanding the Symptoms
1. Flashing Lights: The sensation of seeing flashing lights, especially in the peripheral vision, can be indicative of several conditions. One common cause is the vitreous detachment, where the gel-like substance in the eye (the vitreous) pulls away from the retina. This can lead to the perception of flashes of light, often described as "lightning streaks." While this is usually benign, it can sometimes be associated with retinal tears or detachment, which requires immediate medical attention.

2. Visual Disturbances: The interference you describe, such as seeing lines or patterns that seem to shake or move, can be related to visual processing in the brain or issues with the retina. This could be due to a phenomenon known as "visual snow," where individuals perceive a constant static or noise in their vision, particularly in low-light conditions.
3. Other Factors: Stress and fatigue can exacerbate visual disturbances. Given that you are in a demanding academic program, it’s possible that your symptoms are being influenced by eye strain from prolonged screen time or inadequate rest.

Management Strategies
1. Regular Eye Exams: It’s crucial to have regular check-ups with an eye care professional, especially if you notice any changes in your vision. While your previous examinations showed no retinal tears, ongoing monitoring is essential.

2. Visual Hygiene: To alleviate eye strain, practice the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This can help reduce fatigue and discomfort.

3. Lighting Conditions: Ensure that your study and work areas are well-lit to minimize glare and strain on your eyes. Avoid working in dim light, which can worsen visual disturbances.

4. Stress Management: Incorporate stress-reducing techniques into your routine, such as mindfulness, meditation, or yoga. Managing stress can have a positive impact on your overall well-being and may help reduce the frequency of visual disturbances.

5. Consultation with Specialists: If your symptoms persist or worsen, consider seeking a second opinion from a retinal specialist. They can perform more detailed imaging tests, such as optical coherence tomography (OCT), to assess the health of your retina and vitreous.


Conclusion
While the symptoms you are experiencing can be concerning, many cases of flashing lights and visual disturbances are benign and can be managed effectively with appropriate care and lifestyle adjustments. It’s essential to remain vigilant about your eye health and seek professional advice when necessary. Remember, you are not alone in this, and there are resources and strategies available to help you navigate these challenges. Take care of your eyes, and don’t hesitate to reach out for support when you need it.

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