Eye Flashes and Afterimages: Causes and Solutions - Ophthalmology

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Strange flashes of light appear at the outer corners of the eyes?


Hello Doctor,
I've been troubled by eye issues for a long time.
Since early March, I've suddenly experienced flashes of light in my eyes.
I have consulted three ophthalmologists, and they all said there were no problems with my eyes.
However, on July 11, I suddenly experienced flashes of light followed by something moving in my peripheral vision, and then more flashes of light.
Even when I look at something, I see afterimages.
For example, if I watch someone dancing and then turn to look in another direction, I can still see a blurred image of that person dancing in my peripheral vision.
I went to Taoyuan Hospital for another examination, and they also found no issues.
I would like to ask the doctor what might be happening.
I have seen ophthalmologists and had an EEG, and everything seems fine.
I hope a doctor can help me understand this.
Thank you.

Xiao Feng, 20~29 year old female. Ask Date: 2020/07/13

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao Feng: The phenomenon you are experiencing could be caused by the vitreous body.
The pulling of the vitreous can create flashes of light, and the light refraction due to vitreous degeneration can lead to blurred afterimages at the edges of your vision.
Since your examination showed no issues, there is no need to worry too much; it may resolve on its own after some time.
The ophthalmology department at Puzi Hospital in Taiwan is open: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2020/07/13

More Info


Hello! I understand that you have been experiencing significant discomfort due to the visual disturbances you're describing, including flashes of light and afterimages. These symptoms can be quite distressing, especially when they interfere with your daily activities and overall quality of life. Let's delve into the potential causes and solutions for these issues.

Firstly, the symptoms you are experiencing, such as flashes of light (often described as "lightning" or "flashes") and afterimages, can be attributed to several underlying factors. One common cause is vitreous detachment, which occurs when the gel-like substance in the eye (the vitreous humor) begins to pull away from the retina. This can lead to the perception of flashes of light, particularly when the vitreous tugs on the retina. While this condition is often benign, it can sometimes be associated with more serious issues, such as retinal tears or detachment, which require immediate medical attention.

Another possibility is that you may be experiencing a phenomenon known as "visual snow" or "persistent migraine aura," even if you do not have a history of migraines. This condition can cause visual disturbances, including afterimages and light sensitivity, and is often exacerbated by stress or fatigue. Additionally, prolonged screen time or focusing on a single object for an extended period can lead to visual fatigue, which may contribute to the symptoms you are experiencing.

Given that you have already undergone multiple eye examinations and brain wave tests, it is reassuring that no significant abnormalities have been detected. However, it is essential to continue monitoring your symptoms. If you notice any changes, such as an increase in the frequency or intensity of the flashes, or if you experience any new symptoms (like a sudden loss of vision), you should seek immediate medical attention.

In terms of management, here are some strategies that may help alleviate your symptoms:
1. Regular Eye Exams: Continue to have regular check-ups with your ophthalmologist to monitor your eye health, especially if you have a history of visual disturbances.

2. Limit Screen Time: Reduce the amount of time spent on screens, and take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

3. Eye Rest: Ensure you are giving your eyes adequate rest, especially if you are studying or working for long periods. Consider using lubricating eye drops if you experience dryness or fatigue.

4. Manage Stress: Since stress can exacerbate visual disturbances, incorporating stress-reducing techniques such as mindfulness, meditation, or yoga may be beneficial.

5. Healthy Lifestyle: Maintain a balanced diet rich in antioxidants (found in fruits and vegetables), stay hydrated, and ensure you are getting enough sleep, as these factors can contribute to overall eye health.

6. Consult a Specialist: If your symptoms persist or worsen, consider consulting a neuro-ophthalmologist, who specializes in visual disturbances related to the nervous system. They may provide additional insights or testing that could help identify the underlying cause of your symptoms.

In conclusion, while your symptoms are concerning, the absence of significant findings in your previous examinations is a positive sign. Continue to monitor your condition, practice good eye care habits, and seek further evaluation if necessary. Remember, your health and well-being are paramount, so do not hesitate to reach out for help when needed. Thank you for sharing your concerns, and I hope you find relief soon!

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