Floaters and Flashing Lights in Your Vision - Ophthalmology

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Seeing small bright spots in the eyes?


Hello Doctor: I have been experiencing floaters for over six months now, and recently I have noticed that sometimes I see small bright spots (which last about a second) with low frequency.
I would like to know if these small bright spots are considered part of the floaters.
I have read online that if one sees flashes, it could be a concern for retinal detachment, so I want to confirm if these small bright spots are classified as flashes, or if flashes refer to a more widespread flashing across the entire visual field.
(I previously had an eye exam and there were no abnormalities found.) Additionally, is having many floaters considered an abnormal condition? I started experiencing multiple floaters when I first developed this condition six months ago, while some people only have one or two, so I would like to understand this better.
Thank you.

Xiao Shu Bobo, 20~29 year old female. Ask Date: 2020/08/27

Dr. Gao Pilin reply Ophthalmology


Hello, Mouse Bobo: The small flashes are not lightning and should be less related to retinal detachment.
Sometimes they are due to vitreous floaters or photopsia.
Taiwan E-Hospital, Puzih Hospital, Ophthalmology Department: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/08/27

More Info


When discussing floaters and flashing lights in your vision, it's essential to understand the underlying mechanisms and potential implications for your eye health. Floaters, or "muscae volitantes," are small specks or strands that drift through your field of vision. They are typically caused by changes in the vitreous humor, the gel-like substance filling the eye, which can become more liquid and develop clumps or strands as we age. This phenomenon is quite common and often benign, especially in individuals with myopia (nearsightedness), as you mentioned you have.

The small bright spots you are experiencing, which flash for a second, can indeed be related to your floaters. These flashes of light, often described as "photopsia," occur when the vitreous gel pulls on the retina, stimulating the photoreceptors and creating the sensation of light. This is different from the more concerning flashes associated with retinal detachment, which are typically more intense and can be accompanied by a significant increase in floaters or a shadow in your peripheral vision.

It's important to differentiate between benign flashes and those that could indicate a more serious condition. In your case, since you have already undergone an eye examination that showed no abnormalities, it is likely that the flashes you are seeing are benign and related to your floaters. However, if you notice a sudden increase in the frequency or intensity of these flashes, or if you experience a significant change in your vision, it would be prudent to seek further evaluation from an eye care professional.

Regarding your concern about the number of floaters, it is not uncommon for some individuals to experience many floaters while others may have only a few. The presence of multiple floaters does not necessarily indicate a pathological condition; rather, it can be a normal variation in how the vitreous humor changes over time. However, if you experience a sudden increase in floaters, especially if accompanied by flashes of light or a curtain-like shadow in your vision, it is essential to seek immediate medical attention, as these can be signs of retinal detachment.

In summary, the small bright spots you are seeing are likely a benign manifestation of your existing floaters. Since you have had a recent eye examination with no abnormalities noted, you can be reassured. However, maintaining regular check-ups with your eye care provider is crucial, especially given your history of floaters and myopia. If you have any new symptoms or changes in your vision, do not hesitate to reach out for further evaluation. Your eye health is paramount, and staying informed about your symptoms will help ensure that any potential issues are addressed promptly.

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