Concerns About Eye Safety During Vision Tests: What You Need to Know - Ophthalmology

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Issues with Prescription Glasses


Hello, doctor.
When I was getting my glasses fitted, I underwent a test where I saw a house in front of me.
During the process, I noticed a brief flash of red light, which I later learned was infrared.
I'm concerned if this could have caused any damage to my eyes.
At that moment, they asked me to close my eyes briefly, but then continued the test and mentioned that my vision fluctuated significantly, with the flashes increasing to 175.
I had also undergone a dilated eye exam yesterday, and I'm unsure if that could have affected anything.
I'm worried that I might have effectively looked directly at a laser, similar to staring at the sun, and caused damage.
However, my family says I'm overreacting and that everyone uses that test without any issues.
Do you think it's necessary for me to see an ophthalmologist for a follow-up examination, or am I just being too anxious? Thank you.

Si, 10~19 year old female. Ask Date: 2020/08/27

Dr. Gao Pilin reply Ophthalmology


Hello, Si: Infrared light is invisible, and refraction tests do not involve infrared or laser; what you see should only be red light, which will not harm your eyes.
It is unrelated to dilated eye examinations.
For accurate measurements, if the prescription is unstable, dilation is necessary.
In Taiwan, the ophthalmology department at Puzi Hospital is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should visit a medical facility for treatment.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/08/27

More Info


It's understandable to have concerns about eye safety during vision tests, especially when you experience unusual visual phenomena like flashes of light. Let's break down your concerns and provide some clarity on the situation.

Firstly, the test you mentioned, where you see a house and experience flashes of light, likely involves the use of infrared light or other forms of light to assess your vision. Infrared light is generally considered safe for the eyes, as it is not within the visible spectrum that can cause damage like ultraviolet (UV) or intense visible light can. The flashes you observed could be a normal part of the testing process, especially if the equipment is designed to stimulate your visual response.

Regarding your concern about whether you were exposed to something akin to laser light, it's important to note that the intensity and duration of exposure during standard vision tests are typically well within safe limits. Medical devices used in eye examinations are designed with safety in mind, and the risk of permanent damage from brief exposure to infrared light is minimal. In fact, the eye has protective mechanisms, such as the blink reflex, which help shield it from potential harm.

You mentioned experiencing a significant change in your vision, with your visual acuity jumping to 175. This could be due to various factors, including fatigue, anxiety, or even the effects of dilation from the previous day’s eye exam. Dilation can temporarily alter your vision, making it more sensitive to light and potentially causing discomfort or visual disturbances.

If you are experiencing persistent discomfort, visual changes, or any symptoms such as blurred vision, pain, or flashes of light that continue after the test, it would be prudent to consult an eye care professional. They can perform a thorough examination to ensure that your eyes are healthy and that there are no underlying issues that need to be addressed.

In general, routine eye tests are safe, and the equipment used is regularly calibrated to prevent any risk to patients. However, if you have a history of eye problems, high myopia, or other risk factors, it’s always a good idea to communicate these to your optometrist or ophthalmologist before undergoing any tests. They can tailor the examination to your specific needs and provide additional reassurance.

In conclusion, while your concerns are valid, the likelihood of experiencing significant harm from the tests you described is low. If you feel anxious or uncertain, seeking a follow-up appointment for peace of mind is always a good choice. Regular eye check-ups are crucial for maintaining eye health, especially for individuals with pre-existing conditions like high myopia. Remember, your eye health is important, and staying informed and proactive about it is the best approach.

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