Flashing Lights and Floaters: When to Seek Eye Care - Ophthalmology

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The issue of floaters?


Hello, doctor.
This morning when I got up and walked to the living room, I suddenly felt a brief moment of darkness in my vision, almost like a flash.
Could this be related to my floaters? Recently, I had two check-ups, and the doctor said there was no need for further action.
During my last visit, a machine was used to show me the location of the opacities related to my floaters, but they don't seem to be going away.
I'm a bit worried if what I saw online about flashes is too bright and just my eyes blinking.
Do you think I need to undergo dilation again for these symptoms?

Wei, 20~29 year old female. Ask Date: 2020/08/29

Dr. Gao Pilin reply Ophthalmology


Hello Wei: This should not be related to flashes.
When you experience flashes, they appear like lightning and persist; they do not just flash once and disappear.
You have recently been examined, so you can continue to observe on your own.
The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on 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: 2020/08/29

More Info


Flashing lights and floaters in the eyes can be concerning symptoms, especially for individuals with a history of eye conditions such as myopia (nearsightedness) or floaters. Based on your description, it seems you experienced a brief moment of visual disturbance upon waking, which you likened to a "blinking" sensation. This can indeed be related to floaters or other visual phenomena, but it’s essential to understand the context and potential implications of these symptoms.


Understanding Flashing Lights and Floaters
1. Floaters: Floaters are small specks or strands that drift through your field of vision. They are caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the perception of floaters. While floaters are common and often harmless, they can sometimes indicate more serious conditions if they suddenly increase in number or are accompanied by flashes of light.

2. Flashing Lights: Flashes of light, or photopsia, occur when the retina is stimulated, either due to traction from the vitreous or other factors. This can happen during the process of vitreous detachment, which is common in individuals with myopia. Flashes can also indicate more serious issues, such as retinal tears or detachments, especially if they are new or accompanied by other symptoms like a sudden increase in floaters or a shadow in your vision.


When to Seek Eye Care
Given your recent experiences and the fact that you have a history of floaters, it’s crucial to monitor your symptoms closely. Here are some guidelines on when to seek further eye care:
- New or Sudden Changes: If you notice a sudden increase in floaters or flashes, or if they are accompanied by other symptoms such as blurred vision, shadows, or a curtain-like effect in your vision, you should seek immediate medical attention. These could be signs of retinal detachment, which is a medical emergency.

- Persistent Symptoms: If the flashing lights or floaters persist or worsen, even if they are not accompanied by other symptoms, it is advisable to consult with an eye care professional. They may recommend a thorough examination, including dilation of the pupils, to assess the retina and vitreous.

- Regular Monitoring: Since you have already had recent examinations where no significant issues were found, it’s important to maintain regular follow-ups, especially if you have a history of eye conditions. Your eye doctor can provide personalized recommendations based on your specific situation.


Conclusion
In summary, while occasional flashes or floaters can be benign, any significant changes or new symptoms warrant further investigation. It’s understandable to feel anxious about your eye health, especially with the information available online. However, your best course of action is to maintain open communication with your eye care provider, who can offer reassurance and appropriate management based on your individual circumstances. If you feel uncertain or if your symptoms change, don’t hesitate to reach out for another evaluation. Your vision health is paramount, and proactive care is essential in preventing potential complications.

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