Eye Flashes: Causes and Solutions for Your Vision Issues - Ophthalmology

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Flashes of light above the eye?


Hello doctor, I have myopia with -1.00 in my left eye and -2.70 in my right eye.
I have also been experiencing floaters and recently noticed flashes of light above my eyes.
Sometimes during the day, my vision will flash or become suddenly cloudy, although it clears up after blinking.
It feels quite uncomfortable.
I have seen a doctor who said there is no issue with my retina.
I would like to know if there are any ways to improve the flashes of light.

Terence, 20~29 year old female. Ask Date: 2020/10/15

Dr. He Jianxian reply Ophthalmology


Hello Terence: This type of flash is clinically referred to as photopsia, which indicates that the retina has been subjected to traction.
Once the traction improves, the flashes will naturally subside.
It is advised to seek medical attention promptly if you experience the following symptoms: 1.
A significant increase in the frequency of flashes 2.
The appearance of numerous floaters 3.
Shadows in your visual field 4.
Distortion of vision.
I hope this information is helpful to you.
Dr.
He Jianxian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2020/10/15

More Info


Eye flashes can be a concerning symptom, especially when accompanied by other visual disturbances like floaters or blurred vision. Based on your description, it seems that you have myopia (nearsightedness) and have been experiencing floaters, along with recent episodes of flashes of light in your vision. It’s good to hear that you’ve already consulted with a doctor who has ruled out retinal issues, as this is a critical step in addressing your concerns.


Understanding Eye Flashes
Eye flashes, or photopsia, can occur for several reasons, and understanding these can help you manage your symptoms better. Here are some common causes:
1. Vitreous Detachment: As we age, the vitreous gel inside the eye can shrink and pull away from the retina. This process can cause flashes of light, particularly in peripheral vision. It’s often benign but can lead to more serious conditions if the retina gets damaged.

2. Retinal Issues: While your doctor has indicated that your retina appears healthy, it’s important to note that flashes can sometimes be an early sign of retinal detachment or tears. This is a serious condition that requires immediate medical attention.

3. Migraine Auras: Even if you do not have a history of migraines, some individuals experience visual disturbances similar to migraine auras, which can include flashes of light. These can occur without a headache and may be triggered by stress or fatigue.

4. Ocular Migraines: These are different from typical migraines and can cause temporary visual disturbances, including flashes and zigzag patterns, without the accompanying headache.

5. Eye Strain: Prolonged use of screens or focusing on tasks without breaks can lead to eye strain, which might manifest as flashes or discomfort in the eyes.


Management and Solutions
While it’s essential to follow your doctor's advice and continue monitoring your symptoms, here are some strategies that may help alleviate discomfort associated with eye flashes:
1. Regular Eye Exams: Continue to have regular check-ups with your eye care professional. If you notice any changes in your vision, such as an increase in the frequency or intensity of flashes, seek medical advice promptly.

2. Limit Screen Time: Since you mentioned discomfort while using screens, try to limit your screen time and take regular breaks. The 20-20-20 rule is a good practice: every 20 minutes, look at something 20 feet away for at least 20 seconds.

3. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support overall eye health.

4. Stress Management: Since stress can exacerbate visual disturbances, consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine.

5. Eye Exercises: Gentle eye exercises can help reduce strain. For example, rolling your eyes or focusing on a near object and then a distant one can help.

6. Consult a Specialist: If your symptoms persist or worsen, consider seeing a retinal specialist for a more detailed examination. They can provide insights into any underlying issues that may not have been detected in initial evaluations.


Conclusion
While eye flashes can be alarming, many cases are benign, especially when associated with myopia and vitreous changes. However, it’s crucial to remain vigilant and proactive about your eye health. Continue to communicate with your healthcare provider about any changes in your symptoms, and don’t hesitate to seek further evaluation if needed. Remember, maintaining a healthy lifestyle and managing stress can significantly contribute to your overall eye comfort and health.

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