Retinal Issues: Flashing Lights and Eye Safety Concerns - Ophthalmology

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Retinal issues


Hello Doctor:
1.
I have floaters and myopia of -250 degrees in both eyes.
Recently, I seem to be seeing flashes of light, so I went for a dilated eye exam.
The examining doctor said everything was fine, but if the flashes increase, I should return for a follow-up quickly.
Currently, the flashes seem to occur only when light reflects off my watch or when lights are flickering.
How can I differentiate between these flashes and something more serious?
2.
I have a habit of jumping rope.
Does the up-and-down motion pose a risk of pulling on the retina and causing serious issues like a tear?

Jiao lü dao wu fa ru shui de ren, 20~29 year old female. Ask Date: 2021/01/29

Dr. Gao Pilin reply Ophthalmology


Hello to those who are anxious and unable to sleep:
1.
The flashes of light perceived internally in the eyes are different from external flashes and can be easily distinguished.
When they occur, you can recognize that it is light from within the eye, and there is no need for concern.

2.
If there are no issues with the retina, there should be no worries about retinal detachment.

At the Puzih Hospital Eye Clinic in Taiwan:
Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM
Wednesday from 2:00 PM to 4:30 PM
Please note that online responses are for reference only; if necessary, it is important to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.

Dr.
Gao Pilin

Reply Date: 2021/01/29

More Info


Flashing lights and the presence of floaters in your vision can be concerning symptoms, especially when you have underlying conditions such as myopia (nearsightedness). Let's address your questions and provide some insights into these phenomena.

1. Understanding Flashing Lights: Flashing lights in your vision can be caused by several factors, primarily related to the vitreous gel inside your eye. As we age or due to certain conditions, the vitreous can begin to shrink and pull away from the retina, leading to sensations of flashes or light. These flashes are often described as "lightning streaks" and can be more noticeable in low-light conditions, such as at night or in dark rooms.
However, distinguishing between harmless flashes and those that may indicate a more serious issue, such as retinal detachment, can be challenging. If the flashes are brief and occur sporadically, they are likely benign. However, if you notice an increase in frequency or intensity, or if they are accompanied by new floaters or a shadow in your peripheral vision, it is crucial to seek immediate medical attention. The key is to monitor the pattern and context of these flashes. For instance, if you notice flashes when moving your eyes or when looking at bright lights, this could be a normal response. But if they occur without any apparent trigger, it warrants further investigation.

2. Impact of Physical Activity: Regarding your concern about jumping rope and its potential impact on your retina, it is generally safe for individuals with mild myopia and no other significant retinal issues. However, high-impact activities can pose a risk if there are pre-existing conditions, such as retinal tears or detachments. The action of jumping can create a jarring effect, which might exacerbate any existing issues, but for most people with mild myopia, this should not lead to retinal detachment.
It is essential to listen to your body. If you experience any sudden changes in your vision, such as increased flashes, new floaters, or a curtain-like shadow over your vision while engaging in physical activities, you should stop and consult an eye care professional immediately.


Additional Considerations for Eye Health
- Regular Eye Exams: Given your history of floaters and myopia, regular eye examinations are crucial. These check-ups can help monitor any changes in your retina and vitreous body. Your eye doctor may recommend dilated fundus examinations to get a better view of the retina.

- Protective Measures: While engaging in physical activities, consider wearing protective eyewear to shield your eyes from potential impacts. This is particularly important if you participate in sports or activities that could lead to trauma.

- Lifestyle Adjustments: Reducing screen time, taking regular breaks during prolonged visual tasks, and ensuring proper lighting can help alleviate eye strain. If you experience discomfort or fatigue, consider using lubricating eye drops or warm compresses to soothe your eyes.

- Awareness of Symptoms: Be vigilant about any changes in your vision. If you notice a sudden increase in floaters, flashes of light, or any visual disturbances, contact your eye care provider promptly.

In conclusion, while flashing lights and floaters can be alarming, understanding their nature and maintaining regular eye care can help manage your concerns. Always prioritize your eye health and seek professional advice whenever you notice significant changes in your vision.

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