Sudden Eye Flashes: When to Seek Medical Attention - Ophthalmology

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Sudden onset of flashes of light in the eyes?


Hello Doctor: Due to experiencing floaters, I underwent a dilated eye exam.
Although there were no issues, I suddenly noticed a flash in front of my eyes while in a dimly lit room with a small night light, as if someone quickly turned a light on and off.
It happened so fast that I couldn't tell if it was my eyes or the light flashing.

1.
Is the flash vision associated with retinal detachment or tears similar to the sensation of a spotlight, or does it feel like a white light occupying the visual field? How long does it typically last?
2.
Should I return to the clinic for another examination, or is it only necessary if the flashes occur frequently?
3.
Since I have had two dilated exams in the past month, does retinal deterioration progress quickly? Besides flashes, are there other methods to assess retinal detachment or tears?

Danxin de ren, 20~29 year old female. Ask Date: 2021/02/19

Dr. Gao Pilin reply Ophthalmology


Hello, concerned individual: Retinal detachment can lead to visual field defects and may cause sensations similar to flashes of light, which can persist.
If these symptoms do not recur, you may monitor the situation.
Retinal detachment or tears do not occur suddenly without reason.
Having check-ups twice a month is generally acceptable, so you can feel reassured.
The ophthalmology department at Puzi Hospital in Taiwan is available 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.
Please note that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2021/02/19

More Info


When it comes to sudden flashes of light in your vision, especially for someone with a history of floaters (known as "vitreous floaters"), it is essential to understand the potential implications and when to seek medical attention. Here’s a comprehensive overview based on your concerns.


Understanding Flashes of Light
1. Nature of Flashes: The flashes you describe can vary in appearance. They may feel like a brief burst of light, akin to someone turning a light on and off quickly. This sensation can be caused by various factors, including the vitreous gel in your eye pulling on the retina, which can happen with age or due to changes in the vitreous humor. In some cases, these flashes can resemble a spotlight or a bright white light that occupies your field of vision.

2. Duration and Frequency: Flashes associated with retinal issues, such as retinal detachment or tears, can be transient but may also persist. If the flashes are brief and infrequent, they may not be a cause for immediate concern. However, if they become more frequent or are accompanied by other symptoms, such as a significant increase in floaters, dark shadows in your vision, or a curtain-like effect, it is crucial to seek medical attention promptly.


When to Seek Medical Attention
1. Immediate Evaluation: If you experience sudden flashes of light, especially if they are new or different from your usual floaters, it is advisable to consult an eye care professional. Even if you have had recent examinations, new symptoms warrant further investigation. Retinal detachment can occur suddenly, and early detection is critical for preserving vision.

2. Symptoms to Monitor: Besides flashes, you should be vigilant for other symptoms such as:
- A sudden increase in the number of floaters.

- Shadows or dark areas in your peripheral vision.

- Blurred or distorted vision.

- A curtain-like shadow over your vision.

If you notice any of these symptoms, it is essential to seek immediate medical attention.


Frequency of Eye Examinations
1. Regular Check-ups: Given your history of floaters and recent examinations, it is reasonable to have follow-up visits if you experience changes in your symptoms. The frequency of retinal issues can vary significantly among individuals, and while some may experience slow changes, others may have rapid deterioration.

2. Retinal Health Monitoring: Besides regular eye exams, advanced imaging techniques like optical coherence tomography (OCT) or wide-field retinal imaging can provide more detailed assessments of the retina and help identify any potential issues that may not be visible during a standard examination.


Conclusion
In summary, while occasional flashes of light can be benign, they can also indicate more serious conditions like retinal detachment or tears, especially in the context of existing floaters. If you experience new or worsening symptoms, it is always better to err on the side of caution and consult with an eye care professional. They can perform a thorough examination and determine if any further action is necessary. Remember, your vision is precious, and timely intervention can make a significant difference in outcomes.

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