Flashing Lights in Vision: When to Worry - Ophthalmology

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Flashes of light in the eyes?


Hello, doctor.
This morning when I woke up and blew my nose, I noticed white, fluttering flashes of light in my vision (this only happened once today), and then it disappeared after a while.
I have a history of floaters, so I'm a bit concerned whether this is what is referred to as a flash or if it's just a normal physiological phenomenon.
(I had an eye examination a few weeks ago, and there were no issues with my retina.)

Niming, 20~29 year old female. Ask Date: 2021/03/06

Dr. Gao Pilin reply Ophthalmology


Hello: This does not appear to be vitreous floaters.
Many physiological activities, including forceful coughing, sneezing, defecating, and holding one's breath, can lead to an increase in intracranial pressure.
This pressure can then be transmitted to the eyes, subsequently compressing the retina (the transparent membrane responsible for light perception located on the inner layer of the eyeball) and the optic nerve.
Medically, this phenomenon is referred to as "photopsia" or "pressure-induced flashes." In addition to sneezing, it is also commonly observed when quickly standing up after lying down or sitting, especially when there is a rapid drop in blood pressure.
Blowing one's nose can also result in a similar phenomenon.
For further assistance, you can visit the ophthalmology department at Puzi Hospital in Taiwan: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only, and 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: 2021/03/06

More Info


Flashing lights in your vision can be a concerning symptom, especially for individuals with pre-existing conditions like floaters or myopia. It’s important to understand the nature of these flashes and when they might indicate a more serious issue.

Firstly, it’s essential to recognize that flashes of light, often described as "photopsia," can occur for various reasons. In many cases, they are benign and related to the normal functioning of the eye. For instance, when the vitreous gel inside the eye pulls on the retina, it can create the sensation of flashes. This is particularly common in individuals with myopia, as the shape of the eye can lead to more pronounced vitreous changes.

In your case, experiencing white flashing dots after blowing your nose may not be unusual. The act of blowing your nose can increase pressure in the head and eyes, potentially leading to temporary changes in vision. If this was a one-time occurrence and resolved quickly without any other symptoms, it is likely not a cause for concern. However, it’s crucial to monitor for any recurrence or additional symptoms.

Flashes can also be associated with more serious conditions, such as retinal tears or detachments. These conditions can present with sudden flashes of light, often accompanied by an increase in floaters or a shadow in the peripheral vision. If you experience these symptoms, it is essential to seek immediate medical attention.

Since you mentioned that you have had a recent eye examination and your retina was found to be healthy, this is reassuring. Regular check-ups are vital, especially for individuals with myopia or those experiencing floaters, as they can help catch any potential issues early.

In summary, while occasional flashes of light can be a normal physiological response, especially in the context of your recent activities, it’s essential to remain vigilant. If you notice any changes in the frequency or nature of these flashes, or if they are accompanied by other visual disturbances, it would be prudent to consult with an eye care professional. They can perform a thorough examination to ensure that your eyes remain healthy and that there are no underlying issues that need to be addressed. Always trust your instincts; if something feels off, it’s better to err on the side of caution and seek professional advice.

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