Seeing Bright Spots in Vision: Should You Worry About Retinal Issues?

Bright spots in the eyes?

Recently, when I look at the computer, I often see a white dot of light suddenly appear in the upper left corner of my left eye's visual field, which quickly disappears.
I am very worried that it might be retinal detachment, but my vision has consistently been 20/20 (in both eyes).
Is this occurrence of seeing a white light serious?

Qi Shi, 10~19 year old female. Ask Date: 2021/06/24

Dr. He Jianxian reply Ophthalmology

Retinal detachment is generally associated with a loss of vision, so it is unlikely to be retinal detachment.
However, if you continue to experience these symptoms, it is advisable to schedule a dilated eye examination with an ophthalmologist.
This is for your reference.
Dr.
Ho Chien-Hsien, Department of Ophthalmology, Nantou Hospital.

Reply Date: 2021/06/24

More Info

Seeing bright spots or flashes of light in your vision can be concerning, especially when you have a history of eye issues or are experiencing new symptoms. While it’s good to hear that your vision remains stable at 1.0 (20/20), the appearance of these bright spots, particularly if they are new or have changed in frequency or intensity, warrants further investigation.

The phenomenon you are describing could be related to several potential causes. One common explanation is the presence of visual disturbances known as "photopsia," which can manifest as flashes or spots of light. This can occur due to various reasons, including:
1. Vitreous Detachment: As we age, the vitreous gel inside the eye can shrink and pull away from the retina. This process can lead to the perception of flashes of light or spots. While this is often benign, it can sometimes lead to more serious conditions, such as retinal tears or detachment.

2. Retinal Issues: Although your vision is currently stable, the appearance of bright spots could indicate underlying retinal issues. Retinal tears or detachments can present with symptoms like flashes of light, floaters, or a shadow over the visual field. Given your concern about retinal detachment, it is crucial to have a comprehensive eye examination, including a dilated fundus exam, to rule out any serious conditions.

3. Migraine Aura: Some individuals experience visual disturbances, including bright spots or zigzag lines, as part of a migraine aura, even without a headache. This is typically temporary and resolves on its own, but it can be mistaken for more serious issues.

4. Ocular Migraines: Similar to migraine aura, ocular migraines can cause temporary visual disturbances, including bright spots or flashes. These are usually harmless but can be distressing.

5. Other Causes: Other potential causes could include issues related to the optic nerve, such as optic neuritis, or even systemic conditions that affect vision.
Given your symptoms, it is essential to consult with an eye care professional as soon as possible. They can perform a thorough examination to assess the health of your retina and vitreous, ensuring that there are no underlying issues that need to be addressed. Early detection of retinal problems is crucial, as timely intervention can prevent more severe complications, including permanent vision loss.

In summary, while the presence of bright spots in your vision can be benign, it is important not to ignore these symptoms, especially if they are new or changing. Schedule an appointment with an ophthalmologist or optometrist for a comprehensive eye exam. They will be able to provide you with a proper diagnosis and, if necessary, recommend treatment options or further monitoring. Taking proactive steps now can help ensure the long-term health of your vision.

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