Eye Floaters and Flashing Spots: Causes and Concerns - Ophthalmology

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There is a fixed spot in the eye when blinking?


Hello Doctor, two days ago I suddenly experienced symptoms of floaters in my eyes, and when I blink, there is a fixed dot in my left eye (which disappears quickly).
I went to a clinic that day for an examination, and they told me that my eye was just inflamed and prescribed eye drops.
The symptoms of floaters have since disappeared, but even now, the dot still appears when I blink (only at specific positions, e.g., when the light is behind my body).
I would like to ask you, Doctor, what this symptom might be related to.
Thank you very much.

Xuan, 20~29 year old female. Ask Date: 2021/07/18

Dr. He Jianxian reply Ophthalmology


Basically, floaters are not always noticeable; they are typically observed only against a simple background.
As long as a dilated eye exam shows no issues, there is no need for excessive concern.
Director He Jian-xian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2021/07/18

More Info


Understanding eye floaters and flashing spots can be quite concerning, especially when you experience sudden changes in your vision. Based on your description, it seems you have encountered a few different visual phenomena, including floaters and transient spots of light, which can be linked to various underlying causes.

Eye Floaters: Floaters are small specks or strands that drift through your field of vision. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the perception of floaters. While floaters are common and usually harmless, a sudden increase in their number could indicate a more serious condition, such as retinal detachment, which requires immediate medical attention.

Flashing Spots: The flashing spots you describe, particularly those that appear when you blink or in specific lighting conditions, could be related to a phenomenon known as "photopsia." This can occur when the vitreous gel pulls on the retina, causing it to send signals to the brain that are interpreted as flashes of light. This is often benign, especially if it occurs infrequently and is not accompanied by other symptoms like a sudden loss of vision or a curtain-like shadow over your visual field.

Inflammation and Symptoms: You mentioned that your eye was diagnosed with inflammation, which could also contribute to visual disturbances. Inflammation can affect the retina or the surrounding tissues, potentially leading to temporary visual changes. The eye drops prescribed by your doctor may help reduce inflammation and alleviate some of the symptoms.

Specific Lighting Conditions: The fact that you notice the spots primarily when looking at specific light sources, such as when the light is behind you, suggests that your visual system is reacting to changes in light intensity or contrast. This can be a normal response, especially if your eyes are adjusting to different lighting conditions. However, if these spots persist or worsen, it would be wise to follow up with an eye care professional for further evaluation.

When to Seek Help: While many cases of floaters and flashes are benign, you should seek immediate medical attention if you experience:
1. A sudden increase in floaters or flashes.

2. A shadow or curtain effect in your peripheral vision.

3. Sudden loss of vision.

4. Any new or unusual visual symptoms that concern you.

In summary, while your symptoms may be related to normal changes in the eye, especially given the inflammation and the transient nature of the spots, it is essential to monitor your condition closely. If the symptoms persist or if you experience any new visual disturbances, do not hesitate to consult with an eye care specialist for a comprehensive examination. Regular eye check-ups are crucial, especially if you have a history of eye conditions like floaters. Taking care of your eye health through proper rest, hydration, and minimizing screen time can also help maintain your overall eye health.

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