Flashing Lights and Floaters in Your Vision - Ophthalmology

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Flashing lights and floaters in your vision can be concerning symptoms, especially for someone with a history of floaters and recent eye examinations. Let’s break down your questions and provide some insights based on medical knowledge.

1. Understanding the Flashing Lights: The phenomenon you describe, where you see lights that flicker like a faulty light bulb, is often referred to as "photopsia." This can occur due to various reasons, including changes in the vitreous gel inside the eye, which can tug on the retina and create the sensation of light flashes. Given your history of floaters and the recent finding of increased pressure in your right eye, it is important to monitor these symptoms closely. While occasional flashes may not be alarming, if they become more frequent or are accompanied by other symptoms (like a sudden increase in floaters or a shadow in your vision), it could indicate a more serious condition, such as retinal detachment.
As for improvement, it largely depends on the underlying cause. If the flashes are due to vitreous changes, they may stabilize over time. However, if there is a concern about retinal health, further evaluation by an eye care professional is warranted. It’s advisable to schedule a follow-up appointment to discuss these symptoms, especially since you have a history of increased pressure in your eye.

2. The Small White Spots: The small white spots you observed in your peripheral vision could be related to the floaters you already experience. Floaters are tiny clumps of gel or cells that drift in the vitreous humor of the eye, casting shadows on the retina, which can appear as spots or cobwebs in your vision. The fact that these spots were transient and cleared after a short period is consistent with typical floater behavior. However, if you notice them frequently or if they change in nature (e.g., becoming more numerous or persistent), it would be wise to have them evaluated.

In summary, while the symptoms you describe can be common and often benign, they warrant careful observation, especially given your existing eye conditions. It is crucial to maintain regular check-ups with your eye doctor, particularly if you notice any changes in your vision or if the frequency of the flashes and floaters increases. Early detection and intervention can be key in preventing potential complications related to retinal health.
In conclusion, while occasional flashes and floaters can be normal, your specific situation—especially with the increased pressure in your right eye—suggests that a proactive approach is best. Don’t hesitate to reach out to your eye care provider for further evaluation and peace of mind.