Follow-up question #175222 Eye inquiry consultation?
Dear Dr.
Gao,
Thank you very much for your personal response in the consultation regarding eye questions #175222.
I have greatly benefited from your insights.
I still have some questions I would like to ask you:
1.
When I look to the right to the extreme limit, I experience flashes of light accompanied by a "pop" sound.
I have noticed this phenomenon for several years.
In April 2020, I visited an ophthalmology clinic and received dilating drops for a fundus examination, which showed no abnormalities at that time.
The situation remains unchanged to this day.
I would like to ask you:
(1) Given that my fundus examination last year showed no abnormalities and I have not developed any new symptoms over the past year, is it "more likely" that the flashes of light and accompanying sound I experience when moving my eyes are due to vitreous traction on the retina?
(2) Additionally, the flash is accompanied by a "pop" sound that feels like it originates from within my ear (or possibly from within my skull).
Is it possible that this sound is caused by the eye muscles pulling on the ear (or other facial muscles) during eye movement, resulting in a friction sound?
2.
Regarding the time it takes for the vitreous and retina to completely detach, you mentioned that "the time for complete detachment is not certain." Based on your clinical experience, is there an average time for complete detachment that can be referenced? Or does this time vary widely among individuals, making it impossible to provide an average?
3.
Recently, I have been concerned that my situation may involve vitreous traction on the retina, and I fear that frequent traction could lead to retinal tears or even detachment.
As a result, I have become hesitant to move my eyes freely, which has affected my daily life, making me feel somewhat anxious and uncomfortable.
In your opinion, how should I adjust to this situation? Since I do not know when this phenomenon (referring to the complete detachment of the vitreous from the retina) will resolve, I tend to consciously avoid excessive eye movement to prevent flashes and sounds.
Is it acceptable to experience flashes and sounds during normal daily activities, as they may not impact eye health? Or should I seek medical attention if I notice any issues? I would appreciate your advice on this matter.
Thank you again, Dr.
Gao.
Axiang, 30~39 year old female. Ask Date: 2021/11/02
Dr. Gao Pilin reply Ophthalmology
Hello, Ah-Hsiang:
1-1 The flashes may be caused by the vitreous pulling on the retina, while the sound cannot be determined.
1-2 The duration of the flashes varies from person to person, and there is no average time.
3.
It is recommended that if your examination shows no issues, you can live your life with peace of mind.
If there are any abnormalities, you can have an immediate check-up.
The flashes and sounds associated with eye movement should not be related.
Reply Date: 2021/11/02
More Info
Thank you for your detailed inquiry regarding the symptoms of flashing lights and accompanying sounds when moving your eyes. It’s understandable to feel anxious about these sensations, especially given your history of eye conditions. Let’s break down your questions and concerns systematically.
1. Flashing Lights and Sounds: The phenomenon of seeing flashes of light when moving your eyes, particularly to the extremes of your gaze, is often associated with the vitreous body pulling on the retina. This is known as vitreous traction, which can cause the retina to become stimulated and produce the sensation of light. The sound you describe, akin to a "pop" or "crack," may be related to the movement of the eye muscles or even the auditory system reacting to the eye's movement. It is possible that the sound is generated by the tension in the muscles around the eye or the inner ear, which can sometimes create auditory sensations during rapid eye movements. Given that your previous eye examinations did not reveal any abnormalities, it is likely that these sensations are benign, but they should be monitored.
2. Vitreous Detachment Timeline: The timeline for complete vitreous detachment can vary significantly from person to person. In some cases, it can happen relatively quickly, while in others, it may take years. There is no standardized average time frame, as it is influenced by individual anatomical differences and the health of the vitreous and retina. Regular check-ups with your ophthalmologist can help monitor any changes in your condition.
3. Managing Anxiety and Daily Life: It’s understandable to feel apprehensive about your eye movements and the potential for vitreous traction to lead to retinal issues. However, it is essential to maintain a balance between being cautious and living your life fully. Here are some suggestions for managing your anxiety:
- Education: Understanding that flashes and sounds can be a normal part of vitreous changes can help alleviate some fears. Knowing that your previous examinations showed no issues is also reassuring.
- Gradual Exposure: If you find yourself avoiding certain activities due to fear, consider gradually reintroducing them. Start with small movements and increase as you feel more comfortable.
- Relaxation Techniques: Techniques such as deep breathing, mindfulness, or yoga can help reduce anxiety and improve your overall well-being.
- Regular Check-ups: Continue to have regular eye examinations. If you notice any new symptoms, such as an increase in flashes, new floaters, or changes in vision, contact your ophthalmologist promptly.
4. When to Seek Help: If the flashes or sounds become more frequent or are accompanied by other symptoms like vision loss or new floaters, it is crucial to seek medical attention. It’s better to err on the side of caution and have any new symptoms evaluated.
In conclusion, while the sensations you are experiencing can be concerning, they are often benign, especially in the absence of other symptoms or findings. Maintaining regular follow-ups with your eye care provider and managing your anxiety through education and relaxation techniques can help you navigate this situation more comfortably. Remember, your eye health is important, and staying informed and proactive is key.
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