Sudden Eye Flashes After Sneezing: Should You Be Concerned? - Ophthalmology

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Sudden onset of numerous flashes of light in the vision?


Hello doctor, after I sneezed, I suddenly saw a lot of flashes in my eyes for about 3 seconds.
This has only happened once.
I have high myopia of 800 degrees, and I recently went to the hospital for an examination where they found a very small hole in my retina.
They immediately treated it with laser.
After a month of follow-up, they said everything looked normal.
What could be the cause of these sudden flashes of light? Since it has only happened once, do I need to see an ophthalmologist?

Mr. Huang, 20~29 year old female. Ask Date: 2022/01/31

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Huang: Coughing, sneezing, and rubbing your eyes, which can cause you to see flashes of light, are normal physiological responses and are not related to photopsia or floaters.

Reply Date: 2022/01/31

More Info


Experiencing sudden eye flashes after sneezing can be concerning, especially for someone with a history of high myopia and a recent retinal issue. In your case, the fact that you have a small retinal tear that was treated with laser therapy adds an additional layer of caution.
When you sneeze, a sudden increase in intraocular pressure can occur, which might cause the vitreous gel inside the eye to shift or pull on the retina. This can lead to the perception of flashes of light, often described as "lightning" or "flashes." These flashes are typically caused by the vitreous tugging on the retina, which can be more pronounced in individuals with high myopia, as their eyes are often longer and the vitreous gel is more likely to detach or exert pressure on the retina.

Given that you experienced these flashes only once and they lasted for a brief period (approximately three seconds), it may not be an immediate cause for alarm. However, it is crucial to monitor the situation closely. Here are some key points to consider:
1. Frequency and Duration: If the flashes become more frequent or last longer than a few seconds, it would be wise to seek an eye examination. Persistent or recurrent flashes could indicate a more serious issue, such as retinal detachment.

2. Associated Symptoms: Pay attention to any other symptoms that may accompany the flashes. If you notice a sudden increase in floaters, a shadow or curtain effect in your vision, or a significant change in your visual acuity, these could be signs of retinal problems that require immediate medical attention.

3. Follow-Up Care: Since you have a history of retinal issues, it is advisable to maintain regular follow-up appointments with your eye care provider. They can monitor your condition and ensure that any potential complications are addressed promptly.

4. Eye Health Management: Continue to manage your eye health proactively. This includes protecting your eyes from trauma, managing any underlying conditions, and maintaining a healthy lifestyle that supports eye health.

5. Consultation: Given your specific history and the recent occurrence of flashes, it would be prudent to contact your eye doctor for advice. They may recommend a follow-up examination to ensure that everything is stable and that there are no new developments with your retina.

In summary, while a single episode of flashes after sneezing may not be alarming, your history of high myopia and a treated retinal tear necessitates a cautious approach. Monitoring your symptoms and maintaining open communication with your eye care provider is essential for ensuring your eye health and addressing any potential issues early on. If you have any doubts or if symptoms change, do not hesitate to seek professional advice.

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