Eye Symptoms: When to Seek Help for Floaters and Flashes - Ophthalmology

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Eye problem consultation?


Hello, I would like to ask the doctor two questions.
About two years ago in October, I had an eye examination and was told that I had a mild case of floaters.
I underwent dilation, and the doctor mentioned that there was no significant issue, and as long as I didn't experience a large number of floaters or flashes, I didn't need to return.
However, a few days ago, I noticed that when I quickly stood up from a crouched position, I felt a brief wave-like sensation around my eyes.
I'm not sure if this indicates an increase in floaters.

Additionally, I occasionally notice a flash in front of my eyes right after I turn off my phone and the lights before going to sleep.
I'm wondering if this could be considered a flash.

I would like to know if these symptoms are warning signs or if there could be other reasons for them.
I plan to visit an ophthalmologist the day after tomorrow during my day off for a check-up.
Thank you.

Lin, 20~29 year old female. Ask Date: 2022/02/16

Dr. Gao Pilin reply Ophthalmology


Hello Lin: Your condition may be a manifestation of vitreous degeneration, and it is advisable to have an examination by an ophthalmologist.

Reply Date: 2022/02/16

More Info


When it comes to eye symptoms such as floaters and flashes, it's essential to understand their significance and when to seek medical attention. Based on your description, you have a history of floaters and have undergone an eye examination that indicated no major issues. However, you are now experiencing new symptoms, including a sensation of waves around your vision and occasional flashes when transitioning from light to dark environments.
Floaters are tiny specks or strands that drift through your field of vision, often caused by changes in the vitreous gel that fills the eye. They are common and usually harmless, especially if they have been stable over time. However, a sudden increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, can indicate a more serious condition, such as retinal detachment.
The sensation of waves or ripples in your vision, particularly after quickly changing positions (like standing up from a crouched position), can be related to changes in blood flow or pressure in the eye. This phenomenon is often benign but should be monitored. If you notice that these symptoms persist or worsen, it is crucial to consult an eye care professional.

Flashes of light, often described as "lightning" or "flashes," can occur due to the vitreous gel pulling on the retina. This is known as posterior vitreous detachment and can be a normal part of aging. However, if these flashes are new or have increased in frequency, they warrant further investigation. The fact that you experience these flashes when transitioning from light to dark could be related to your eyes adjusting to changes in lighting conditions, but it is still advisable to mention this to your eye doctor.

In your case, since you have a history of floaters and have recently experienced new symptoms, it is wise to follow through with your plan to see an eye specialist. They can perform a comprehensive examination, including a dilated fundus exam, to assess the health of your retina and vitreous. This will help rule out any serious conditions such as retinal tears or detachment.

In summary, while your symptoms may not necessarily indicate an urgent problem, they should not be ignored, especially given your history of floaters. It's always better to err on the side of caution when it comes to eye health. Regular check-ups and being vigilant about any changes in your vision are key to maintaining eye health. If you experience any sudden changes, such as a significant increase in floaters, flashes, or a shadow in your vision, seek immediate medical attention. Your proactive approach to scheduling an eye exam is commendable and will provide you with peace of mind regarding your eye health.

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