Eye Flashes and Glare: Causes, Concerns, and Care Tips - Ophthalmology

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Flashes of light, glare?


I am nearsighted with a prescription of -5.50 diopters in my left eye and -3.50 diopters in my right eye, and I have astigmatism of -2.50 in my left eye and -1.50 in my right eye.
I started experiencing floaters about six years ago.
Recently, in the past week, I occasionally feel like I've been flashed by a camera flash, and over a month ago, I experienced photophobia (along with glare at night).
Today, I visited a doctor who performed a dilated eye exam and said there were no retinal tears, so there's no need for concern and that I should just let it regress on its own.
The doctor also mentioned that they couldn't find a cause for my glare.
So far, my vision is fine except for the glare, which is a bit bothersome, but the frequency of the flashes hasn't increased.
However, I am very worried.
How can I self-assess for potential retinal tears? I can't go for dilated exams every day since I experience flashes several times a day.
Additionally, aside from reducing screen time with electronic devices, what other precautions should I take? If I must use electronic devices, will reducing blue light from the screens help prevent the flashes from worsening? Since the glare has no identifiable cause, are there any daily health practices that could alleviate or lessen it?

Can’t believe it!, 20~29 year old female. Ask Date: 2022/03/29

Dr. Gao Pilin reply Ophthalmology


Hello: This is likely the flashes caused by the vitreous pulling on the retina.
If the examination showed no issues, just monitor it on your own.
If the frequency increases or if you feel the condition worsens, you can get re-evaluated.
There's no need for any specific maintenance; just allow it to change gradually on its own.

Reply Date: 2022/03/29

More Info


Understanding eye flashes and glare can be quite concerning, especially for individuals with pre-existing conditions like myopia and floaters. Based on your description, it seems that you are experiencing intermittent flashes of light, which can be alarming. Here’s a comprehensive overview of potential causes, self-assessment tips, and care strategies.


Causes of Eye Flashes and Glare
1. Vitreous Detachment: As we age, the vitreous gel inside the eye can shrink and pull away from the retina, leading to flashes of light. This is often benign but can sometimes indicate a more serious condition.

2. Retinal Issues: Although your recent examination showed no retinal tears, it’s essential to remain vigilant. Retinal detachment or tears can present with flashes of light, especially if accompanied by a sudden increase in floaters or a shadow in your peripheral vision.

3. Migraine Auras: Even in the absence of a headache, some individuals experience visual disturbances known as aura, which can include flashes of light. This can occur without a history of migraines.

4. Dry Eyes and Eye Strain: Prolonged screen time can lead to dry eyes, which may cause discomfort and visual disturbances. Eye strain from excessive use of digital devices can also contribute to glare and flashes.

5. Other Conditions: Conditions such as cataracts or corneal issues can also lead to increased glare, particularly in low-light conditions.


Self-Assessment for Retinal Issues
While it’s not feasible to conduct a full examination at home, you can monitor for certain symptoms that may indicate a need for further evaluation:
- Increased Frequency or Intensity of Flashes: If you notice a significant increase in the frequency or intensity of the flashes, it’s crucial to seek medical attention.

- New Floaters: A sudden increase in floaters, especially if they are accompanied by flashes, warrants immediate evaluation.

- Visual Field Changes: If you experience any shadow or curtain-like effect in your vision, this could indicate a retinal issue.

- Persistent Symptoms: If the flashes persist or worsen over time, it’s advisable to consult your eye care professional.


Care Tips and Lifestyle Adjustments
1. Limit Screen Time: Reducing the amount of time spent on screens can help alleviate eye strain. When using screens, take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

2. Blue Light Filters: Using blue light filters on your devices can help reduce glare and eye strain. Many devices have built-in settings to reduce blue light exposure.

3. Proper Lighting: Ensure that your workspace is well-lit to minimize glare from screens. Avoid using devices in dark environments, as this can exacerbate glare issues.

4. Hydration and Eye Drops: Staying hydrated and using artificial tears can help alleviate dry eye symptoms, which may contribute to visual disturbances.

5. Regular Eye Exams: Continue to have regular eye exams, especially given your history of myopia and floaters. Keeping your eye care professional informed about any changes in your symptoms is vital.

6. Healthy Diet: Incorporating foods rich in omega-3 fatty acids, antioxidants, and vitamins A, C, and E can support overall eye health.


Conclusion
While experiencing flashes and glare can be concerning, understanding the potential causes and implementing preventive measures can help manage your symptoms. Regular communication with your eye care provider is essential, especially if you notice any changes in your vision. Remember, while self-assessment can be helpful, it’s not a substitute for professional evaluation. If your symptoms persist or worsen, don’t hesitate to seek further medical advice.

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