Flashing Lights and Floaters: Eye Health Insights - Ophthalmology

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Experiencing floaters and flashes of light when turning off the lights to sleep?


Doctor, I apologize for the interruption.
A few days ago, I asked a question [#180162](https://adoctor.tw/article/180162), and you mentioned, "If the flashes occur after the examination, further evaluation is necessary." I forgot to add that I scheduled an examination for early March because I was experiencing flashes.
However, in the past few days, I've noticed that when I turn off the lights to sleep, my eyes flash briefly, and even when I move my eyes, they also flash.
But after about 1 to 2 minutes, it gradually disappears and returns to normal.
This seems somewhat different from the flashes I experienced before, and I'm unsure if this could be related to visual fatigue causing these flashes.

Kai, 10~19 year old female. Ask Date: 2022/03/31

Dr. Gao Pilin reply Ophthalmology


Hello, Kai: The flashes are likely not related to fatigue; they are probably caused by the vitreous pulling on the retina.
If there are no significant changes, you can monitor it yourself.
If they increase or worsen, please return for a follow-up.

Reply Date: 2022/03/31

More Info


Flashing lights and floaters are common visual disturbances that many people experience, especially those with myopia (nearsightedness) or other underlying eye conditions. Understanding these phenomena is crucial for maintaining eye health and addressing any potential concerns.


What Are Floaters and Flashing Lights?
Floaters are small specks or strands that drift through your field of vision. They are usually caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the appearance of floaters. While floaters are generally harmless, they can sometimes indicate more serious conditions, such as retinal tears or detachments, particularly if they appear suddenly or are accompanied by flashes of light.

Flashing lights, on the other hand, often occur when the vitreous pulls on the retina, causing it to send signals to the brain that are perceived as flashes of light. This phenomenon can be alarming, especially if it occurs frequently or is accompanied by other symptoms like a sudden increase in floaters or a shadow in your peripheral vision.


When to Seek Medical Attention
If you experience a sudden increase in floaters or flashes, or if you notice a curtain-like shadow over your vision, it is essential to seek immediate medical attention. These symptoms could indicate a retinal tear or detachment, which requires prompt treatment to prevent permanent vision loss.


Your Recent Experiences
Based on your description, it seems that you have been experiencing flashes of light, particularly when moving your eyes or after turning off the lights. This could be related to several factors:
1. Vitreous Changes: As mentioned earlier, changes in the vitreous can lead to both floaters and flashes. If you have a history of myopia, your risk for these changes increases.

2. Visual Fatigue: Extended periods of screen time or focusing on near objects can lead to visual fatigue, which may manifest as temporary visual disturbances, including flashes. This is often exacerbated by inadequate lighting or sudden changes in light conditions.

3. Afterimages: The phenomenon of seeing flashes or spots after looking at a bright light source can also be attributed to afterimages, where the photoreceptors in the retina continue to send signals to the brain even after the stimulus is removed.


Recommendations for Management
1. Regular Eye Exams: Continue to have regular eye examinations, especially if you notice changes in your vision. Your eye care professional can monitor the health of your retina and vitreous.

2. Limit Screen Time: If you suspect that visual fatigue is contributing to your symptoms, try to limit your screen time and take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

3. Proper Lighting: Ensure that your workspace is well-lit to reduce strain on your eyes. Avoid working in dim light, especially when using screens.

4. Eye Exercises: Simple eye exercises can help alleviate some of the strain. For example, rolling your eyes or focusing on distant objects can help relax the eye muscles.

5. Stay Hydrated and Maintain a Healthy Diet: Proper hydration and nutrition can support overall eye health. Foods rich in antioxidants, such as leafy greens and fish high in omega-3 fatty acids, can be beneficial.


Conclusion
While experiencing flashes and floaters can be concerning, understanding their causes and maintaining regular eye care can help you manage these symptoms effectively. If your symptoms persist or worsen, do not hesitate to consult with an eye care professional for further evaluation and peace of mind. Your eye health is paramount, and being proactive about it will help ensure that you maintain good vision for years to come.

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