Occasional Flashing Afterimages When Using a Computer - Ophthalmology

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Dear Dr.
Gao,
I apologize for bothering you again.
Recently, I have noticed that when I look at my computer screen and then shift my gaze to a nearby white wall, I occasionally see a brief flash or afterimage that resembles a firework lighting up for a moment before disappearing.
This lasts about 1 to 2 seconds, and it happens only occasionally, with no discomfort in my eyes.
I would like to ask you the following questions:
Q1.
Based on the above, what do you think could be the cause of my occasional experience of seeing a firework-like flash or afterimage? Is this an indication of a problem with my eyes, or is it a normal visual phenomenon? Is it similar to the afterimages one sees after looking directly at fluorescent lights, and can it occur from looking at a computer screen as well?
Q2.
Regarding the previous question, is there any correlation between the phenomenon of seeing flashes or afterimages and the fact that my glasses prescription is slightly insufficient (25 degrees less for my right eye, while my left eye is correctly prescribed)?
Q3.
What should I do at this point? Should I continue to observe the situation, or do I need to seek medical examination? (Note: I had a dilated fundus examination in November 2021, and the results were normal with no abnormalities.)
Thank you, Dr.
Gao.

Axiang, 40~49 year old female. Ask Date: 2022/06/18

Dr. Gao Pilin reply Ophthalmology


Hello, Ah-Hsiang: 1.
It should be an afterimage.
2.
It should be unrelated.
3.
It should have no connection.

Reply Date: 2022/06/18

More Info


When it comes to experiencing occasional flashing afterimages while using a computer, there are several factors to consider. Your description of seeing a brief flash resembling fireworks when you shift your gaze from the screen to a white wall is intriguing and can be attributed to a few potential causes.


Q1: What Could Cause the Occasional Flashing Afterimages?
The phenomenon you are experiencing could be related to a normal visual response known as "afterimages." Afterimages occur when the photoreceptors in your eyes (rods and cones) become temporarily overstimulated by bright light, such as that emitted from a computer screen. When you look away, the overstimulated cells may continue to send signals to your brain, resulting in a brief visual impression of light or color. This is similar to the aftereffects of looking at a bright light source, like a fluorescent bulb, and then looking away.

In your case, the computer screen's brightness and the contrast with the surrounding environment (like a white wall) may be contributing to this effect. Since you mentioned that this happens only occasionally and is not accompanied by any discomfort, it is likely a benign phenomenon. However, if the flashes become more frequent or are accompanied by other symptoms such as headaches, visual disturbances, or changes in vision, it would be prudent to seek medical advice.


Q2: Is There a Connection Between the Afterimages and Your Glasses Prescription?
Your concern about the adequacy of your glasses prescription could indeed play a role in your visual experience. If one eye is undercorrected by 0.25 diopters, it may lead to slight visual discrepancies between your two eyes, which can sometimes result in visual disturbances, including afterimages. While a minor difference in prescription is unlikely to cause significant issues, it can contribute to visual fatigue, especially during prolonged computer use.
If you find that your vision feels strained or if you experience discomfort while using your glasses, it may be worth revisiting your eye care professional for a comprehensive eye exam. They can assess whether your current prescription is optimal for your visual needs, particularly for tasks involving screens.


Q3: What Should You Do Next?
Given that you have had a normal eye examination with dilation in November 2021, and considering that your current experience is occasional and not accompanied by discomfort, it may be reasonable to monitor the situation. Here are some steps you can take:
1. Observe Frequency and Conditions: Keep track of when these afterimages occur. Note if they happen more frequently under certain lighting conditions or after prolonged screen time.

2. Take Breaks: Implement the 20-20-20 rule to reduce eye strain: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help alleviate visual fatigue.

3. Adjust Screen Settings: Ensure that your computer screen is appropriately bright and that the contrast is comfortable for your eyes. Consider using blue light filters or adjusting the color temperature of your screen, especially in low-light conditions.

4. Consult an Eye Care Professional: If the phenomenon persists or worsens, or if you experience any new symptoms, it would be wise to consult an eye care professional. They can perform a thorough examination to rule out any underlying issues.

In summary, occasional flashing afterimages can be a normal visual response, particularly in the context of screen use. While your current glasses prescription may have a minor impact, it is essential to monitor your symptoms and consult with an eye care professional if necessary. Taking regular breaks and ensuring your screen settings are comfortable can also help mitigate any potential issues.

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