Light Distortion: Is It a Sign of Glaucoma? - Ophthalmology

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Lighting issues


Recently, while working at night, I noticed that in addition to the diffuse white light from street lamps, there is also a layer of colored light resembling a rainbow.
I'm not sure if this is related to glaucoma, as it doesn't seem quite like it; it only happens when looking at lights that are relatively close, and it occurs less in the morning.
Some lights do not exhibit this effect at all.
Could this be a characteristic of the lights themselves, or is it an issue with my eyes? I do not have any discomfort in my eyes.

yanjing wenti, 10~19 year old female. Ask Date: 2022/07/10

Dr. Cai Wenyuan reply Ophthalmology


Observe the symptoms, and if they persist, seek medical attention.

Reply Date: 2022/07/10

More Info


The phenomenon you are experiencing, where you see colored halos or distortions around lights, particularly at night, can be quite concerning, especially for someone with a history of myopia (nearsightedness). However, it is essential to differentiate between various potential causes of this visual distortion, including whether it might be a sign of glaucoma or simply a result of other factors.

Firstly, the appearance of colored halos around lights, particularly in low-light conditions, can be attributed to several factors. One common cause is the presence of refractive errors, such as astigmatism, which can lead to light being scattered as it enters the eye. This scattering can create the appearance of colored fringes or halos around bright light sources, especially when viewed at night. Given your history of myopia, it is possible that your eyes are more sensitive to these effects, particularly if you are wearing glasses or contact lenses that may not be perfectly suited to your prescription.

Another potential cause of the colored halos you are seeing could be related to dry eyes or inflammation. As noted in previous discussions, dry eyes can lead to visual disturbances, including halos and glare, particularly when looking at bright lights. If your eyes are not adequately lubricated, the light may scatter more than usual, resulting in these visual effects. The fact that you notice this phenomenon primarily at night could also suggest that your eyes are more fatigued or strained after a long day, which can exacerbate symptoms of dryness or irritation.

Regarding the concern about glaucoma, it is important to note that while acute glaucoma can cause visual disturbances, the symptoms typically include severe eye pain, headache, nausea, vomiting, and a sudden decrease in vision. The colored halos you describe, particularly if they are only present under specific lighting conditions and not accompanied by other symptoms, are less likely to be indicative of glaucoma. However, it is crucial to monitor your symptoms and consult with an eye care professional if you notice any changes in your vision or if the halos persist.

In your case, since you mentioned that your eyes do not feel uncomfortable, it may be more likely that the visual distortions are related to your refractive error or dry eyes rather than a serious condition like glaucoma. However, it is always wise to err on the side of caution. If these symptoms continue or worsen, or if you develop any new symptoms, it would be prudent to schedule an appointment with an ophthalmologist for a comprehensive eye examination. They can assess your eye health, check for any underlying conditions, and determine whether any adjustments to your prescription or treatment for dry eyes might be beneficial.

In summary, while the colored halos you are experiencing could be related to your myopia or dry eyes, they are not necessarily indicative of glaucoma. It is essential to keep track of your symptoms and seek professional advice if you have any concerns about your eye health. Regular eye exams are crucial for monitoring any changes in your vision and ensuring that any potential issues are addressed promptly.

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