Seeing Rainbow Halos: Is It a Sign of Glaucoma or Normal? - Ophthalmology

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Seeing a rainbow halo?


Doctor, I apologize for bothering you.
A few days ago, I noticed a faint rainbow halo when looking at one of the light bulbs in my home.
However, the other two light bulbs, which are also in my house, do not exhibit this phenomenon and only have a white halo.
I would like to ask if this could be a sign of glaucoma, or if this is normal.
Thank you, doctor.

Wanzi, 10~19 year old female. Ask Date: 2022/07/13

Dr. He Jianxian reply Ophthalmology


Your condition may also be caused by dirty glasses or tears.
Of course, acute glaucoma could also lead to such a situation, but given your age, this possibility is quite low unless you have a congenital abnormality.
This is provided for your reference.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

Reply Date: 2022/07/13

More Info


Seeing rainbow halos around lights can be a concerning experience, especially when one is unsure whether it indicates a serious condition like glaucoma or if it is simply a normal optical phenomenon. Based on the information provided, it seems that your experience of seeing a faint rainbow halo around one of your light fixtures may not necessarily be a sign of glaucoma, but rather a result of various optical factors.

Firstly, let's clarify what rainbow halos are. They occur when light is refracted or scattered in the eye, often due to imperfections in the eye's optical components, such as the cornea or lens. This can happen for several reasons:
1. Corneal Issues: If the cornea is swollen or has irregularities, it can cause light to scatter, resulting in halos. Conditions like corneal edema or keratoconus can lead to such visual disturbances.

2. Lens Opacities: The lens of the eye can develop opacities or cataracts, which can also scatter light and create halos around lights, particularly at night or in low-light conditions.

3. Refractive Errors: Conditions like astigmatism can cause light to be improperly focused, leading to halos. If you have uncorrected astigmatism, this could explain the halos you are seeing.

4. Pupil Size: The size of your pupils can affect how light enters your eye. In low-light conditions, your pupils dilate, which can increase the likelihood of seeing halos due to the increased amount of light scattering.

5. Environmental Factors: Sometimes, external factors such as rain or fog can enhance the visibility of halos around light sources due to the way light interacts with moisture in the air.

Regarding your specific concern about glaucoma, it is important to note that while halos can be a symptom of glaucoma, they are typically accompanied by other symptoms such as blurred vision, eye pain, headache, and nausea. In cases of acute angle-closure glaucoma, halos may appear suddenly and be more pronounced. However, your description suggests that the halos are mild and only appear with certain light sources, which may not align with the typical presentation of glaucoma.

Given that you have seen a healthcare professional recently and your eye pressure was measured within the normal range, it is less likely that your symptoms are indicative of glaucoma. However, it is essential to monitor your symptoms. If you notice any changes, such as an increase in the frequency or intensity of the halos, or if you experience any additional symptoms like pain or vision changes, you should seek further evaluation from an eye care specialist.

In summary, the faint rainbow halos you are observing are likely due to optical phenomena related to your eye's refractive properties or environmental factors rather than a direct sign of glaucoma. However, maintaining regular eye examinations is crucial, especially if you have a history of eye conditions or if you experience any new or worsening symptoms. Always consult with your eye care provider for personalized advice and to ensure your eye health is monitored appropriately.

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