Eye Flashes: When to Seek Medical Advice - Ophthalmology

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Flashes of light in the eyes?


Hello Doctor, I have myopia in both eyes with a degree of approximately 200.
Additionally, there is an abnormal light perception in my left eye's optic nerve.
In the past few weeks, I have noticed flashes of light at the corners of my eyes, similar to a flickering light bulb, occurring about two to three times a day.
I would like to know if this is normal.
Thank you.

Yuan Yuan, 10~19 year old female. Ask Date: 2022/08/10

Dr. Gao Pilin reply Ophthalmology


Hello Yuan Yuan: It is possible that the vitreous is pulling on the retina, so I recommend that you see an ophthalmologist for an examination.

Reply Date: 2022/08/10

More Info


Hello! Thank you for your question regarding the flashes of light you are experiencing in the corners of your eyes. Given your history of myopia and the abnormal light perception in your left eye, it's important to approach this situation with caution.

Flashes of light, often described as "lightning streaks" or "flashes," can be caused by several factors, particularly in individuals with myopia. In many cases, these flashes are related to changes in the vitreous gel inside the eye, which can pull on the retina as it shrinks with age or due to other factors. This is known as vitreous detachment, and while it can be common, it can also lead to more serious conditions such as retinal tears or detachments.

Given that you are experiencing these flashes two to three times a day, it is advisable to monitor the situation closely. Here are some key points to consider:
1. Frequency and Duration: If the flashes are infrequent and short-lived, they may not be a cause for immediate concern. However, if they become more frequent, last longer, or are accompanied by other symptoms such as a sudden increase in floaters, a shadow or curtain effect in your vision, or a decrease in vision, you should seek medical attention promptly.

2. Underlying Conditions: Since you mentioned having an abnormal light perception in your left eye, it is crucial to have this evaluated by an eye care professional. Abnormalities in the optic nerve or retina can sometimes lead to visual disturbances, and it's essential to rule out any serious underlying conditions.

3. Regular Eye Exams: Regular check-ups with your eye doctor are vital, especially since you have myopia and a history of visual issues. Your eye care provider can perform a comprehensive examination, including a dilated fundus exam, to assess the health of your retina and vitreous.

4. When to Seek Help: If you notice any changes in your vision, such as new floaters, a sudden increase in flashes, or any loss of vision, do not hesitate to contact your eye doctor immediately. These could be signs of a retinal tear or detachment, which require urgent treatment.

5. Managing Anxiety: It's understandable to feel anxious about changes in your vision, especially with your medical history. Stress and anxiety can sometimes exacerbate the perception of visual disturbances. Engaging in relaxation techniques, ensuring adequate sleep, and maintaining a healthy lifestyle can help manage stress levels.

In summary, while occasional flashes of light can be benign, given your specific circumstances, it is essential to remain vigilant. If you have any concerns or if the symptoms change, please reach out to your eye care provider for further evaluation. They can provide you with the most accurate diagnosis and appropriate management based on your individual situation. Remember, your eye health is paramount, and timely intervention can make a significant difference.

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