Floaters and Flashing Lights: When to Seek Eye Care - Ophthalmology

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Vitreous floaters and zigzag flashes?


Doctor, I had a fundus examination and color fundus photography at the ophthalmologist a month ago.
My intraocular pressure was 21 in one eye and 20 in the other.
The doctor mentioned that I have floaters and that my eye pressure readings were influenced by a thicker corneal measurement, indicating 200 degrees of pseudomyopia, although typically, pseudomyopia in adults does not exceed 100 degrees.
Is this due to excessive eye strain causing the ciliary muscle to continuously pull on the retina? Recently, I have been experiencing eye pain and headaches, and my floaters seem to have become more pronounced.
However, I do not see black spots; instead, upon waking, I notice a lot of yellow mesh patterns on white walls, and I also see continuous flickering in my vision.
Should I seek medical attention again? I am very concerned that my floaters might lead to a retinal tear that I am unaware of, resulting in a detachment.
I am also worried about glaucoma.
I need to use a computer and phone for work, and after work, I study for exams.
Will this worsen my floaters? Thank you, doctor.

Judy, 20~29 year old female. Ask Date: 2022/08/21

Dr. Liang Ce reply Ophthalmology


I recommend that you: 1.
Discuss the above situation further with your attending physician to determine if additional examinations are necessary.
2.
You may also consider seeking care at a large hospital or medical center.
Thank you, and wishing you good health!

Reply Date: 2022/08/21

More Info


Your concerns about floaters and flashing lights in your vision are quite valid, especially given your history of myopia and recent eye examinations. Let's break down your situation and provide some clarity on when to seek further eye care.


Understanding Floaters and Flashing Lights
Floaters are small specks or strands that drift through your field of vision. They are often more noticeable when looking at a plain background, such as a blue sky or a white wall. These floaters are typically 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 perception of floaters.

Flashing lights, on the other hand, can occur when the vitreous pulls on the retina or when there is a change in the retina itself. This can be a normal phenomenon, especially in individuals with myopia, but it can also indicate potential issues such as retinal tears or detachment.


When to Seek Eye Care
Given your symptoms of increased floaters, flashing lights, and associated eye pain and headaches, it is crucial to monitor these changes closely. Here are some guidelines on when to seek further medical attention:
1. Increased Frequency or Intensity of Symptoms: If you notice that the frequency or intensity of your floaters and flashing lights is increasing, this warrants a visit to your eye care provider. Sudden changes can indicate a more serious condition.

2. New Symptoms: If you experience new symptoms such as a curtain-like shadow in your vision, sudden loss of vision, or significant changes in your peripheral vision, you should seek immediate care.

3. Pain and Headaches: Persistent eye pain and headaches, especially if they are new symptoms, should not be ignored. While they may be related to eye strain from prolonged screen time, they could also indicate other underlying issues.

4. Regular Monitoring: Since you have a history of myopia and have been diagnosed with floaters, regular eye examinations are essential. Your eye care provider can monitor the health of your retina and the vitreous humor.


Managing Eye Strain
Regarding your concerns about computer and smartphone use exacerbating your symptoms, prolonged screen time can indeed lead to eye strain, which may contribute to discomfort and headaches. Here are some tips to help manage eye strain:
- Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye fatigue.

- Proper Lighting: Ensure that your workspace is well-lit to reduce glare on screens.

- Adjust Screen Settings: Increase text size and adjust brightness to comfortable levels.

- Use Artificial Tears: If you experience dryness, lubricating eye drops can help alleviate discomfort.


Conclusion
In summary, while floaters and flashing lights can be common, especially in individuals with myopia, any significant changes in your symptoms should prompt a visit to your eye care provider. Regular check-ups are essential to monitor your eye health, especially given your history of floaters and the recent changes you've experienced. If you have concerns about potential retinal issues or glaucoma, discussing these with your eye doctor will provide you with the reassurance and care you need. Remember, proactive eye care is key to maintaining your vision health.

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