Floaters and Flashes: What You Need to Know About Eye Health - Ophthalmology

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Vitreous floaters and flashes?


Hello doctor, I would like to ask some questions.
I have high myopia and floaters, and recently I have experienced flashes of light in my eyes.
After an examination, the doctor said there are no holes in my retina, and it is likely due to vitreous traction.
However, I need to be cautious; if the flashes increase, I should return for a follow-up.
I would like to know if the posterior vitreous detachment is complete and the retina is not being pulled or torn, is there still a low risk of retinal detachment? Also, does the improvement of the flash phenomenon over time mean that once the posterior vitreous detachment is fully complete, I will no longer experience this phenomenon?

Xiao Zhe, 10~19 year old female. Ask Date: 2022/11/30

Dr. Gao Pilin reply Ophthalmology


Hello: The posterior vitreous usually does not completely detach.
If the retina is not being pulled at the hole, it is less likely to detach.
If the flashes improve, it may indicate that the vitreous traction in that area has resolved.

Reply Date: 2022/11/30

More Info


Understanding floaters and flashes is crucial for maintaining eye health, especially for individuals with conditions like high myopia and floaters, as you mentioned. Floaters are tiny spots or strands that drift through your field of vision, often more noticeable against bright backgrounds. They are typically caused by changes in the vitreous gel that fills the eye, which can become more liquid and form clumps or strands as we age or due to other factors.

Flashes, on the other hand, are brief bursts of light that can occur when the vitreous gel pulls on the retina. This pulling can stimulate the retina and create the sensation of seeing light, even in the absence of an external light source. While flashes can be benign, they can also indicate more serious conditions, such as retinal tears or detachments, especially if they are accompanied by a sudden increase in floaters or changes in vision.

In your case, since you have been diagnosed with high myopia and floaters, and your recent examination showed no retinal tears, it is reassuring. The fact that your doctor mentioned the flashes are likely due to vitreous traction is a common scenario in individuals with vitreous changes. If the posterior vitreous detachment (PVD) has occurred completely and the retina remains intact, the risk of retinal detachment is significantly reduced. However, it is essential to remain vigilant for any new symptoms or changes in your vision.

Regarding your question about whether the flashes will improve over time, it is generally true that as the vitreous gel continues to detach from the retina, the frequency and intensity of flashes may decrease. Once the vitreous has completely detached, many individuals notice a reduction in these visual disturbances. However, this process can vary from person to person, and some may continue to experience flashes even after complete detachment.

It is also important to understand that while floaters and flashes can be concerning, they are often part of the natural aging process of the eye, particularly in those with high myopia. Regular monitoring and follow-up with your eye care professional are crucial. If you notice any sudden changes, such as a significant increase in floaters, new flashes, or any loss of vision, you should seek immediate medical attention.

To maintain your eye health, consider the following tips:
1. Regular Eye Exams: Continue to have regular check-ups with your eye doctor, especially since you have high myopia and floaters. Early detection of any changes is key to preventing complications.

2. Protect Your Eyes: Use sunglasses to protect your eyes from UV light, which can contribute to retinal damage over time.

3. Healthy Lifestyle: Maintain a balanced diet rich in antioxidants, such as vitamins C and E, and omega-3 fatty acids, which are beneficial for eye health. Staying hydrated and managing systemic health conditions like diabetes and hypertension is also important.

4. Limit Screen Time: Given the prevalence of digital eye strain, take regular breaks from screens, and practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

5. Stay Informed: Educate yourself about your condition, but avoid excessive worry. Understanding your symptoms can help you communicate effectively with your healthcare provider.

In conclusion, while floaters and flashes can be alarming, they are often manageable with proper care and monitoring. If you have any further concerns or notice changes in your symptoms, do not hesitate to reach out to your eye care professional for guidance. Your proactive approach to your eye health is commendable, and staying informed will empower you to make the best decisions for your vision.

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