Afterimages: Causes and Concerns for Eye Health - Ophthalmology

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Afterimages from bright light?


Hello doctor, I have floaters and my prescription is -800 degrees.
Recently, a retinal examination indicated that everything is normal.
However, after looking at a light source (like a round light bulb), when I close my eyes, I see multiple white circular lights that gradually fade away.
This phenomenon occurs several times when I open and close my eyes, and it takes a while for it to subside.
What could be the reason for this?

Xiao Meng, 20~29 year old female. Ask Date: 2023/01/20

Dr. Gao Pilin reply Ophthalmology


Hello: It should be an afterimage, which is a physiological phenomenon of visual persistence.
There's no need to worry.
Please refer to: https://bit.ly/3XMUT7t

Reply Date: 2023/01/20

More Info


Hello! Thank you for your question regarding afterimages and their implications for eye health. Based on your description, it sounds like you are experiencing a phenomenon known as an afterimage, which is quite common and usually benign. However, given your history of floaters and high myopia (800 degrees), it's important to understand the underlying mechanisms and when to seek further evaluation.

What Are Afterimages?
Afterimages occur when the photoreceptors in your retina (the light-sensitive layer at the back of your eye) become temporarily overstimulated by bright light. When you look at a bright light source, such as a circular light bulb, the cells in your retina that respond to that light can become fatigued. When you then close your eyes or look away, the overstimulated cells may continue to send signals to your brain, creating the perception of a lingering image, which can appear as a white or colored circle that gradually fades.

Causes of Afterimages:
1. Photoreceptor Fatigue: As mentioned, afterimages are primarily caused by the temporary fatigue of the photoreceptors in your retina. This is a normal physiological response and can happen with any bright light exposure.

2. Contrast Sensitivity: If you have high contrast between a bright light and a dark background, the afterimage effect can be more pronounced.

3. Visual Processing: The brain's visual processing system can also contribute to the perception of afterimages. The way your brain interprets signals from the retina can lead to the sensation of seeing an image even after the stimulus is gone.

Concerns for Eye Health:
While afterimages are generally harmless, there are a few considerations to keep in mind, especially given your history of floaters and high myopia:
- Floaters: Floaters are often benign, but if you notice a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, it could indicate a retinal tear or detachment, which requires immediate medical attention.

- High Myopia: Individuals with high myopia are at a greater risk for retinal issues, including retinal detachment. Regular eye examinations are crucial to monitor for any changes in your eye health.

When to Seek Help:
If the afterimages you are experiencing are persistent, accompanied by other symptoms such as flashes of light, significant changes in vision, or discomfort, it is advisable to consult with an eye care professional. They can perform a comprehensive eye examination to rule out any underlying issues, especially considering your myopia and the presence of floaters.

Management and Prevention:
1. Limit Bright Light Exposure: When possible, avoid staring directly at bright lights, and use appropriate lighting when reading or working.

2. Take Breaks: If you are engaging in activities that require prolonged focus, such as reading or using screens, follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

3. Regular Eye Exams: Keep up with regular eye check-ups to monitor your eye health, especially given your history of floaters and high myopia.

In summary, while afterimages are typically a normal response to bright light exposure, your specific eye health history warrants attention. If you have any concerns or if your symptoms change, please consult with your eye care provider for a thorough evaluation. Your eye health is important, and staying informed about your symptoms can help ensure that you maintain good vision for years to come.

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