Retinal Issues After a Head Injury: What to Do? - Ophthalmology

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Retinal issues


I accidentally hit the back of my head during gym class.
At the moment of impact, I saw a flash of light, but it went away when I was walking or not moving.
If I leave it untreated, could it get worse? What should I do if there are any issues?

Hei Jie Ge, 10~19 year old female. Ask Date: 2023/02/15

Dr. Liang Ce reply Ophthalmology


It is recommended that you seek medical consultation.
Thank you, and wish you good health!

Reply Date: 2023/02/15

More Info


Experiencing flashes of light after a head injury can be concerning, and it is essential to understand the potential implications of such symptoms. When you mentioned that you accidentally hit the back of your head during physical education class and subsequently noticed flashes of light, this could indicate a few different issues related to the retina or the brain.

Flashes of light, also known as photopsia, can occur when the retina is stimulated either mechanically or chemically. In the context of a head injury, this could be due to a variety of reasons, including but not limited to retinal detachment, vitreous detachment, or even a concussion. The fact that you only notice these flashes when you jump or move suddenly could suggest that there is some mechanical stimulation of the retina, possibly due to movement of the vitreous gel inside the eye.

It is crucial to take these symptoms seriously. While the flashes may resolve on their own, they can also indicate a more serious condition that could worsen if left untreated. For instance, a retinal detachment can lead to permanent vision loss if not addressed promptly. Therefore, it is advisable to seek immediate medical attention, preferably from an ophthalmologist or a healthcare provider specializing in eye care. They can perform a thorough examination, including a dilated eye exam, to assess the health of your retina and determine if there is any damage that requires intervention.

In addition to seeking medical attention, here are some steps you can take:
1. Avoid Strenuous Activities: Until you have been evaluated by a medical professional, it is wise to avoid activities that could exacerbate the situation, such as heavy lifting, vigorous exercise, or any activity that could lead to another head injury.

2. Monitor Symptoms: Keep track of any changes in your vision or new symptoms that may arise, such as increased flashes, floaters, or a curtain-like shadow over your vision. This information can be valuable for your healthcare provider.

3. Rest: Allow your body to recover from the impact. Rest is essential, especially after a head injury, as it can help your brain heal.

4. Follow-Up Care: If you experience any worsening of symptoms or new symptoms develop, do not hesitate to seek further medical evaluation.

In summary, while it is possible that the flashes of light may not indicate a serious issue, the potential risks associated with head injuries and retinal health warrant immediate medical evaluation. Early diagnosis and treatment are key to preventing complications and ensuring the best possible outcome for your vision and overall health.

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