Eye Flashes and Retinal Degeneration: Your Questions Answered - Ophthalmology

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Flashes of light during blinking and retinal issues?


Hello Doctor, I have over 600 degrees of myopia and floaters.
A few days ago, I underwent a dilated eye exam, and the doctor said my retina is degenerating.
I would like to ask:
1.
Today, every time I blink, I see a fixed bright spot appearing, as if it is a reflection that lingers.
Why does this happen? I'm not sure if it's due to being exposed to light.

2.
For retinal degeneration, does taking lutein and zeaxanthin daily help? Will it slow down the deterioration of the retina? Is it also beneficial to consume more anthocyanins?
3.
Is drinking commercially available purple vegetable and fruit juice useful? It claims to contain 102 mg of anthocyanins.

4.
I saw online that traditional Chinese medicine suggests reducing beverage consumption to decrease floaters.
Is this effective? What other methods can help prevent the increase of floaters? Could you please elaborate, Doctor? Thank you.

5.
Does maintaining good lifestyle habits and getting enough rest help protect the retina and reduce floaters? I appreciate your assistance, Doctor.
Thank you for your hard work.

Niming, 20~29 year old female. Ask Date: 2023/03/12

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
The spots or flashes you described may be due to changes in the vitreous or retina, which are often caused by retinal or vitreous degeneration.
It is advisable to seek a follow-up appointment for a more detailed examination by a physician.
2.
Lutein and zeaxanthin can help protect the eyes, but they do not directly treat retinal degeneration.
Consuming foods rich in anthocyanins can also contribute to eye protection.
3.
Purple fruit and vegetable juices may contain anthocyanins, but be mindful of their sugar content and other ingredients.
Moderate consumption should be fine.
If you want to increase your intake of anthocyanins, you can do so through your diet by eating foods such as blueberries, blackberries, perilla, nori, and red onions.
4.
There is a lack of medical evidence to support the claim that beverages affect floaters, so it is not recommended to rely on this method to manage floaters.
Currently, there are no specific methods to control floaters.
However, reducing the use of electronic devices, maintaining appropriate lighting, and avoiding prolonged exposure to bright lights may help decrease the occurrence of floaters.
5.
Good lifestyle habits and adequate rest can help protect the retina and may reduce the incidence of floaters.
It is recommended to maintain sufficient sleep each day, engage in regular exercise, avoid smoking and excessive alcohol consumption, and maintain a healthy diet.

Reply Date: 2023/03/12

More Info


Hello! Thank you for your detailed questions regarding your eye health, particularly concerning retinal degeneration and the symptoms you are experiencing. Let's address your concerns one by one.

1. Flashes of Light with Blinking: The phenomenon you describe, where you see a bright spot or flash of light every time you blink, could be related to the vitreous gel in your eye. As we age or in cases of myopia (nearsightedness), the vitreous can begin to liquefy and pull away from the retina. This can lead to sensations of flashes or floaters. The bright spots you see may be due to the vitreous tugging on the retina or even light reflecting off the vitreous itself. If these flashes are persistent or accompanied by other symptoms like a sudden increase in floaters or a shadow in your vision, it is crucial to seek immediate medical attention, as these could indicate a retinal tear or detachment.

2. Dietary Supplements for Retinal Health: Regarding your question about lutein and zeaxanthin (often found in supplements for eye health), studies suggest that these antioxidants can help protect the retina from oxidative stress and may slow the progression of age-related macular degeneration (AMD). While they may not reverse retinal degeneration, they can contribute to overall eye health. Additionally, consuming foods rich in antioxidants, such as fruits and vegetables, can be beneficial. Foods high in anthocyanins (like blueberries and blackberries) may also support retinal health, but their direct impact on retinal degeneration is still being researched.

3. Commercial Juices and Antioxidants: The purple vegetable juice you mentioned, which contains anthocyanins, can be a good addition to your diet. Anthocyanins are known for their antioxidant properties and may help reduce inflammation and oxidative stress in the body, including the eyes. However, while these juices can be part of a healthy diet, they should not replace a balanced intake of whole foods.

4. Traditional Remedies for Floaters: The suggestion from traditional medicine to reduce soft drink consumption to help with floaters is not scientifically validated. Floaters are typically caused by changes in the vitreous gel of the eye and are not directly influenced by diet. However, maintaining a healthy diet and hydration can support overall eye health. Other methods to manage floaters include staying hydrated, protecting your eyes from UV light, and regular eye check-ups to monitor any changes.

5. Lifestyle Habits and Eye Health: Maintaining good lifestyle habits is indeed beneficial for eye health. This includes getting adequate sleep, managing stress, and taking regular breaks from screens (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds). A balanced diet rich in vitamins A, C, E, and omega-3 fatty acids can also support retinal health. Regular exercise and avoiding smoking are additional factors that contribute to overall eye health.

In conclusion, while dietary supplements and lifestyle changes can support eye health, they should be part of a comprehensive approach that includes regular eye examinations, especially given your history of myopia and retinal degeneration. If you notice any changes in your vision, such as increased flashes or floaters, please consult your eye care professional promptly. Your eye health is paramount, and proactive management is key to preserving your vision. Thank you for your questions, and I hope this information helps you understand your condition better!

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