Zigzag Flashes: Eye Strain, Migraines, and Eye Pressure - Ophthalmology

Share to:

Hello, doctor. I would like to ask..?


Hello, doctor.
Sometimes I experience zigzag flashes in my vision that last for about 10 minutes.
I previously had an eye examination, and the doctor told me there were no issues with my eyes.
I would like to know if these zigzag flashes related to ocular migraine are connected to eye strain or intraocular pressure?

Ms. Chen, 20~29 year old female. Ask Date: 2023/04/30

Dr. Cai Wenyuan reply Ophthalmology


It may not necessarily be related.

Reply Date: 2023/04/30

More Info


Zigzag flashes, often described as scintillating scotomas, can be a perplexing visual phenomenon that many individuals experience. These flashes can be particularly concerning when they occur alongside symptoms of eye strain or migraines. Based on your inquiry, it’s important to delve into the potential connections between these flashes, eye strain, migraines, and eye pressure.

Firstly, the occurrence of zigzag flashes is commonly associated with visual disturbances that can precede or accompany migraines, known as migraine aura. This phenomenon is not directly linked to eye pressure but rather to neurological changes in the brain. During a migraine aura, the brain experiences a wave of electrical activity that can affect the visual cortex, leading to these visual distortions. Therefore, if you are experiencing these flashes alongside headaches, it may indeed be indicative of a migraine-related issue rather than a direct problem with your eyes.

Regarding eye strain, it is essential to understand that prolonged periods of focusing on screens or reading can lead to a condition known as digital eye strain or computer vision syndrome. Symptoms of eye strain include discomfort, dryness, blurred vision, and sometimes visual disturbances like flashes. While eye strain itself does not typically cause zigzag flashes, the fatigue and discomfort associated with prolonged visual tasks can exacerbate existing migraine conditions or trigger a migraine in susceptible individuals.

As for eye pressure, it is crucial to differentiate between normal variations in intraocular pressure and conditions such as glaucoma, which can lead to significant visual disturbances. Elevated eye pressure is often asymptomatic until it reaches a critical level, at which point it can cause damage to the optic nerve and lead to vision loss. However, the zigzag flashes you describe are not typically a symptom of high eye pressure. Instead, they are more closely associated with the aforementioned migraine phenomena.

In summary, while zigzag flashes can be alarming, they are often benign and related to migraine auras rather than direct eye issues or elevated eye pressure. If your eye examinations have consistently shown no underlying problems, it is likely that these flashes are related to migraine activity or visual strain.
To manage and alleviate symptoms, consider the following strategies:
1. Regular Eye Exams: Continue to have your eyes checked regularly to monitor for any changes in eye health or pressure.

2. Manage Eye Strain: Implement the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye fatigue.

3. Migraine Management: If you suspect that your flashes are related to migraines, consult with a healthcare provider about appropriate migraine management strategies, which may include lifestyle modifications, dietary changes, or medications.

4. Stay Hydrated and Rested: Ensure you are drinking enough water and getting adequate sleep, as dehydration and fatigue can trigger migraines.

5. Limit Screen Time: If possible, reduce the amount of time spent in front of screens and take regular breaks to minimize eye strain.

If the zigzag flashes persist or worsen, or if you develop additional symptoms such as vision loss or severe headaches, it is essential to seek medical attention promptly. Your healthcare provider can help determine the underlying cause and recommend appropriate treatment options.

Similar Q&A

Understanding Zigzag Flashing Vision: Eye or Neurological Issue?

If a patient experiences sawtooth-shaped flashes of vision that last for about 30 minutes, should this be considered an ophthalmological issue or a neurological issue?


Dr. Gao Pilin reply Ophthalmology
Hello: This type of zigzagging flash is usually caused by vascular spasms in the brain. If a headache follows, this condition is referred to as a migraine. If there is no migraine, the flashes are termed ocular migraine or migraine without aura. It is advisable to first check you...

[Read More] Understanding Zigzag Flashing Vision: Eye or Neurological Issue?


Understanding Zigzag Light Patterns in Vision: Causes and Insights

Hello, Doctor Gao. I have noticed a curved, serrated bright line on the right side of my vision. I use the term "bright line" because it does not flicker. When I close my eyes and rest, the symptoms disappear within ten minutes, and I do not experience any headaches. I ...


Dr. Gao Pilin reply Ophthalmology
Hello: Based on the symptoms you described, the appearance of arc-shaped, serrated bright lines in your right visual field may be related to issues with the eyes or the nervous system. Here are some possible factors and recommendations: Possible Factors: 1. Eye Problems: Abnorma...

[Read More] Understanding Zigzag Light Patterns in Vision: Causes and Insights


Understanding Migraine: Symptoms, Causes, and Relief Strategies

Frequent migraines can cause a sensation of pressure in the eyes, making them feel like they are about to burst, which is quite distressing!


Dr. Huang Yingzhe reply Neurology
First, it is essential to rule out the possibility of glaucoma (by measuring intraocular pressure with an ophthalmologist). If that is not the case, inflammation or tumors in the eyes and nearby sinuses, or even a brain tumor, could also present with these symptoms. However, more...

[Read More] Understanding Migraine: Symptoms, Causes, and Relief Strategies


Understanding the Connection Between Chronic Migraines and Eye Twitching

Hello, Doctor! I was previously diagnosed with aura migraines at a small clinic, and it has been nine years since my first episode, occurring approximately every four months. Before an attack, I experience photophobia, blurred vision, visual disturbances like flashes, and partial...


Dr. Jiang Junyi reply Neurology
Hello Mr. Lin: You mentioned that "the upper right eyelid keeps twitching, occurring every few minutes, and has been happening for four to five days." Your symptoms are more indicative of migraine-related symptoms. You also noted experiencing some visual disturbances wh...

[Read More] Understanding the Connection Between Chronic Migraines and Eye Twitching


Related FAQ

Eye Flashes

(Ophthalmology)

Eye Pressure

(Ophthalmology)

Involuntary Eye Movement

(Ophthalmology)

Eye Fatigue

(Ophthalmology)

Nystagmus

(Ophthalmology)

Bloodshot Eyes

(Ophthalmology)

Visual Disturbance

(Ophthalmology)

Macular Pucker

(Ophthalmology)

Eye

(Neurology)

Glare

(Ophthalmology)