Zigzag Flashing Lights: Eye Health Insights - Ophthalmology

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Zigzag flashes


Hello doctor, I would like to ask, there have been several instances when I walk from sunlight into a room and then look at my phone, I experience a darkening effect, followed by flickering in my vision, and I am unable to focus.
The more I try to see details, the blurrier everything becomes, lasting for about 10 minutes.
I have previously visited an ophthalmologist, and the examination showed no abnormalities.
I would like to know if there are similar conditions related to this situation?

Miss Wang, 20~29 year old female. Ask Date: 2023/05/01

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, this situation may be caused by an adaptation issue with your eyes.
When you are exposed to bright sunlight outdoors for a period of time, your pupils naturally constrict to regulate the amount of light entering the eyes, protecting the retina from damage.
When you enter a darker indoor environment, your pupils need to dilate to allow in more light, and this adjustment takes some time, which may result in temporary blurred or dim vision.
The flickering and difficulty focusing you are experiencing may be due to your eyes struggling to adjust to this sudden change in environment.
This condition typically does not require treatment, as your eyes will gradually adapt to the indoor setting.
However, if your symptoms persist for a long time or worsen, you may consider returning to an ophthalmologist for an examination to determine if further evaluation or treatment is necessary.

Reply Date: 2023/05/01

More Info


Experiencing zigzag flashing lights in your vision, especially after transitioning from bright sunlight to a darker environment, can be concerning and warrants a deeper understanding of potential causes and implications for eye health. Based on your description, it seems you are encountering visual disturbances that may be linked to several factors, including the adaptation of your eyes to changing light conditions, as well as possible underlying conditions.

When you move from a brightly lit area to a darker one, your eyes undergo a process called "dark adaptation." This is where the photoreceptors in your retina adjust to the lower light levels. If you notice flashing lights or zigzag patterns during this transition, it could be a result of the way your visual system is responding to the sudden change in light. This phenomenon is often benign and can happen to anyone, especially if they have been exposed to bright light for an extended period.

However, given your history of high myopia (nearsightedness) and the presence of visual disturbances such as flashing lights, it is essential to consider other potential causes. For individuals with high myopia, there is an increased risk of retinal issues, including retinal tears or detachments. These conditions can manifest as flashes of light, floaters, or a sudden change in vision. Although your previous eye examinations indicated no abnormalities, it is crucial to remain vigilant about any new or worsening symptoms.

The symptoms you describe, such as difficulty focusing and experiencing a "darkening" of vision, could also be related to a phenomenon known as "visual migraine" or "ocular migraine." This condition can cause temporary visual disturbances, including zigzag patterns or flashing lights, often accompanied by headaches. While these episodes are typically harmless, they can be disconcerting and may require further evaluation by a healthcare professional, particularly if they occur frequently or are accompanied by other neurological symptoms.

In addition to these possibilities, it is worth considering the impact of eye strain, especially if you are frequently using digital devices like smartphones. Prolonged screen time can lead to digital eye strain, which may cause symptoms such as blurred vision, discomfort, and even visual disturbances. Taking regular breaks using the 20-20-20 rule—looking at something 20 feet away for 20 seconds every 20 minutes—can help alleviate some of this strain.

To summarize, while your symptoms may be related to normal physiological responses to light changes or digital eye strain, they could also indicate underlying issues that warrant further investigation. It is advisable to consult with an eye care professional, particularly a retinal specialist, who can conduct a thorough examination to rule out any serious conditions, especially given your history of high myopia. Keeping a record of when these symptoms occur, their duration, and any associated factors (like lighting conditions or activities) can be helpful for your healthcare provider in diagnosing the issue accurately.

In conclusion, while zigzag flashing lights can often be benign, they can also signal more serious conditions, particularly in individuals with high myopia. Regular eye examinations and open communication with your eye care provider about any changes in your vision are essential for maintaining your eye health and addressing any concerns promptly.

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