Rainbow Halos: Are They Signs of Glaucoma? - Ophthalmology

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Rainbow halo


I have noticed rainbow halos around the LED lights on the rooftop and the fluorescent lights in the dormitory over the past few days.
However, the halo on the rooftop seems more pronounced, possibly due to the stronger light, while the one in the dormitory is just a faint rainbow strip nearby.
I went to the hospital the day before yesterday to check my intraocular pressure, which was within the normal range.
I only have high myopia and floaters.
I would like to ask the doctor if this could be a precursor to glaucoma.
Currently, I do not experience dizziness or nausea, but I am a bit worried.
Could it just be caused by my glasses? Also, if I have floaters at such a young age, will it become more severe as I get older? I still find it quite uncomfortable to deal with the presence of floaters and often feel anxious about it.

Daxuesheng, 20~29 year old female. Ask Date: 2023/06/22

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, seeing rainbow halos may be related to light refraction in the eye and is generally not directly associated with glaucoma.
Having intraocular pressure within the normal range is a good indicator, suggesting that your eye pressure is normal and there are currently no signs of glaucoma.
Glasses may have some impact on vision, especially under specific lighting conditions (such as bright light or certain types of illumination), which is usually a normal phenomenon.
Regarding the relationship between age and floaters, floaters can begin to appear at a young age and may persist as one ages.
However, this does not necessarily mean they will worsen or affect your vision.
The severity of floaters varies from person to person and may change over time.

Reply Date: 2023/06/22

More Info


Rainbow halos, or colorful rings around lights, can be a concerning visual phenomenon, especially for individuals who are aware of conditions like glaucoma. However, it's essential to understand the context and potential causes of these visual disturbances.

From your description, it seems that you are experiencing rainbow halos around LED lights and strip lights in your living environment. You mentioned that you recently had your intraocular pressure checked, and it was within the normal range, which is a positive sign. Normal intraocular pressure significantly reduces the likelihood of glaucoma, especially if you do not have other symptoms typically associated with the condition, such as severe headaches, vision loss, or nausea.

Rainbow halos can be caused by several factors, and they are not exclusively indicative of glaucoma. Here are some common causes:
1. Refractive Errors: Conditions like astigmatism can lead to light being improperly focused on the retina, causing halos or streaks of light around bright sources. If you have not had your astigmatism corrected with glasses, this could be a contributing factor.

2. Corneal Issues: The cornea is the clear front surface of the eye. If it is irregularly shaped or if there are issues such as corneal edema (swelling), it can scatter light and create halos. This can happen due to various reasons, including dry eyes or other ocular surface disorders.

3. Cataracts: Although you are young, cataracts can develop at any age, especially if there are risk factors such as a family history or previous eye injuries. Cataracts can cause light to scatter, leading to halos around lights.

4. Environmental Factors: Sometimes, external conditions can influence how we perceive light. For instance, rain or fog can cause light to scatter, creating a rainbow effect around streetlights or other bright light sources. This is due to the refraction of light through water droplets in the air.

5. Medication Effects: If you are using any eye drops or medications that affect your pupils or corneal clarity, they could also contribute to visual disturbances.

Regarding your concern about floaters (or "flying mosquitoes"), they are typically harmless and are often a result of age-related changes in the vitreous gel of the eye. While it is not uncommon for younger individuals to experience floaters, they can become more noticeable with age. However, the presence of floaters alone does not indicate a worsening condition. If you notice a sudden increase in floaters or flashes of light, it is essential to seek medical attention, as these could indicate a retinal issue.

In conclusion, while rainbow halos can be concerning, they are not definitive signs of glaucoma, especially in the context of normal intraocular pressure and the absence of other symptoms. It is advisable to monitor your symptoms and consult with your eye care professional if you experience any changes or if your anxiety about these visual phenomena persists. Regular eye examinations are crucial, especially if you have a history of high myopia or other ocular conditions.

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