Increased photophobia?
Hello, doctor.
I had a fundus examination on Monday and was told everything was normal.
However, today I experienced flashes of light again, so I went to see another ophthalmologist.
After reviewing my records, the doctor noted that I had just had a fundus examination and asked what the previous doctor said.
I replied that everything was normal.
He then performed a non-dilated retinal photography examination and also confirmed that my retina looked fine.
He mentioned that such flashes can occur unless there is a blurriness in vision, at which point I should return.
I would like to ask, if there is blurriness in vision, does that not indicate that there may already be a tear or detachment in the retina? Wouldn't that be more dangerous? Additionally, aside from an increase in floaters, flashes, and visual field defects, are there any more obvious symptoms that specifically indicate retinal detachment? Thank you for your response, doctor.
I appreciate it!
Guo Xiansheng, 20~29 year old female. Ask Date: 2023/07/26
Dr. Gao Pilin reply Ophthalmology
Hello: The symptoms of retinal detachment include an increase in floaters, an increase in flashes of light, visual field defects, and blurred vision.
There are no other more obvious symptoms.
Early detection and early treatment are essential.
Reply Date: 2023/07/26
More Info
Flashing lights in your vision can be concerning, especially when you have a history of eye issues or high myopia. It's good to hear that you've had recent eye examinations, including a thorough retinal check, which showed no immediate problems. However, it's understandable to feel anxious about the symptoms you're experiencing, particularly the flashes of light.
Flashing lights, or photopsia, can occur for several reasons. One common cause is the mechanical stimulation of the retina, which can happen when the vitreous gel inside the eye pulls away from the retina. This is often seen in individuals with myopia, as the shape of the eye can predispose them to such changes. The flashes you describe, especially when they occur in specific positions or after certain activities, may be related to this vitreous traction.
In terms of retinal detachment, it is indeed true that the symptoms can escalate. While flashes and floaters are common early signs, more severe symptoms can include a sudden increase in floaters, a shadow or curtain effect in your peripheral vision, or a significant change in your overall vision clarity. If you experience any of these symptoms, it is crucial to seek immediate medical attention.
You mentioned that your vision has not become blurry, which is a positive sign. Blurriness can indicate that the retina is affected more severely, potentially signaling a detachment or significant tear. However, it is essential to understand that not all flashes lead to retinal detachment. Many individuals experience flashes without any serious underlying condition, especially if they have a history of vitreous changes.
In addition to the symptoms you've already described, other signs that may indicate a more serious issue include:
1. A sudden increase in the number of floaters: If you notice a significant increase in floaters, especially if they appear as a "shower" of spots, this could indicate a retinal tear or detachment.
2. Curtain or shadow effect: If you perceive a shadow or curtain coming down over your vision, this is a critical symptom that warrants immediate evaluation.
3. Loss of peripheral vision: If you notice that your side vision is diminishing, this could also be a sign of retinal issues.
4. Distorted vision: If straight lines appear wavy or distorted, this could indicate a problem with the retina.
5. Sudden vision loss: Any sudden loss of vision, even if temporary, should be treated as an emergency.
It's also worth noting that stress and fatigue can exacerbate visual symptoms. Given your academic pressures and the amount of time spent on screens, it’s possible that your symptoms could be related to eye strain. Make sure to take regular breaks, practice the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds), and ensure your workspace is ergonomically set up to reduce strain.
In conclusion, while your recent eye exams are reassuring, continue to monitor your symptoms closely. If you notice any changes or new symptoms, do not hesitate to seek further evaluation. Regular follow-ups with your eye care professional are essential, especially given your myopia and the symptoms you are experiencing. Your health and peace of mind are paramount, so stay proactive about your eye care.
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