The appearance of shadows and flashes in the eyes?
Hello Doctor, I have floaters in my vision, but I recently had a dilated eye exam, and the doctor told me there were no issues.
However, today my eyes felt a bit strained, so I decided to close them for a short rest.
When I closed my eyes, I saw a white light shadow, and when I opened my eyes, there seemed to be a slight afterimage.
Additionally, whenever I blinked, the outer corners of my eyes would flicker for a moment, but this sensation didn't last long and quickly went away.
After that, I didn't experience this phenomenon again when I closed my eyes.
I would like to know if this is a normal occurrence related to my floaters.
I'm a bit worried since the doctor just said everything was fine a few days ago.
Thank you, Doctor.
Xiao Wen, 20~29 year old female. Ask Date: 2023/08/23
Dr. Gao Pilin reply Ophthalmology
Hello: Since you have previously undergone a dilated eye exam and were informed that there were no issues, but you are now experiencing new symptoms, I recommend that you visit an ophthalmologist again to describe your current symptoms.
The doctor may need to conduct further evaluations to determine the cause of these new symptoms.
Reply Date: 2023/08/23
More Info
When it comes to experiencing black shadows and flashes in your vision, especially in the context of having a pre-existing condition like floaters (known as "myodesopsia" in medical terms), it is essential to understand the underlying mechanisms and potential implications. Floaters are typically caused by changes in the vitreous gel of the eye, which can become more liquid and less gel-like as we age. This process can lead to the formation of clumps or strands of collagen that cast shadows on the retina, which we perceive as floaters.
In your case, the recent experience of seeing white light shadows while your eyes were closed, followed by flashes upon opening your eyes, could be related to several factors. First, it is important to note that the sensation of flashes, particularly after a period of rest or closing your eyes, can sometimes be attributed to the stimulation of the retina. This can occur due to the movement of the vitreous gel, which may tug on the retina, leading to the perception of light flashes. This phenomenon is known as "photopsia."
The fact that you had a dilated eye exam recently and were told there were no significant issues is reassuring. However, it is understandable to feel concerned when new symptoms arise. The transient nature of the flashes and shadows you described—especially since they dissipate quickly—suggests that they may not be indicative of a serious problem. However, it is crucial to remain vigilant, as changes in vision can sometimes signal underlying issues.
In the context of floaters, it is common for individuals to notice fluctuations in their symptoms. Factors such as fatigue, eye strain, or even changes in lighting conditions can influence how floaters are perceived. The experience of seeing shadows or flashes after resting your eyes could also be related to temporary changes in your visual processing or the way your brain interprets visual stimuli after a period of inactivity.
While your recent eye examination did not reveal any significant concerns, it is always advisable to follow up with your eye care professional if you notice persistent changes in your vision. Symptoms such as an increase in the number of floaters, sudden flashes of light, or a curtain-like shadow in your peripheral vision could warrant further investigation, as they may indicate retinal detachment or other serious conditions.
In summary, while your current symptoms may be related to your existing floaters and the natural changes occurring in your eyes, it is essential to monitor your vision closely. If you experience any new or worsening symptoms, do not hesitate to seek further evaluation from an eye care specialist. Regular eye exams and open communication with your healthcare provider are key to maintaining your eye health and addressing any concerns that may arise.
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