Eye Flickering: Causes and Solutions for Eye Movement Issues - Ophthalmology

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Closed-eye imagery


When I close my eyes, the image above my eyes keeps shaking.
Sometimes at night, there are flashes of light, and when I open my eyes, the view in front of me also shakes.
In the morning, if I focus on the same image, it slightly trembles.
I have undergone a fundus examination, which showed no issues, but the shaking has persisted for over a week, and the ophthalmologist is unsure of the cause.

Guo Xiansheng, 20~29 year old female. Ask Date: 2023/09/04

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
Eye Fatigue: Prolonged use of electronic screens, reading, or other visual tasks can lead to eye fatigue and discomfort, which may manifest as a sensation of shaking.
2.
Lens Issues: Although you mentioned that the fundus examination did not reveal any problems, certain lens issues may not be detectable during a routine examination.
You may want to consult an ophthalmologist again, describe your symptoms in detail, and consider undergoing additional specialized tests.
3.
Ocular Muscle Issues: Some problems with the eye muscles may lead to visual instability or a shaking sensation.
4.
Neurological Issues: Occasionally, neurological problems can also affect visual stability.

Reply Date: 2023/09/04

More Info


Eye flickering, or involuntary eye movement, can be a perplexing and concerning symptom. Based on your description, it seems you are experiencing a persistent shaking or flickering sensation in your vision, both with your eyes closed and open. This condition can be attributed to several potential causes, and understanding these can help in seeking appropriate treatment.


Possible Causes of Eye Flickering
1. Eye Fatigue: Prolonged use of digital devices, reading, or focusing on a single point can lead to eye strain. This is particularly common in our modern lifestyle, where screen time is often excessive. Eye fatigue can manifest as flickering or shaking sensations in the visual field.

2. Nervous System Factors: The eyes are controlled by a complex network of nerves. Stress, anxiety, or fatigue can lead to involuntary muscle contractions around the eyes, resulting in flickering sensations. This is often benign but can be exacerbated by stress or lack of sleep.

3. Visual Disturbances: Conditions such as visual migraines or ocular migraines can cause temporary disturbances in vision, including flickering or shimmering lights. These episodes are usually brief and resolve on their own.

4. Dry Eyes: Insufficient lubrication of the eyes can lead to discomfort and visual disturbances. Symptoms of dry eyes can include flickering, especially after prolonged screen time or in dry environments.

5. Neurological Issues: While less common, persistent flickering could be related to neurological conditions. If the flickering is accompanied by other symptoms such as headaches, dizziness, or changes in coordination, it is crucial to seek further medical evaluation.


Recommended Solutions
1. Rest and Eye Care: If your symptoms are related to eye fatigue, taking regular breaks from screens and practicing the 20-20-20 rule can be beneficial. This rule suggests that every 20 minutes, you should look at something 20 feet away for at least 20 seconds to help reduce eye strain.

2. Hydration and Humidification: Ensure that you are adequately hydrated and consider using a humidifier in your environment to combat dry air, which can exacerbate dry eye symptoms.

3. Artificial Tears: If dry eyes are suspected, using over-the-counter artificial tears can provide relief and help maintain moisture on the surface of your eyes.

4. Stress Management: Since stress can contribute to muscle tension and eye flickering, incorporating stress-reducing techniques such as mindfulness, meditation, or yoga may help alleviate symptoms.

5. Follow-Up with an Eye Specialist: Since you have already undergone a thorough eye examination without any findings, it may be beneficial to follow up with your eye doctor or consider consulting a neurologist if the symptoms persist or worsen. Keeping a symptom diary can also help your healthcare provider identify any patterns or triggers.

6. Limit Screen Time: Reducing the amount of time spent on screens, especially before bedtime, can help decrease eye strain and improve overall eye comfort.


Conclusion
While eye flickering can be a benign issue often related to fatigue or stress, persistent symptoms warrant further investigation. It is essential to maintain good eye hygiene, manage stress, and seek professional advice if the condition does not improve. If you experience any additional symptoms, such as significant changes in vision, headaches, or other neurological signs, do not hesitate to seek immediate medical attention. Your eye health is crucial, and addressing these symptoms early can help prevent further complications.

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