Temporary Visual Disturbances After Sneezing: Expert Insights - Ophthalmology

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Follow-up Inquiry #201424


Dear Dr.
Gao,
Thank you very much for your response, explanation, and suggestions regarding the inquiry in "#201424".
Your clarification that forceful sneezing is unlikely to cause retinal tears or detachment has greatly reassured me.
Currently, the brief episodes of seeing stars and flashes of light have not recurred, and I have not experienced any symptoms of retinal tears or detachment that you mentioned (including sudden flashes of light, floaters, dark or blurry areas in my vision, and vision loss).
I later realized that about three years ago (in 2020), I also experienced a few instances of seeing stars and flashes of light after sneezing.
After more than a year (in 2021), I underwent a fundus examination at an ophthalmologist, and the results indicated that aside from vitreous opacities (floaters), my retina was normal with no abnormalities.
I would like to ask Dr.
Gao the following questions:
Q1.
In 2020, I experienced brief episodes of seeing stars and flashes of light after forceful sneezing, and the fundus examination in 2021 showed that my retina was normal.
Based on the above process, could it be that, as you mentioned in your previous response, my episodes of seeing stars and flashes of light were merely temporary (normal physiological) reactions to forceful sneezing?
Q2.
Since I just visited an ophthalmologist last week, would it be reasonable for me to monitor my eyes for any recurrence of "flashes of light" or symptoms of "retinal tears or detachment," and if any abnormalities occur, to seek immediate attention from an ophthalmologist?
I appreciate your guidance on these matters.
Thank you, Dr.
Gao.

Kris, 40~49 year old female. Ask Date: 2023/10/13

Dr. Gao Pilin reply Ophthalmology


Hello: Q1.
Based on your description, you experienced brief episodes of seeing stars and flashes of light in front of your eyes in 2020, but your retinal examination in 2021 showed that your retina was normal.
These short-term episodes of seeing stars and flashes of light may be normal physiological responses, especially in situations like forcefully sneezing.
Retinal tears or detachments are usually accompanied by other symptoms, such as sudden onset of flashes, floaters, dark or blurry areas in the visual field, and vision loss.
Considering that your retinal examination results were normal, your current symptoms may be related to normal physiological processes.
Q2.
You mentioned that you saw an ophthalmologist last week.
If you are currently monitoring for any recurrence of the "flashes of light" and other symptoms, and plan to seek immediate care if any abnormalities arise, this is a reasonable approach.
If you experience any further symptoms or concerns, please do not hesitate to visit an ophthalmologist for a more thorough evaluation of your eye health.

Reply Date: 2023/10/13

More Info


Dear Patient,
Thank you for your thoughtful questions regarding the temporary visual disturbances you experienced after sneezing. It’s great to hear that you have not encountered any alarming symptoms such as flashes of light, floaters, or significant vision loss since our last discussion. Let’s address your questions in detail.


Q1: Temporary Visual Disturbances After Sneezing
The phenomenon of seeing "stars" or flashes of light after sneezing is indeed a common occurrence and is generally considered a normal physiological response. When you sneeze, the sudden increase in pressure in your head can affect the blood flow to your eyes and the surrounding tissues. This can lead to transient visual disturbances, such as the "eye fireworks" you described.
Your previous eye examination in 2021, which showed normal retinal health despite the presence of vitreous floaters (commonly referred to as "floaters"), supports the idea that your visual disturbances are likely benign. The vitreous humor, the gel-like substance in the eye, can become more liquid with age or due to other factors, leading to the perception of floaters. These floaters can become more noticeable during sudden movements or changes in pressure, such as during a sneeze.


Q2: Monitoring Symptoms
Your plan to monitor for any recurrence of the "white light" phenomenon or other symptoms indicative of retinal issues is prudent. If you notice any new symptoms, such as sudden flashes of light, an increase in floaters, or any shadowy areas in your vision, it would be wise to seek immediate evaluation from an eye care professional.
In the absence of these symptoms, it is reasonable to continue observing your condition. Many individuals experience transient visual disturbances without any underlying pathology. However, maintaining regular eye examinations is essential, especially given your history of vitreous changes.

Additional Considerations
While the symptoms you described are likely benign, it’s important to remain vigilant. Here are some additional points to consider:
1. Hydration and Rest: Ensure you are well-hydrated and take regular breaks from screens or activities that require intense focus. This can help reduce eye strain and may mitigate some of the transient disturbances.

2. Stress and Anxiety: Sometimes, anxiety about visual changes can exacerbate the perception of symptoms. Engaging in relaxation techniques or mindfulness practices may help alleviate some of this stress.

3. Regular Eye Check-ups: Continue with your routine eye exams. Given your history of myopia and vitreous changes, regular monitoring is crucial to catch any potential issues early.

4. Lifestyle Adjustments: If you notice that certain activities trigger your symptoms, consider modifying those activities. For instance, if sneezing or sudden movements seem to provoke visual disturbances, try to be more cautious during those moments.

In conclusion, your experiences of seeing flashes of light after sneezing are likely benign and related to normal physiological responses. Your approach to monitor your symptoms and seek care if they worsen is appropriate. Always feel free to reach out to your eye care provider with any concerns, as they can provide personalized advice based on your specific situation.

Wishing you continued eye health and clarity in your vision.

Best regards,
Doctor Q&A Teams

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