Eye Flashes: Symptoms of Retinal Issues or Normal Aging? - Ophthalmology

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In a completely dark room, closing the eyes and moving them causes flashes of light to appear around?


Hello, I have a myopia degree of 600 to 700.
Two months ago, I experienced floaters, and after undergoing ultra-widefield retinal examination, no tears were found.
Three weeks ago, I noticed that when I closed my eyes and turned my eyeballs all the way down, I would see white flashes, so I arranged another ultra-widefield retinal examination, which again showed no tears.
Recently, at night in a completely dark room, I noticed that when I rapidly moved my eyes (from left to right or up and down), there would be bright lights around my eyes, but this did not occur in bright places or after I stopped moving my eyes.

1.
I would like to ask if this is a sign of retinal tears or detachment, and if I need to have another examination immediately?
2.
I have read related explanations that this is caused by the vitreous pulling on the retina.
Is this phenomenon due to vitreous degeneration (floaters), or can it occur even without degeneration?
3.
If moving my eyes pulls on the retina, does that mean I am constantly pulling on it during normal use of my eyes? Isn't that dangerous, or is the retina not that easily torn?

Mr. Chen, 20~29 year old female. Ask Date: 2023/11/04

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
These symptoms may indicate a retinal tear or detachment, but they could also be related to phenomena associated with the vitreous.
When you experience abnormal visual symptoms, especially in the case of high myopia, it is advisable to seek an eye examination immediately.
This is to ensure the health of your retina and to take necessary measures to protect your vision from damage.
2.
The appearance of flashes of light when rapidly moving your eyes may be due to the vitreous pulling on the retina, which is related to vitreous degeneration (floaters).
Floaters are typically caused by changes in the fibrous structure within the vitreous.
However, even in the absence of noticeable floaters, interactions between the vitreous and retina can still occur.
This is why regular examinations are very important in such cases.
3.
The pulling of the vitreous can indeed exert pressure on the retina, but the retina does not necessarily sustain damage every time.
The retina is generally a quite resilient tissue, but there may still be risks in certain situations, particularly in cases of high myopia.
Therefore, maintaining regular eye examinations is crucial for the timely detection of any issues and taking necessary measures to protect your eye health.

Reply Date: 2023/11/04

More Info


Understanding eye flashes and their potential implications is crucial, especially for individuals with a history of myopia or other eye conditions. Based on your description, you are experiencing flashes of light when moving your eyes rapidly, particularly in low-light conditions. Here’s a comprehensive breakdown of your concerns:
1. Potential Signs of Retinal Issues: The symptoms you describe, such as flashes of light when moving your eyes, can indeed be associated with retinal issues, particularly if you have a history of myopia. However, since you have already undergone thorough examinations, including wide-angle retinal checks, and no retinal tears or detachments were found, it is reassuring. Flashes can sometimes indicate that the vitreous gel inside the eye is pulling on the retina, which is common in individuals with myopia as the eye elongates. If the flashes increase in frequency or if you notice new floaters or a shadow in your vision, it would be prudent to seek another evaluation.

2. Vitreous Degeneration and Eye Flashes: The phenomenon you are experiencing is likely related to vitreous degeneration, which can occur naturally with age or due to myopia. As the vitreous gel shrinks and pulls away from the retina, it can cause flashes of light. This is typically benign, but it can also lead to more serious conditions if the vitreous pulls too hard on the retina, potentially causing tears or detachment. It’s important to note that vitreous changes can occur even in the absence of significant degeneration, and individuals without myopia can also experience similar symptoms.

3. Eye Movement and Retinal Safety: Your concern about eye movement causing retinal detachment is valid but somewhat overstated. The retina is relatively resilient, and while rapid eye movements can cause some pulling on the vitreous, the likelihood of causing a retinal tear or detachment from normal eye movements is low. Retinal detachments are more commonly associated with significant trauma, extreme myopia, or other underlying conditions. Regular eye examinations are essential, especially if you have risk factors like high myopia.


Recommendations for Management:
- Regular Eye Exams: Continue to have regular check-ups with your eye care professional. Given your history of myopia and recent symptoms, it’s important to monitor any changes in your vision closely.

- Symptom Monitoring: Keep a log of your symptoms, noting when they occur, their duration, and any associated factors (like lighting conditions or activities). This information can be helpful for your eye doctor.

- Eye Rest and Care: Ensure you are giving your eyes adequate rest, especially if you spend long hours on screens. The 20-20-20 rule can be beneficial: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Hydration and Nutrition: Maintain good hydration and a diet rich in antioxidants, which can support overall eye health. Foods high in omega-3 fatty acids, lutein, and vitamins C and E are particularly beneficial.

- Avoid Strain: If you notice that certain activities exacerbate your symptoms, consider reducing those activities or taking more frequent breaks.

In conclusion, while your symptoms warrant attention, they are not uncommon among individuals with myopia and do not necessarily indicate a serious problem. However, vigilance is key, and any significant changes in your symptoms should prompt a visit to your eye care provider.

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