Yellow Flashes and Visual Disturbances in Eye Health - Ophthalmology

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Waking up suddenly to see yellow flashes of light?


Hello Doctor: I have floaters and have previously undergone laser surgery for retinal holes.
I am nearsighted with a prescription of about -200 and astigmatism around -300.
Recently, I have been experiencing a lot of issues.
Whenever I glance at something, I immediately see afterimages or complementary colors.
At night, when I look at streetlights, I also see afterimages if I glance away.
Is this worsening of afterimages and complementary colors due to my eyes being overly fatigued, or could it be a potential side effect of my floaters? Last night, I suddenly woke up and saw a bright yellow light, but it quickly returned to normal.
Could this be caused by pressure on my eyes while sleeping, or is there an issue with a specific part of my eyes? During my last dilated eye exam, the doctor said everything was fine.
I have also had retinal photography done previously, and there were no issues with the macula, but my optic nerve appeared somewhat irregular and the borders were unclear.
Could this be related to the problems I mentioned? Should I undergo further examination of my eye nerves or anything else? Each time a new issue arises, it makes me feel very anxious.
Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2024/04/18

Dr. He Jianxian reply Ophthalmology


Dear Ms.
Anonymous,
1.
I cannot explain why your afterimage condition has worsened.
2.
I cannot explain why you suddenly woke up to see a bright yellow light that then returned to normal; it may be due to pressure on the eyes, but clinically, it cannot be determined.
3.
If you have undergone a dilated fundus examination and no specific abnormalities were found, there should be no need for excessive concern.
Sincerely,
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital

Reply Date: 2024/04/18

More Info


Understanding visual disturbances such as yellow flashes and afterimages can be quite concerning, especially for individuals with pre-existing eye conditions like floaters or myopia. Your symptoms, including the perception of afterimages, complementary colors, and sudden flashes of light, can be attributed to several factors related to the health of your eyes and the functioning of your visual system.

Firstly, the phenomenon of seeing afterimages or complementary colors often occurs due to the way our visual system processes light and color. When you look at a bright light source, such as a street lamp at night, and then shift your gaze, the photoreceptors in your retina may still be responding to the light stimulus, creating a lingering image or a "ghost" effect. This is particularly common in individuals who have high myopia or other refractive errors, as the eye's shape can alter the way light is focused on the retina.

Your experience of seeing yellow flashes upon waking could be related to several factors. One possibility is that pressure on the eyes during sleep, such as from resting your face on your hands or a pillow, can temporarily affect the retina or the vitreous gel within the eye, leading to visual disturbances. Additionally, sudden changes in light exposure when waking up can trigger a response in the visual system, causing brief flashes of light or color.

The fact that you have a history of floaters and have undergone laser surgery for retinal holes suggests that your eyes may be more susceptible to changes in the vitreous gel, which can pull on the retina and lead to visual symptoms. While the recent examination indicated no issues with the retina or macula, it is essential to continue monitoring your symptoms, especially if they become more frequent or severe.

Regarding your concerns about the visual disturbances being related to your optic nerve, it is worth noting that any irregularities in the optic nerve can affect visual perception. However, if your previous examinations have shown that the optic nerve is healthy, it may not be the primary cause of your current symptoms. Nevertheless, if you continue to experience issues, it may be prudent to consult with a neuro-ophthalmologist, who specializes in the relationship between the nervous system and visual function.

In terms of managing your symptoms, ensuring that you take regular breaks from screens and bright lights can help reduce eye strain. Additionally, maintaining a healthy diet rich in antioxidants, such as lutein and zeaxanthin, may support overall eye health. These nutrients are found in leafy greens and other colorful fruits and vegetables and are known to benefit retinal health.

Lastly, if you find that your symptoms persist or worsen, it is crucial to seek further evaluation. This may include additional imaging studies or tests to assess the health of your retina and optic nerve more comprehensively. Regular follow-ups with your eye care provider will help ensure that any changes in your vision are promptly addressed.

In summary, while your symptoms can be alarming, they may be related to common visual processing phenomena or the effects of your existing eye conditions. Staying vigilant about your eye health and maintaining open communication with your eye care professionals will be key in managing your concerns effectively.

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