Eye Flickering: Is It Related to Floaters or Retina Issues? - Ophthalmology

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Hello, Doctor.
I have had floaters for several years.
Recently, when I wake up, take a shower, or look at a white wall, I experience a flickering sensation in my eyes that persists.
When I focus on a specific spot, it feels like a frame-by-frame animation flickering in place; it doesn't turn black and isn't like lightning, but it feels like it's constantly moving.
I would like to know if this is caused by the floaters or if there is a new issue.
I'm worried it might be a retinal problem.
Additionally, in the past few days, right before falling asleep, I have seen white lines moving with my eye's gaze a couple of times.
The last time I checked for floaters was in December, and my next appointment is scheduled for six months from now, in June.
Given these new symptoms, do you think I should schedule an earlier examination? Thank you.
Also, I’ve recently noticed my eyes are particularly dry, and I want to buy artificial tears.
Do most artificial tears not contain preservatives? I'm concerned about buying the wrong product because I've heard that preservatives can be burdensome for the eyes in the long term.

xuesheng, 20~29 year old female. Ask Date: 2024/04/30

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, your symptoms may be related to the vitreous and retina, especially since you mentioned experiencing flickering sensations when getting up, showering, and looking at white walls.
This could be due to vitreous movement or vitreous traction on the retina.
If this flickering phenomenon becomes more frequent or persists, it is advisable to see an ophthalmologist promptly to rule out serious issues such as retinal tears or detachment.
Regarding the issue of dry eyes, some artificial tears contain preservatives, but there are also preservative-free options available on the market.
You may want to choose preservative-free products, especially for long-term use, to avoid unnecessary strain on your eyes.

Reply Date: 2024/04/30

More Info


Understanding eye flickering and its relationship to floaters or potential retinal issues can be quite concerning, especially for individuals with a history of floaters. Based on your description, it seems you are experiencing visual disturbances that could be related to your existing floaters or possibly indicate a new condition.
Floaters are typically caused by changes in the vitreous gel that fills the eye, which can become more liquid and lead to the formation of small clumps or strands that cast shadows on the retina, perceived as spots or lines in your vision. The flickering sensation you describe, particularly when looking at a white wall or during specific activities like getting out of bed or showering, may be related to the movement of these floaters. However, the fact that you are experiencing a persistent flickering sensation, especially if it feels like a "frame-by-frame animation," raises some concerns that should not be overlooked.

It is crucial to differentiate between benign floaters and more serious conditions such as retinal tears or detachments. Symptoms that warrant immediate medical attention include:
1. Sudden increase in floaters: If you notice a significant change in the number or type of floaters, especially if they appear suddenly.

2. Flashes of light: If you experience new flashes of light in your peripheral vision.

3. Dark curtain or shadow: If you perceive a shadow or curtain over your vision, which could indicate a retinal detachment.

4. Vision loss: Any sudden loss of vision should be treated as an emergency.

Given that you have a history of floaters and are experiencing new visual symptoms, it would be prudent to schedule an earlier appointment with your eye care provider. They can perform a thorough examination, including a dilated fundus exam, to assess the health of your retina and vitreous.
Regarding your concern about dry eyes and the use of artificial tears, it is indeed important to choose the right product. Many artificial tears are available without preservatives, which are preferable for individuals who need to use them frequently. Preservatives can cause irritation and may lead to further dryness over time. Look for products labeled as "preservative-free" or "PF" (preservative-free) to minimize the risk of irritation.
In summary, while your symptoms may be related to your existing floaters, the new flickering sensations and increased dryness warrant a timely evaluation by your eye doctor. Early detection and intervention are key to preventing potential complications, especially with retinal health. Additionally, when selecting artificial tears, prioritize preservative-free options to ensure comfort and safety for your eyes.

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