the Link Between Glaucoma and Flashing Lights in Vision - Ophthalmology

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Glaucoma and flashing lights during blinking?


Hello, doctor.
Recently, I have been experiencing flashes of light when I blink (I have high myopia).
This occurs after staying in a dark place for about 10 to 20 minutes and then returning to a bright environment.
When I blink, I feel flashes around my visual field, but it doesn't happen if I don't blink.
This lasts for about 5 to 10 minutes before it disappears and my vision returns to normal.
I visited a doctor a few days ago, and after conducting a visual field test (the doctor suspected glaucoma), he mentioned that my retina looks fine, but there are defects in the visual field, and my eye pressure is normal.
His conclusion is that he cannot yet confirm a diagnosis of glaucoma, nor can he determine the cause of the flashes, and we need to observe over a longer period to see if there is any deterioration to confirm the condition.
I would like to ask the doctor: 1.
Are my flash symptoms really related to glaucoma? I am a bit skeptical since I don't often hear about the connection between the two.
2.
Based on the above, what other possible causes could there be for these flashes? 3.
If I am ultimately diagnosed with glaucoma, what vision care methods should I pay attention to? Or what should I be more mindful of in my daily life?

Su, 20~29 year old female. Ask Date: 2024/05/01

Dr. Gao Pilin reply Ophthalmology


Hello: Based on the symptoms you described, experiencing flashes of light after spending some time in a dark environment and then returning to a bright area may be related to glaucoma or other ophthalmic issues, but it could also be caused by other factors.
Here are my responses to your questions:
1.
Association of flash symptoms with glaucoma:
- While there may be a connection between flash symptoms and glaucoma, not all flash symptoms are directly related to glaucoma.
Glaucoma is typically associated with visual field loss and elevated intraocular pressure; however, your current intraocular pressure is normal, but there are deficits in the visual field examination.
Further observation and diagnosis are needed to determine if it is related to glaucoma.
2.
Other possible causes of flashes:
- Vitreous liquefaction and retinal traction: Patients with high myopia may experience vitreous liquefaction, leading to traction between the vitreous and the retina, which can result in flash symptoms.
- Retinal issues: Retinal holes or tears may also cause flash symptoms.
- Other ophthalmic problems: For example, unstable ocular blood flow.
3.
Vision care methods after a glaucoma diagnosis:
- Regular ophthalmic check-ups: Regularly monitor intraocular pressure, visual fields, and retinal health to detect and address issues early.
- Pharmacological treatment: If glaucoma is diagnosed, the physician may prescribe medications to control intraocular pressure.
- Lifestyle adjustments: Avoid prolonged periods in dark environments, minimize eye strain, and maintain moderate physical activity.
- Dietary adjustments: Maintain a balanced diet and ensure adequate intake of vitamins and minerals.
- Avoiding ocular pressure: Avoid prolonged bending of the head and ensure that the eyes are not under pressure while sleeping.
I recommend that you continue to stay in contact with your ophthalmologist and follow their advice for observation and treatment.

Reply Date: 2024/05/01

More Info


Your symptoms of experiencing flashing lights, particularly after transitioning from a dark environment to a bright one, can be concerning, especially given your history of high myopia. Let's break down your questions and provide some insights based on current medical understanding.

1. Are your flashing symptoms related to glaucoma?
While flashing lights are not the most common symptom associated with glaucoma, they can occur in certain situations. Glaucoma primarily affects the optic nerve and can lead to vision loss if not managed properly. The flashing lights you experience could be due to a variety of factors, including the mechanical stimulation of the retina or vitreous body, especially after being in a dark environment. In your case, the fact that the flashes occur after prolonged darkness suggests that it might be related to the way your eyes adjust to light rather than a direct symptom of glaucoma. However, since your doctor has noted potential visual field defects, it is essential to continue monitoring your condition closely.

2. What other causes could explain your flashing lights?
Besides glaucoma, there are several other potential causes for the flashing lights you are experiencing:
- Vitreous Detachment: In individuals with high myopia, the vitreous gel can pull away from the retina, leading to flashes of light. This is often benign but can sometimes lead to more serious conditions like retinal tears.

- Retinal Issues: Conditions such as retinal tears or detachments can also cause similar symptoms. Although your retina was reported as normal during your last examination, it may be worthwhile to have follow-up assessments if symptoms persist.

- Ocular Migraines: These can cause temporary visual disturbances, including flashes of light, and are often accompanied by headaches.

- Photophobia: Sensitivity to light can also cause discomfort and visual disturbances when transitioning between light and dark environments.

3. If diagnosed with glaucoma, what should you be aware of regarding eye care?
If you are ultimately diagnosed with glaucoma, there are several important considerations for maintaining your eye health:
- Regular Eye Exams: Frequent monitoring of your intraocular pressure (IOP) and visual fields is crucial. Your eye doctor will recommend a schedule based on your specific condition.

- Medication Compliance: If prescribed, it is essential to adhere to any prescribed eye drops or medications to manage IOP effectively.

- Lifestyle Adjustments: Maintaining a healthy lifestyle can support overall eye health. This includes a balanced diet rich in antioxidants (like leafy greens and fish), regular exercise, and avoiding smoking.

- Protective Eyewear: Wearing sunglasses that block UV light can help protect your eyes from further damage.

- Education: Understanding your condition and its implications can empower you to make informed decisions about your eye health.

In conclusion, while your flashing lights may not be directly indicative of glaucoma, it is essential to remain vigilant and continue working closely with your eye care provider. Regular follow-ups and open communication about any changes in your symptoms will be vital in managing your eye health effectively. If your symptoms worsen or new symptoms arise, do not hesitate to seek immediate medical attention.

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