The eyes perceive light as extremely bright, and the light appears to pulsate or change in size?
Hello Doctor, I had an eye examination in mid-April and found that there were many retinal tears that have been repaired.
Prior to the retinal repair, I also had dry eye syndrome.
I have had floaters since childhood, and my myopia is between -5.35 to -5.75 (in both eyes).
Around early April, my eyes would see lights as very bright, especially when walking and looking at lights, where the brightness would fluctuate.
Sometimes during the day, when looking at elongated lights, I would also see streaks of light appearing.
In addition to the movement, I would also see rainbows.
I consulted a doctor at the hospital, but I did not receive a very accurate answer.
They only suspected it might be due to high photophobia (over 200).
I was originally concerned that it might be related to my dry eyes, but after reading many articles, I only found descriptions related to light sensitivity and not my specific symptoms, including the retinal tears.
I have previously tested my OSDI, which should be classified as moderate.
I would appreciate your response, thank you for your hard work.
c4, 20~29 year old female. Ask Date: 2024/05/15
Dr. Gao Pilin reply Ophthalmology
Hello: Based on the situation you described, the symptoms of flashes of light, changes in light intensity, and seeing rainbows that you experienced around early April may be related to your retinal tear.
These symptoms could be caused by dynamic changes in the vitreous fluid due to the retinal tear.
A retinal tear can allow vitreous fluid to enter the retinal layer, leading to flashes and other abnormal visual perceptions.
Additionally, the photophobia and dry eye symptoms you mentioned may also be related to these issues, as a retinal tear can cause discomfort and visual disturbances.
However, for the specific symptoms you described, it is advisable to seek an evaluation from an ophthalmologist to determine the exact cause of your symptoms.
Given that you underwent an eye examination and repair of the retinal tear in mid-April, it is recommended that you have regular follow-up appointments and inform your ophthalmologist of any changes in your symptoms for further assessment and management.
Reply Date: 2024/05/15
More Info
Hello! Thank you for your detailed inquiry regarding your eye health, particularly concerning the flashing lights and visual disturbances following your retinal repair. It’s understandable to have concerns about these symptoms, especially after undergoing a procedure for retinal issues.
Firstly, it’s important to recognize that flashing lights, or photopsia, can occur for various reasons, particularly in individuals with a history of retinal problems or those who have undergone retinal surgery. After a retinal repair, it is not uncommon for patients to experience some degree of visual disturbances, including flashes of light. This phenomenon is often attributed to the vitreous gel within the eye pulling on the retina, especially if there are areas of adhesion between the vitreous and the retina. As the vitreous continues to change and potentially detach from the retina, these flashes may become more pronounced.
In your case, since you have a history of retinal tears and have recently undergone repair, the flashes you are experiencing could be related to the healing process. The retina may still be sensitive as it adjusts to the changes post-surgery. It’s also worth noting that the presence of floaters (which you mentioned as having had since childhood) can sometimes accompany these flashes, as they are both related to the vitreous gel's condition.
Regarding your concerns about dry eye syndrome, while it primarily causes symptoms such as discomfort, redness, and a gritty sensation, it can also contribute to visual disturbances. However, the specific symptoms you describe—such as seeing lights that appear to expand and contract or seeing rainbow-like patterns—are more likely related to the retinal and vitreous changes rather than dry eyes alone. That said, managing dry eye symptoms is still crucial, as they can exacerbate overall visual discomfort.
You mentioned that you have consulted with doctors but did not receive a definitive answer. It’s essential to keep an open line of communication with your healthcare providers. If your symptoms persist or worsen, or if you notice new symptoms such as a sudden increase in flashes, new floaters, or a shadow in your vision, it is crucial to seek immediate medical attention. These could be signs of complications such as retinal detachment, which requires prompt intervention.
In terms of managing your symptoms, here are a few recommendations:
1. Regular Follow-ups: Continue to have regular check-ups with your ophthalmologist to monitor the condition of your retina and vitreous. This is vital, especially after surgery.
2. Dry Eye Management: If dry eye symptoms are significant, consider using artificial tears or other lubricating eye drops to alleviate discomfort. Discuss with your doctor about potential treatments for dry eye, such as punctal plugs or prescription medications.
3. Visual Hygiene: Protect your eyes from excessive strain. Limit screen time, take regular breaks, and ensure proper lighting when reading or working.
4. Avoiding Triggers: If certain lighting conditions exacerbate your symptoms, try to avoid those situations when possible. For example, wearing sunglasses in bright light can help reduce glare and discomfort.
5. Education and Awareness: Understanding your condition can help alleviate anxiety. Educate yourself about the healing process after retinal surgery and what symptoms are typical versus those that warrant concern.
In conclusion, while flashing lights and visual disturbances can be alarming, they are often part of the healing process after retinal surgery. However, maintaining regular communication with your eye care provider and monitoring your symptoms closely is essential. If you have any further questions or concerns, do not hesitate to reach out to your healthcare team. Your eye health is paramount, and they are there to support you through your recovery. Thank you for your patience, and I wish you the best in your journey toward improved eye health!
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