Eye Flashes: Signs of Retinal Detachment or Not? - Ophthalmology

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Flashes of light in the eyes?


Hello, Doctor Gao.
I do not have floaters, but I am nearsighted with a prescription of -1.50 in my left eye and -2.20 in my right eye.
Recently, I have occasionally seen flashes of light, such as two quick flashes while in the bathroom (I'm not sure if it's a lighting issue) and when turning on my desk lamp at night (white light), I see an orange-yellow afterimage that quickly disappears.
Are these symptoms a precursor to retinal detachment? Previously, under bright sunlight, I noticed a small black dot; could this be a floater?

Yueyue, 10~19 year old female. Ask Date: 2024/05/19

Dr. Gao Pilin reply Ophthalmology


Hello: Based on the symptoms you described, there are several possibilities to consider, but it does not necessarily indicate retinal detachment.

1.
Occasional flashes of light: This condition may be related to the retina.
If the retina is being pulled or has small tears, it can cause the sensation of flashes.
This situation should be taken seriously, and it is advisable to see an ophthalmologist as soon as possible to rule out any retinal issues.
2.
Orange-yellow afterimages: This condition may sometimes be related to the eye's ability to adapt to light, or it could be associated with changes in the vitreous humor.
If the afterimages disappear quickly and do not persist, there is no need for excessive concern.
However, if the situation recurs or worsens, it is also recommended to see an ophthalmologist.
3.
Seeing small black dots in bright sunlight: This condition may be indicative of floaters.
Floaters are usually caused by degeneration or changes in the vitreous humor, leading to the appearance of floating black dots or shadows in the visual field.
This is more common after middle age and is typically harmless, but if floaters suddenly increase or are accompanied by flashes, further examination may be necessary.
Recommendations:
- See an ophthalmologist: Since the sensation of flashes and the appearance of black dots in the visual field can be early signs of retinal issues, it is advisable to have an eye examination as soon as possible.
- Monitor symptom changes: If you notice that the flashes occur more frequently, the number of black dots increases, or if you experience any loss of vision, seek medical attention immediately.

Reply Date: 2024/05/19

More Info


Understanding eye flashes and their potential implications is essential for maintaining eye health, especially for individuals with myopia or other pre-existing conditions. Based on your description, you are experiencing occasional flashes of light, particularly in low-light situations, and have noticed a black dot in bright sunlight. Let's break down these symptoms and their possible significance.


Eye Flashes: What They Mean
Flashes of light, often described as "photopsia," can occur for various reasons. They are typically caused by the vitreous gel inside the eye pulling on the retina, which can happen due to normal aging or other factors. In some cases, this pulling can lead to retinal tears or detachment, which is a more serious condition requiring immediate medical attention.

1. Flashes of Light: The flashes you see, especially if they occur when you move your eyes or head, could be related to the vitreous gel's interaction with the retina. This is common in individuals with myopia, as the shape of the eye can predispose one to such phenomena. However, if these flashes become more frequent or are accompanied by other symptoms (like a sudden increase in floaters or a shadow in your vision), it is crucial to seek an eye examination.

2. Black Dots (Floaters): The black dot you observed in bright sunlight could indeed be a floater. Floaters are tiny clumps of gel or cells inside the vitreous that cast shadows on the retina, appearing as small dots or strands in your vision. While they are usually harmless, an increase in floaters, especially if accompanied by flashes, warrants a thorough eye examination to rule out any serious conditions.


Retinal Detachment: Signs to Watch For
Retinal detachment is a serious condition that can lead to permanent vision loss if not treated promptly. The classic signs include:
- Sudden Increase in Floaters: If you notice a significant increase in the number of floaters, this could indicate a problem.

- Flashes of Light: Frequent flashes, especially if they are new to you, should be evaluated.

- Shadow or Curtain Effect: If you experience a shadow or curtain-like effect in your peripheral vision, this could suggest detachment.

- Distorted Vision: Any sudden changes in your vision, such as blurriness or distortion, should be taken seriously.


Recommendations
Given your symptoms, here are some recommendations:
1. Regular Eye Exams: Since you have myopia, it is essential to have regular eye examinations. Your eye care professional can monitor any changes in your retina and vitreous.

2. Monitor Symptoms: Keep track of any changes in your vision. If you notice an increase in flashes or floaters, or if you develop new symptoms, contact your eye doctor immediately.

3. Protect Your Eyes: When outdoors, especially in bright sunlight, wearing sunglasses can help reduce glare and protect your eyes from UV damage, which can contribute to retinal issues over time.

4. Seek Immediate Care for New Symptoms: If you experience sudden changes in your vision, such as a significant increase in flashes or floaters, or if you see a shadow or curtain in your vision, seek immediate medical attention.


Conclusion
While occasional flashes of light and floaters can be common, especially in individuals with myopia, it is essential to remain vigilant. Regular eye exams and being aware of changes in your vision are key to maintaining eye health. If you have any concerns about your symptoms, do not hesitate to consult with an eye care professional for a comprehensive evaluation. Your vision is invaluable, and proactive care is the best way to protect it.

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