Eye Flashes: Causes and Solutions for Vision Issues - Ophthalmology

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Hello, doctor.
I have about 450 degrees of myopia in both eyes and also experience flashes of light.
Recently, I have been preparing for graduate school entrance exams, and my eyes feel very tired.
One day, I suddenly noticed that the light from my desk lamp seemed to flicker, although it wasn't very noticeable.
When I asked my sister to look at it, she said she didn't see anything.
Later, I felt that the lights in my home also seemed to flicker a bit.
My eyes have been feeling very strained (due to fatigue), and I'm not sure what's going on.
I would like to consult with you, doctor.

Aqi, 20~29 year old female. Ask Date: 2007/02/05

Dr. Wang Zhangji reply Ophthalmology


Hello: It is possible to see flickering lights when the eyes are extremely fatigued, but it is best to have a thorough examination at the clinic.
Sincerely, Dr.
Wang Zhang-ji, Ophthalmologist.

Reply Date: 2007/02/05

More Info


Hello! Based on your description, it sounds like you're experiencing a combination of eye fatigue and visual disturbances, particularly flashes of light. This can be concerning, especially when preparing for exams, as stress and prolonged screen time can exacerbate eye strain. Let's break down the potential causes and solutions for your symptoms.


Possible Causes of Eye Flashes
1. Eye Strain (Asthenopia): Given that you're studying for exams, it's likely that you're spending extended periods looking at screens or reading. This can lead to eye strain, which may manifest as discomfort, fatigue, and visual disturbances, including flashes of light. The muscles around your eyes can become fatigued, leading to sensations of discomfort or "zapping" feelings.

2. Photopsia: This term refers to the perception of flashes of light that are not caused by external light sources. It can occur due to various reasons, including retinal issues, vitreous detachment, or even migraines. While you mentioned not having a history of migraines, it's worth noting that some individuals experience visual disturbances without the headache component.

3. Vitreous Detachment: As we age, the vitreous gel inside the eye can shrink and pull away from the retina, which can cause flashes of light. This is generally more common in individuals over 50, but it can occur at younger ages, especially in those who are nearsighted.

4. Retinal Issues: Although less common, flashes can indicate more serious conditions like retinal tears or detachment. If you experience a sudden increase in flashes, especially accompanied by floaters or a shadow in your vision, it's crucial to seek immediate medical attention.

5. Environmental Factors: Changes in lighting, such as moving from a bright environment to a darker one, can also cause temporary visual disturbances. This is often due to the way our eyes adjust to different light levels.


Solutions and Recommendations
1. Rest Your Eyes: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This helps reduce eye strain.

2. Proper Lighting: Ensure that your study area is well-lit. Avoid glare from screens and direct light sources. If you notice flickering lights, it may be worth checking the bulbs or fixtures.

3. Stay Hydrated: Dehydration can contribute to eye fatigue. Make sure you're drinking enough water throughout the day.

4. Use Artificial Tears: If your eyes feel dry or fatigued, consider using lubricating eye drops to alleviate discomfort.

5. Limit Screen Time: If possible, reduce the amount of time spent on screens, especially before bed. Blue light from screens can contribute to eye strain and disrupt sleep patterns.

6. Consult an Eye Specialist: Since you are experiencing flashes, it would be prudent to have a comprehensive eye exam. An eye care professional can assess your retina and vitreous to rule out any serious conditions. They can also provide personalized advice based on your specific situation.

7. Manage Stress: Since you are preparing for exams, managing stress through relaxation techniques, such as deep breathing or mindfulness, can also help reduce overall tension, which may alleviate some of your symptoms.

In conclusion, while your symptoms may be related to eye strain and fatigue, it’s essential to monitor them closely. If the flashes persist or worsen, or if you notice any other changes in your vision, please seek medical attention promptly. Taking care of your eyes is crucial, especially during stressful periods like exam preparation.

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