Is Eye Rubbing Causing Flashing Lights a Normal Occurrence? - Ophthalmology

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Is it normal to see flashes of light when rubbing your eyes?


I have had macular degeneration for several years and mild myopia of about 200-300 degrees.
I visit the hospital for follow-ups every six months.
Recently, I accidentally rubbed my eyes in a dimly lit environment and felt a brief flash of light at the corner of my eye, which was fleeting.
I usually do not experience any flashes of light.
I would like to ask the doctor: Is this a normal phenomenon, or could it indicate a retinal tear? Or is it simply a physiological response due to external pressure on the eyeball while rubbing my eyes, causing traction on the retina and resulting in the sensation of a flash? Should I mention this situation to my attending physician during my next visit?

Xiao Xiong, 30~39 year old female. Ask Date: 2007/12/22

Dr. Zhang Yanrui reply Ophthalmology


Seeing flashes of light indicates that the retina is being stimulated, whether by light, electrical signals, or mechanical force, which can produce visual sensations.
Therefore, gently pressing around the eyeball while keeping the eyes closed can also result in visual sensations, which is a normal phenomenon.
However, if you are undergoing regular dilated eye examinations, it would be advisable to also have a peripheral retinal examination.
Only if there are no abnormalities can you truly feel at ease.

Reply Date: 2007/12/22

More Info


Experiencing flashing lights in your vision, especially after rubbing your eyes, can be concerning, particularly for someone with a history of macular degeneration and myopia. While it is not uncommon for individuals to see flashes of light after applying pressure to the eyes, it is essential to understand the underlying mechanisms and when to seek further evaluation.

When you rub your eyes, you may inadvertently apply pressure to the eyeball, which can cause the vitreous gel inside the eye to move or pull on the retina. This movement can stimulate the photoreceptors in the retina, leading to the perception of flashes of light, often described as "phosphenes." This phenomenon is generally harmless and can occur in healthy individuals as well. However, in individuals with pre-existing eye conditions, such as macular degeneration or high myopia, the risk of retinal issues may be higher.

Flashing lights can be a sign of retinal detachment or a retinal tear, especially if they are accompanied by other symptoms such as a sudden increase in floaters, a shadow or curtain over your vision, or a significant change in your visual field. Given your history of macular degeneration, it is prudent to be cautious. While the isolated incident of seeing a flash after rubbing your eyes may not indicate a serious problem, it is essential to monitor your symptoms closely.

Here are some key points to consider:
1. Nature of the Flashing Light: If the flash was brief and occurred only once, it may be related to the mechanical stimulation of the retina from rubbing your eyes. However, if you experience recurrent flashes or if they become more intense, this could warrant further investigation.

2. Associated Symptoms: Pay attention to any additional symptoms that may arise. If you notice an increase in floaters, new visual disturbances, or any changes in your peripheral vision, you should seek immediate medical attention.

3. Regular Eye Exams: Since you have a history of eye conditions, it is crucial to maintain regular follow-ups with your ophthalmologist. During your next appointment, it would be wise to mention this incident to your doctor. They can perform a thorough examination, including a dilated fundus exam, to assess the health of your retina and vitreous.

4. Understanding Your Condition: Macular degeneration and high myopia can predispose you to retinal issues. Being aware of the symptoms that indicate a potential problem is essential for early detection and treatment.

5. Avoid Eye Rubbing: While it may be tempting to rub your eyes, especially if they feel tired or irritated, try to avoid this habit. Instead, consider using lubricating eye drops or a warm compress to relieve discomfort.

In conclusion, while experiencing a flash of light after rubbing your eyes can be a normal physiological response, given your medical history, it is advisable to discuss this with your ophthalmologist during your next visit. They can provide reassurance and ensure that there are no underlying issues that need to be addressed. Regular monitoring and open communication with your healthcare provider are key to managing your eye health effectively.

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