Flashing Shadows in Vision: What Could Be Causing This? - Ophthalmology

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Seeing flashes of dark shadows while looking at objects?


Recently, when I look at things, part of the screen has a flickering shadow, similar to taking a photo of a traditional CRT screen with a phone.
The flickering frequency is very high, but after a while, it returns to normal.
What is happening to my eyes? Thank you.

Niming Jun, 20~29 year old female. Ask Date: 2013/01/12

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your situation, it seems to be caused by vitreous degeneration.
Vitreous degeneration can cause the vitreous to become liquid-like, and sometimes you may experience flashes of dark shadows or wavy patterns.
When the vitreous detaches from the retina, it can pull on the retina, leading to abnormal electrical discharges that cause flashes of light.
These phenomena can occur intermittently.
However, it should not be taken lightly, as if the retina is pulled, it can sometimes result in tears or bleeding, and even lead to serious complications such as retinal detachment.
Therefore, it is advisable to have a thorough examination by an ophthalmologist for peace of mind.
Thank you for your message.

Reply Date: 2013/01/12

More Info


Flashing shadows in your vision can be concerning, and it's understandable that you're seeking clarity on what might be happening. Based on the symptoms you've described, it sounds like you could be experiencing a phenomenon related to the vitreous body of the eye, particularly vitreous detachment or changes in the vitreous gel that fills the eye.
The vitreous gel is a clear, jelly-like substance that helps maintain the shape of the eye and provides a pathway for light to reach the retina. As we age, the vitreous can begin to shrink and pull away from the retina, which can lead to various visual disturbances, including flashes of light, shadows, or floaters. These symptoms are often benign but can sometimes indicate more serious conditions, such as retinal tears or detachment.

The "flashing shadows" you are seeing could be a result of the vitreous tugging on the retina, which can create the sensation of flashes or shadows in your field of vision. This is often described as seeing "lightning" or "flashes" when the vitreous pulls on the retina, and it can be more noticeable in low-light conditions or when you move your eyes quickly. The fact that these shadows seem to come and go could suggest that the vitreous is intermittently pulling on the retina, which might explain the transient nature of your symptoms.

It's important to note that while these symptoms can be common, especially in individuals with myopia (nearsightedness) or those over the age of 50, they should not be ignored. If you experience a sudden increase in the frequency or intensity of these flashes, or if you notice a significant increase in floaters or a curtain-like shadow over your vision, you should seek immediate medical attention. These could be signs of a retinal tear or detachment, which require prompt treatment to prevent permanent vision loss.

In terms of duration, flashes can vary widely among individuals. Some people may experience them for a few weeks to months as the vitreous continues to change, while others may find that they diminish over time. However, if the flashes persist or worsen, it is crucial to have a thorough examination by an eye care professional. They can perform a dilated eye exam to assess the health of your retina and vitreous and determine if any treatment is necessary.

In the meantime, maintaining good eye health is essential. This includes regular eye exams, especially if you have a history of eye problems or if you notice any changes in your vision. Protecting your eyes from excessive strain, ensuring proper lighting when reading or using screens, and taking breaks during prolonged visual tasks can also help reduce discomfort.

In summary, while the flashing shadows you are experiencing may be related to vitreous changes, it is vital to monitor your symptoms closely and consult with an eye care professional for a comprehensive evaluation. They can provide you with the best advice tailored to your specific situation and help ensure your vision remains healthy.

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