Retinal Symptoms: What to Know About Flashes and Floaters - Ophthalmology

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Retinal symptoms


I read online that symptoms of a retinal tear can include a sensation of wavy or flowing water, followed by flashes of light, and then blurred vision.
Today, after school, I took a shower and suddenly experienced the wavy sensation, but it only lasted for about ten minutes and no other symptoms appeared.
I also happened to have stayed up very late last night, and my eyes feel tired, like they want to sleep.
I would like to ask the doctor if these symptoms are normal.

Wang Meijun, 10~19 year old female. Ask Date: 2014/10/30

Dr. Zhuang Yamin reply Ophthalmology


Hello: "The sensation of fluctuating water flow" and "soreness" are not common manifestations of retinal tears.
Generally speaking, retinal tears are asymptomatic and can easily be overlooked.
However, if a tear is accompanied by partial retinal pigment detachment, there may be a sudden increase in the symptoms of floaters (spots that move with eye movement).
Additionally, if the intraocular fluid flows and disturbs the tear, lifting the retinal layer, a sensation of flashes may occur.
These two symptoms are important warning signs of retinal tears.
If you experience these phenomena, please seek an eye examination as soon as possible.
Best wishes for your health from the Ophthalmology Department of Changhua Hospital.

Reply Date: 2014/10/30

More Info


Understanding retinal symptoms, particularly flashes and floaters, is crucial for maintaining eye health, especially for individuals with pre-existing conditions such as high myopia or a history of eye trauma. Your description of experiencing a "water flow wave-like" symptom followed by flashes and temporary visual disturbances raises important considerations.


Flashes and Floaters: What They Are
Flashes are brief bursts of light that can occur in your peripheral vision. They are often caused by the vitreous gel inside the eye pulling on the retina, which can stimulate the retinal cells and create the sensation of light. Floaters, on the other hand, are tiny specks or strands that float across your field of vision. They are typically caused by changes in the vitreous gel as it ages and becomes more liquid, leading to clumps that cast shadows on the retina.


Symptoms of Retinal Issues
1. Retinal Tear or Detachment: Symptoms of a retinal tear or detachment can include:
- Sudden flashes of light
- An increase in the number of floaters
- A shadow or curtain effect over your vision
- Blurred or distorted vision
2. Visual Snow or Visual Disturbances: Some individuals may experience persistent visual disturbances, such as seeing "water waves" or flickering lights, which can be related to conditions like visual snow syndrome or other neurological issues.


Your Symptoms
In your case, the transient "water flow wave-like" sensation that lasted about ten minutes, coupled with eye strain from lack of sleep, may not necessarily indicate a serious issue, especially since it resolved quickly and you did not experience other concerning symptoms like a significant increase in floaters or persistent flashes. However, the fact that you had a late night and felt eye strain could contribute to temporary visual disturbances.


Recommendations
1. Monitor Your Symptoms: Keep track of any changes in your vision. If the flashes become more frequent, or if you notice an increase in floaters or any new visual disturbances, it is essential to seek an eye examination promptly.

2. Eye Health Maintenance: Ensure you are taking care of your eyes by:
- Taking regular breaks from screens (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds).

- Ensuring adequate lighting while reading or working.

- Getting enough sleep to reduce eye strain.

3. Regular Eye Exams: Given your concerns and the potential for underlying issues, regular eye check-ups are crucial. Your eye care professional can monitor for any changes in your retina and provide guidance tailored to your specific situation.

4. Lifestyle Adjustments: If you find that your symptoms correlate with fatigue or prolonged screen time, consider adjusting your habits to include more breaks and ensuring you get sufficient rest.


Conclusion
While your recent symptoms may not indicate an immediate concern, it is vital to remain vigilant about any changes in your vision. If you experience persistent or worsening symptoms, do not hesitate to consult with an eye care professional. Early detection and intervention are key to maintaining eye health, especially for individuals at risk for retinal issues.

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