Retinal detachment?
Hello, doctor.
I am fifteen years old and have been struggling with my studies, which is why I started attending tutoring sessions.
I often strain my eyes, and I'm a bit worried about the possibility of retinal detachment.
I looked up some information online, and it mentioned that if I see flashes of light, and even when I close my eyes, I still see flashes, or if there is a sudden increase in floaters or a sensation of a shadow covering my vision, it could indicate a problem that requires medical attention.
However, I already have floaters, and they seem to worsen, especially when I'm fatigued.
How can I determine if there is a problem? Will the symptoms increase to a noticeable level? Are the flashes like a flickering light? Regarding the visual field loss, will I notice it when using both eyes, or do I need to look with one eye? I also have astigmatism, and since I was young, I feel like I can see flashes when I close my eyes.
Is this normal?
Xiang, 10~19 year old female. Ask Date: 2015/11/22
Dr. Wang Zhishun reply Ophthalmology
Hello, basically, any changes in the symptoms of floaters should prompt a re-examination of the retina, including any changes in the occurrence of flashes.
Astigmatism is characterized by shadows or ghosting around images, which is unrelated to flashes.
Reply Date: 2015/11/22
More Info
Understanding retinal detachment is crucial, especially for someone your age who is concerned about their eye health due to increased screen time and studying. Retinal detachment occurs when the retina, the light-sensitive layer at the back of the eye, separates from its underlying supportive tissue. This condition can lead to permanent vision loss if not treated promptly, so being aware of the symptoms is essential.
Symptoms of Retinal Detachment
1. Flashes of Light: These may appear as brief bursts of light, similar to a camera flash. They can occur in one or both eyes and may be more noticeable in low-light conditions. If you notice flashes when your eyes are closed, it could indicate irritation or traction on the retina.
2. Increased Floaters: While floaters are common and often harmless, a sudden increase in their number or changes in their appearance can be a warning sign. If you notice new floaters that seem to appear suddenly, especially if they are accompanied by flashes of light, it’s important to seek medical attention.
3. Shadow or Curtain Effect: This symptom may feel like a shadow or curtain is coming down over your vision, which can be alarming. It can occur in one eye and may affect your peripheral vision.
4. Blurred Vision: If you experience sudden changes in your vision, such as blurriness or a decrease in visual acuity, this could also indicate a problem.
When to Seek Help
If you experience any of the above symptoms, particularly flashes of light combined with an increase in floaters or a shadow over your vision, you should seek help from an eye care professional immediately. It’s better to err on the side of caution, especially since retinal detachment can progress quickly.
Understanding Your Symptoms
Given that you already have floaters, it’s important to monitor any changes. Floaters can be more pronounced when you are tired or have been using your eyes intensively, such as during studying or screen time. However, if you notice a significant increase in their number or if they change in shape or size, this could be a sign of a more serious issue.
Regarding the flashes of light, they can indeed appear as brief, flickering lights. If you are experiencing these regularly, especially when your eyes are closed, it’s worth discussing with an eye doctor. Seeing flashes while your eyes are closed can sometimes be related to the vitreous gel in your eye pulling on the retina, which can happen naturally as we age or due to other factors.
Conclusion
In summary, while some symptoms like floaters and occasional flashes can be normal, any significant changes or new symptoms should prompt you to seek medical advice. Regular eye check-ups are important, especially if you are experiencing increased eye strain from studying. Your eye health is vital, and being proactive can help prevent serious issues like retinal detachment. If you have any concerns, don’t hesitate to reach out to an eye care professional for a thorough examination.
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