Floaters: Why Your Vision Flickers in Low Light - Ophthalmology

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Vitreous floaters cause a sensation of seeing flashes of light and dark when looking at objects?


Hello, Doctor Gao.
I started experiencing floaters in September, and recently, when I look at things, it feels like they are flickering, similar to how a fluorescent light flickers when it's about to go out.
This sensation is particularly noticeable in the morning right after I wake up and when I suddenly turn on the lights in a dim room.
What could be happening?

Linda, 20~29 year old female. Ask Date: 2015/12/21

Dr. Gao Pilin reply Ophthalmology


Hello Linda: The phenomenon you are experiencing is related to floaters, but it is recommended that you have an eye examination to ensure there are no other issues, which will give you more peace of mind.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2015/12/21

More Info


Hello! Thank you for your question regarding your experience with floaters and the flickering sensation in your vision, especially in low light conditions. Based on your description, it seems you are experiencing a combination of symptoms that can be attributed to a few potential causes related to your eye health.

Firstly, floaters are small spots or lines that appear in your field of vision, often more noticeable against a bright background. They are typically caused by changes in the vitreous humor, the gel-like substance that fills the eye. As we age, the vitreous can become more liquid and may pull away from the retina, leading to the perception of floaters. While floaters are common and usually benign, they can sometimes indicate more serious conditions, especially if they are accompanied by flashes of light or a sudden increase in their number.

The flickering sensation you describe, particularly when transitioning from dark to light environments, is likely related to how your eyes adapt to changes in lighting. When you are in a dark room and suddenly exposed to bright light, your pupils constrict rapidly to protect the retina from excessive light. This rapid adjustment can sometimes cause temporary visual disturbances, including flickering or a sensation of light and dark. This phenomenon is generally normal and is part of the eye's natural response to light changes.

However, given your history of floaters and the recent onset of these symptoms, it is essential to monitor your condition closely. If you notice any new symptoms, such as a sudden increase in floaters, flashes of light, or any changes in your peripheral vision, it is crucial to seek an eye examination promptly. These could be signs of retinal detachment or other serious eye conditions that require immediate attention.

Moreover, the fact that you experience these symptoms more prominently in the morning or in dimly lit environments could be related to eye fatigue or strain, especially if you have been spending extended periods looking at screens or engaging in activities that require intense focus. This is often referred to as digital eye strain or computer vision syndrome, which can lead to symptoms such as blurred vision, dry eyes, and discomfort.

To alleviate some of these symptoms, consider implementing the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice can help reduce eye strain and improve comfort during prolonged screen time. Additionally, ensure that your workspace is well-lit and that you are taking regular breaks to rest your eyes.

In conclusion, while your symptoms may be related to normal physiological responses and the presence of floaters, it is always best to err on the side of caution. If your symptoms persist or worsen, I recommend scheduling an appointment with an eye care professional for a comprehensive examination. They can provide a thorough assessment and determine if any further action is necessary. Your eye health is paramount, and addressing any concerns early can help prevent potential complications. Thank you for reaching out, and I wish you the best in maintaining your eye health!

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