Flashing Lights in Vision: When to Seek Eye Care - Ophthalmology

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Seeing phenomena resembling flashes of light?


Hello, doctor.
I have floaters in my vision, and recently when I look at the sky or a white wall, I notice a small flash of light in front of me.
However, on the day I had a dilated eye exam for my retina, I unintentionally saw this phenomenon.
After the examination, the doctor said there were no significant issues with my retina and no tears.
This phenomenon has been occurring more frequently in the past few days.
Should I return for a follow-up examination?

Tina, 20~29 year old female. Ask Date: 2015/12/30

Dr. Gao Pilin reply Ophthalmology


Hello Tina: It would be better to have another check-up for 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 on Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2015/12/30

More Info


Flashing lights in vision, often referred to as "photopsia," can be a concerning symptom, especially for individuals with a history of eye conditions such as floaters or high myopia. Your experience of seeing small flashes of light, particularly when looking at bright surfaces like the sky or a white wall, is not uncommon. However, understanding when to seek further medical attention is crucial for maintaining eye health.


Understanding Flashing Lights
Flashing lights can occur due to various reasons, primarily related to the retina and the vitreous gel inside the eye. In many cases, these flashes are caused by the vitreous gel pulling away from the retina, a condition known as posterior vitreous detachment (PVD). This is particularly common in individuals with high myopia, as the shape of the eye can lead to changes in the vitreous and retinal structures.
In your case, since you have a history of floaters and have recently experienced an increase in the frequency of these flashes, it is essential to monitor the situation closely. While your recent dilated eye exam indicated no significant issues with the retina, including no tears or detachments, the appearance of new or more frequent flashes can warrant further investigation.


When to Seek Eye Care
1. Increased Frequency or Intensity: If you notice that the flashes are becoming more frequent or intense, it is advisable to schedule a follow-up appointment with your eye care provider. Changes in the pattern of flashes can sometimes indicate a developing issue that may require intervention.

2. Accompanying Symptoms: Pay attention to any additional symptoms that may accompany the flashes. If you experience a sudden increase in floaters, a shadow or curtain effect in your vision, or a significant decrease in visual acuity, you should seek immediate medical attention. These symptoms could indicate a retinal tear or detachment, which is a medical emergency.

3. Duration of Symptoms: If the flashes persist for an extended period or do not resolve after a few days, it is prudent to consult your eye doctor. Continuous symptoms may require a more thorough examination to rule out any underlying conditions.

4. Personal History: Given your history of floaters and the fact that you have undergone recent eye examinations, it is essential to maintain open communication with your eye care provider. If you feel anxious about your symptoms or if they are affecting your daily life, do not hesitate to reach out for reassurance or further evaluation.


Conclusion
In summary, while occasional flashes of light can be a benign phenomenon, an increase in frequency or the presence of additional symptoms should prompt a visit to your eye care professional. Regular monitoring and communication with your doctor are vital, especially for individuals with pre-existing eye conditions. If you are feeling uncertain or anxious about your symptoms, it is always better to err on the side of caution and seek a follow-up examination. Your eye health is paramount, and staying proactive can help ensure any potential issues are addressed promptly.

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