Sudden Eye Flickering and Headaches: What Could It Mean? - Ophthalmology

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No myopia, eye flickering?


I am experiencing unexplained flickering in my right eye, making it difficult to see.
After the flickering subsides, I start to have a headache and feel nauseous.
This has happened before, but it suddenly occurred again today.
I am very worried about what illness I might have.
I have never been nearsighted; I have had 20/20 vision since childhood, which changed to about 20/40 in high school.

Cyndi, 10~19 year old female. Ask Date: 2016/02/27

Dr. Wang Zhangji reply Ophthalmology


It could be a migraine attack; you may want to consult a neurologist.

Reply Date: 2016/02/27

More Info


Experiencing sudden eye flickering accompanied by headaches and nausea can be concerning, and it's understandable that you're feeling anxious about these symptoms. Based on the information you've provided, there are several potential explanations for what you are experiencing.

Firstly, the flickering in your right eye could be related to a phenomenon known as "visual aura," which is often associated with migraine headaches. Migraines can manifest with various visual disturbances, including flickering lights, zigzag patterns, or even temporary vision loss. These visual symptoms can occur before or during a headache, and they may last anywhere from a few minutes to an hour. The headache that follows is typically unilateral (affecting one side of the head) and can be accompanied by nausea, sensitivity to light, and other symptoms.

Another possibility is that the flickering could be related to a condition known as "ocular migraine," which can occur even in individuals who do not have a history of migraines. Ocular migraines can cause temporary visual disturbances in one eye, and while they are usually harmless, they can be alarming. It's important to note that if you experience any sudden changes in vision, especially if they are accompanied by other neurological symptoms (such as weakness, difficulty speaking, or confusion), you should seek immediate medical attention, as these could be signs of a more serious condition, such as a stroke.

Additionally, the flickering could be a result of eye strain or fatigue, especially if you have been spending extended periods looking at screens or engaging in activities that require intense visual focus. Eye strain can lead to symptoms such as flickering, discomfort, and headaches. Taking regular breaks, practicing the 20-20-20 rule (looking at something 20 feet away for 20 seconds every 20 minutes), and ensuring proper lighting while working can help alleviate these symptoms.

Given that you mentioned this has happened before, it may be beneficial to keep a diary of your symptoms, noting when they occur, their duration, and any potential triggers (such as stress, lack of sleep, or screen time). This information can be valuable for your healthcare provider in determining the underlying cause of your symptoms.

While you do not have a history of nearsightedness, it's still important to have regular eye examinations, especially if you are experiencing new or unusual symptoms. An eye care professional can assess your vision and eye health to rule out any underlying issues.

In conclusion, while your symptoms could be related to migraines or eye strain, it is essential to consult with a healthcare professional for a thorough evaluation. They may recommend seeing a neurologist or an ophthalmologist to explore your symptoms further. If your symptoms worsen or if you experience any alarming signs, such as sudden vision loss or severe headache, do not hesitate to seek immediate medical attention. Your health and peace of mind are paramount, and addressing these symptoms early can lead to better outcomes.

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