Floaters and Flashing Lights: Retina Concerns Explained - Ophthalmology

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Floaters in the retina


I have noticed an increase in floaters for about three to four months, which occurred suddenly.
I am nearsighted with a prescription of approximately -6.
Recently, when I rub my eyes, I see flashes of light at the edge of my right eye's visual field, moving from the bottom to the top, although this happens infrequently.
Occasionally, when I focus on something, I also see a small flash that quickly disappears.
Could this be related to retinal traction? Since I am still young, I am concerned about potential retinal changes.
Is there anything specific I should be aware of?

Xiao Shen, 10~19 year old female. Ask Date: 2016/03/05

Dr. Wang Zhishun reply Ophthalmology


Hello, it is advisable to have a fundus examination as soon as possible.
Additionally, please avoid rubbing your eyes.

Reply Date: 2016/03/05

More Info


Experiencing floaters and flashing lights in your vision can be concerning, especially when you have a history of myopia (nearsightedness). Floaters are often described as small specks or strands that drift through your field of vision, while flashes of light can appear as brief bursts or streaks of light. Both symptoms can be linked to changes in the vitreous gel that fills the eye, particularly as it undergoes liquefaction and separation from the retina.


Understanding Floaters and Flashes
Floaters are typically caused by the natural aging process of the eye, where the vitreous gel becomes less gel-like and more liquid, leading to the formation of small clumps or strands. These clumps cast shadows on the retina, which is perceived as floaters. Flashes, on the other hand, occur when the vitreous pulls on the retina, stimulating the retinal cells and causing the sensation of light. This is often referred to as "photopsia."
In your case, the increase in floaters and the occasional flashes, especially when rubbing your eyes, could indicate that the vitreous is indeed pulling on the retina. While this is a common occurrence, it is essential to monitor these symptoms closely, as they can sometimes signal more serious conditions, such as retinal tears or detachments.


Risks Associated with Myopia
Individuals with higher degrees of myopia, such as your case with -6.00 diopters, are at a greater risk for retinal issues. The elongation of the eyeball associated with myopia can lead to thinning of the retina, making it more susceptible to tears or detachments. Therefore, it is crucial to be vigilant about any changes in your vision, particularly if you notice an increase in the frequency or intensity of flashes or floaters.


When to Seek Medical Attention
You should seek immediate medical attention if you experience any of the following:
- A sudden increase in the number of floaters.

- A sudden onset of flashes of light.

- A shadow or curtain effect in your peripheral vision.

- Any significant changes in your vision, such as blurriness or loss of vision.

Regular eye examinations are essential, especially for individuals with myopia. An eye care professional can perform a comprehensive dilated eye exam to assess the health of your retina and vitreous. This examination can help rule out any serious conditions and provide peace of mind.


Managing Your Eye Health
In addition to regular eye exams, there are several steps you can take to manage your eye health:
1. Limit Eye Strain: If you spend long hours on the computer or reading, ensure you take regular breaks. The 20-20-20 rule is helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds.

2. Stay Hydrated: Proper hydration can help maintain the health of your eyes.

3. Protect Your Eyes: Wear sunglasses that block UV rays when outdoors, and consider protective eyewear if you engage in activities that could lead to eye injury.

4. Healthy Diet: A diet rich in antioxidants, omega-3 fatty acids, and vitamins can support eye health. Foods like leafy greens, fish, and nuts are beneficial.


Conclusion
While floaters and flashes can be benign, given your myopia and the recent changes in your vision, it is crucial to remain vigilant and proactive about your eye health. Regular check-ups with an eye care professional will help ensure that any potential issues are caught early, allowing for timely intervention if necessary. If you have any concerns or notice any new symptoms, do not hesitate to reach out to your eye doctor for further evaluation. Your vision is invaluable, and taking care of it is essential for your overall well-being.

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