[58M] Experiencing spots and flashes in vision

Patient Description

A 58-year-old male reports seeing small floating spots and periodic flashes in both eyes for approximately one week. The flashes are more noticeable in dark environments and when turning the head to the left or right. The patient is currently on Gabapentin, Hydroxyzine, Vitamin D, and Iron supplements. No other symptoms such as sudden loss of vision, severe eye pain, or severe headaches have been reported. There is no known history of allergies to medications, and the patient does not have any pre-existing conditions or chronic illnesses.

Show More

Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Floaters: These are small specks or clouds moving in your field of vision. They are usually not a cause for concern unless they are accompanied by flashes of light or a loss of side vision, which could indicate a retinal detachment.

    • Treatment: If the floaters are not affecting your vision significantly, no treatment is necessary. If they are, a vitrectomy (surgery to remove the vitreous) may be considered.
  • Posterior Vitreous Detachment (PVD): This is a common age-related change that can cause floaters and flashes. It happens when the vitreous (a gel-like substance inside your eye) shrinks and separates from the retina.

    • Treatment: Most of the time, PVD doesn't require treatment. However, if it leads to a retinal tear or detachment, you may need laser treatment or surgery.
  • Retinal Detachment: This is a medical emergency where the retina pulls away from the back of the eye. This can cause floaters, flashes, and a shadow over your vision.

    • Treatment: Surgery is usually needed to repair a retinal detachment.

What you can do

Given your symptoms, it's important to get a comprehensive dilated eye exam as soon as possible. An eye care professional will be able to diagnose your condition and recommend appropriate treatment. In the meantime, try to avoid sudden head movements and keep your eyes well-rested.

What you should look out for

If you notice any of the following symptoms, seek medical help immediately:

  • A sudden increase in the number of floaters
  • A sudden appearance of flashes
  • Having a shadow appear in your peripheral (side) vision
  • Seeing a gray curtain moving across your field of vision
  • A sudden decrease in your vision

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

Show More

1
 Hugs
0
 Comments

Save

1 yr ago

Top picked over-the-counter products for Dry Eyes: American Academy of Ophthalmology Practice Guidelines

People Also Ask


What are eye floaters and should I be concerned about them?

Eye floaters are small specks or clouds that move in your field of vision. They are usually harmless and common with aging. However, if they are accompanied by flashes of light or a loss of side vision, it could indicate a more serious condition like retinal detachment, and you should seek medical attention.


What is posterior vitreous detachment (PVD) and how is it treated?

Posterior vitreous detachment (PVD) is a common age-related condition where the vitreous gel inside the eye shrinks and separates from the retina. It often doesn't require treatment unless it leads to complications like a retinal tear or detachment, which may need laser treatment or surgery.


What are the signs of a retinal detachment and why is it considered an emergency?

Retinal detachment occurs when the retina pulls away from the back of the eye, leading to potential vision loss. It is considered a medical emergency because prompt treatment is necessary to prevent permanent vision damage. Symptoms include a sudden increase in floaters, flashes of light, a shadow over vision, or a gray curtain moving across the field of vision.


How can I differentiate between normal floaters and symptoms that require immediate medical attention?

Normal floaters are usually not a cause for concern, but if you experience a sudden increase in floaters, flashes of light, a shadow in your peripheral vision, or a gray curtain moving across your vision, you should seek immediate medical attention as these could be signs of a retinal detachment.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback