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Hi. I'm online and happy to answer your question today.
are you available to chat?
Are you still there Dr. Rick?
do you see any dots or floaters?
No, just the blue central flash of light
You are likely experiencing a PVD or posterior vitreous detachment, a common event that happens in many people.You have a thick gel material in the middle of your eyes called the vitreous. Over time as it liquefies, this gel material collapses on itself, forms little clumps that you can see as dots, lines or bugs. As these clumps form the vitreous pulls away from the wall of the eye. In the process it can stimulate the retina -- causing the flashes that you see.It is recommended that you see your ophthalmologist to look at the retina to make sure there are no problems such as a retinal hole or tear. In most cases, there are no problems, but this exam is precautionary and allows for preventative treatment of any lesions that are found.If you notice a sudden increase in floaters, flashes of light (like a lightning storm), or a shadow/veil in the periphery of your vision, this can be worrisome for a retinal detachment. You would need to contact your ophthalmologist promptly in that case.
Even though you had an eye exam a month ago I would make an appointment with an ophthalmologist (not an optometrist :) to make sure there is no retinal involvment.
And yes, you can get the flashes of light from a PVD without the floaters.....
I just had a friend of mine take a look this morning and saw no PVD at all, seems to think it is more of a vascular event
an ophthalmologist friend?
yes, retina specialist
Well, as a retina specialist myself, I know that all such physicians are fantastic and would never miss a PVD in progress. Also, if he was worried about a vascular event in the macula I would have hoped he considered a fluorescein angiogram while he had you in the office.
I know, that is why I am a bit concerned. He recommended I saw a cardiologist
If that is what he is thinking I would start with (after the fluorescien angiogram) carotid doppler exams, TEE, and maybe some basic blood work.....
What exactly is he thinking is wrong?
although you are a little young for such a vascular event....depending on your medical history that is.
what vascular event?
Hard to read minds and he does have the luxury of having done a complete history and exam on you....but it sounds like he is concerned about embolic events.
which means "chunks of crud coming from your heart or arteries and lodging in your eye"
nope. But at least you are lucky enough to have a friend who is a retina specialist and can give you some help.
Just wondering....why come here to Just Answer if you had an opinion from such a well trained ophthalmologist?
Just wanted a second from another well trained doc such as yourself!
you are too kind....but flattery will get you everywhere...
I know! I have to see the cardiologist soon, right?
I'd work closely with your friend and go through the embolic workup.
Thank you Dr. Rick for your answers and your help!
My pleasure. Give my best to your friend. Perhaps we'll meet at next years Retina subspeciality days at the AAO meeting.
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