Auras are visual manifestations of neurological symptoms. Flashing lights are one type of aura people report seeing, and these auras often seem to appear in either the left or the right eye. Migraines are a common cause of visual disturbances, such as flashing lights, but these uncomfortable and sometimes alarming visual symptoms can be the result of other physiological conditions as well. People who experience visual disturbances should contact their physicians immediately so any serious health problems can be ruled out or taken care of.
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Migraine with Aura
About 20 to 30 percent of people with migraines experience auras before they feel the headache pain, and some people describe seeing flashing lights that seem to appear on only one side. Visual disturbances may also manifest as jagged or wavy lines or other shapes; tunnel vision; blind spots in one or both eyes; or distorted views of objects. This can alert someone that a severe headache is about to begin, which may allow early treatment of the migraine before it reaches its peak.
While many migraine sufferers experience visual problems during the headache, others have migraines that begin with the aura, during what is called the prodromal stage. An aura may start up five to 30 minutes before the headache's onset, according to The National Headache Foundation.
Auras include not only visual symptoms but also aural hallucinations and other sensory distortions that may last an hour or so before fading as the headache begins. Migraine headaches can be intense and if untreated, they can last for hours or even days.
During the migraine process, blood flow changes in the part of the brain responsible for vision may result in ophthalmic migraines that can produce visual symptoms without a headache. Unlike regular migraines that may be preceded by visual auras lasting for up to 30 minutes and culminating with a headache, ophthalmic migraines include the visual aura but seldom lead to a headache, according to the website of Texas-based ophthalmologist, Dr. Robert Scharf.
Auras often begin with a blind spot that has a shimmering, zig-zag light within it. This light expands, then, over a 20 to 30 minute period, it moves to the right or left side of a person's vision, eventually becoming a large blind spot prominent in one eye or the other, with bright, flashing or flickering lights that can be very frightening to the person experiencing it. Ophthalmic migraines, however, are actually harmless and only cause pain in the infrequent cases when a headache follows the aura phase.
According to MayoClinic.com, the term "ocular migraine" is sometimes used synonymously with the medical term "retinal migraine." Retinal migraines are uncommon, afflicting people who have other symptoms of migraine and involving repeated episodes of short-term, diminishing vision or temporary blindness that may precede or occur along with a headache. Retinal migraines are monocular, and visual disturbances, such as flashing lights affect only one eye, not both. Retinal migraines may or may not be accompanied by headaches.
For a retinal migraine diagnosis, a person must have had at least two attacks, according to Wake Forest University School of Medicine. In addition, the monocular visual disturbances, called scotoma, and any loss of vision experienced must last less than an hour and be reversible and confirmed by a doctor’s examination the during attack or just after.
When the eye’s vitreous gel shrinks due to aging, it begins to separate from the retina by peeling away in a process called vitreous separation or vitreous detachment. During this process, the gel pulls on the retina, stimulating optical nerves and causing the person to see flashes of light on the side of either the left or right eye.
Because the tugging may cause a retinal tear, the flashes should be considered a warning sign. An ophthalmologist should examine the eye to make sure a retinal tear or detachment is not occurring.
Retinal Tear or Detachment
Light flashes in one or both eyes may be early signs of an eye disease known as incipient retinal detachment. People who see flashing lights in their peripheral vision may have a retinal tear or retinal detachment. If flashing lights occur suddenly, people should contact their doctor immediately for an eye exam. Headaches seldom accompany flashing lights caused by retinal detachment.