Sudden flashes, sparkles, or shimmering sensations in the eye are often dismissed as minor complaints. However, they are not always caused by harmless conditions
Sudden flashes and light streaks appearing in the eye may sometimes be a sign of migraine attacks, but they can also be early warning signals of much more serious eye conditions such as retinal tears. The retina is an extremely delicate neural layer located at the innermost part of the eye and is responsible for the process of vision. Structural abnormalities that may occur in this layer, especially tears, can lead to serious consequences, including retinal detachment, if left untreated. A retinal tear allows fluid to pass from the edge of the tear into the underlying layers. Much like wallpaper peeling away from a wall, this causes the retina to lift from its original position. If this process is not stopped in time, permanent vision loss may occur. Associate Professor Dr. Nurullah Bulut from the Department of Ophthalmology shared important insights on retinal tears and retinal detachment.
Pay attention to curtain-like shadows and light flashes
Patients experiencing retinal tears or retinal detachment typically present with several key symptoms. These include the sudden sensation of a curtain descending over the eye, the appearance of a dark shadow, brief but frequently recurring flashes of light, and small black dots or thread-like shapes floating in the visual field. Some patients report seeing the detached area as a dark or black region when the eye is open, while describing the same area as a bright white region when the eye is closed. It is important to note that not every occasional light flash indicates a retinal tear. Movement of the vitreous humor, the gel-like substance filling the eye, can also cause light flashes from time to time. However, when these symptoms occur suddenly and frequently, are accompanied by an increase in floaters, or are associated with a noticeable shadow in the visual field, a detailed examination of the retina becomes critically important. Diagnosis of retinal tears and detachment is often possible through a biomicroscopic examination performed after dilating the pupil with eye drops. In cases where visualization is obscured, such as when intraocular bleeding is present, ultrasound imaging may be used to confirm the diagnosis. Early diagnosis in retinal diseases is vital, as every minute that prevents complete retinal detachment plays a crucial role in preserving vision.
Treatment is planned based on the retinal damage
The location and size of the retinal tear, the presence or absence of associated retinal detachment, and the patient’s age are among the many factors that directly influence the treatment plan. In cases where a tear is present without retinal detachment, laser treatment can be used to seal the surrounding area of the tear and prevent the retina from detaching. This procedure is quick, and the recovery process is relatively easy. In more severe cases where retinal detachment has occurred, the treatment process becomes more comprehensive. When the tear is located in the upper parts of the eye, special gas substances injected into the eye can help reposition the retina, followed by laser treatment to reinforce the area. The gas remains in the eye for a certain period, pressing the retina back into place and supporting the healing process. In children and young patients, the placement of a silicone band around the eye may also be preferred. This technique provides external support to the eye and can yield very good results in younger patients. If a retinal tear goes unnoticed or untreated for an extended period, a membrane-like tissue may form on the surface of the retina. This membrane can pull on the retina, causing larger detachments and making treatment far more difficult. In such cases, surgery becomes unavoidable.
Vitrectomy surgery restores healthy vision
Today, the gold standard for treating retinal detachment is vitrectomy surgery. During this procedure, all or part of the vitreous gel filling the eye is removed, the retina is gently repositioned, and special gases or silicone oil are introduced into the eye to secure the retina in place. While gas is naturally absorbed over time, silicone oil requires removal through a separate procedure. Vitrectomy surgeries are performed safely and successfully using modern surgical equipment. When carried out in the early days following the diagnosis of retinal detachment, the success rate of vitrectomy is extremely high, with vision preservation rates reaching up to 95 percent. A sudden increase in floaters, more frequent light flashes, the appearance of shadowy or curtain-like vision, and especially individuals with high myopia should seek immediate ophthalmologic examination without delay. These symptoms are often early warning signs of retinal tears, and timely intervention is critical for preserving vision.
December 2025