Question and answer session

Question:

I suffer from periodic double vision. This means that 99% of the time my eyes are fused and I see just fine. However, my doctor prescribed glasses with a prism to correct for the tendency of my eye to turn. When wearing these glasses, I get a terrible headache. When I take them off, I see double vision until I put them back on. This means that the glasses are forcing my eyes out of alignment and causing a dependency on them. Question: Do you think I should be wearing glasses with prism all of the time or only when I see double vision?  

Age of the patient: 31 Years, Patient's gender: Male

More details about the presenting complaint:

I have had this issue my entire life.

Answer:

Your glasses should make you comfortable, not induce more headaches. Kindly get the power of glasses checked, so that it's appropriate as ordered, or get your eye power checked again.

Once the glasses are appropriate, it is recommended that you use it always. 

Question:

Sir my eyes water has frozen at some places in my eyes and I see a black spot in my vision for more than one year. It could be a cure or not  

Age of the patient: 20 Years, Patient's gender: Male

Answer:

A single black spot in your eye is known as a floater. It is a very common finding. It is due to degeneration o,f vitreous gel with age. It is not a disease and you should not worry about it. It might be irritating, but better ignore it. People have tried various treatments, but it will only increase with age.

You should urgently see a retina specialist if you notice a sudden shower of floaters. Just to rule out any break or detachment of the retina.

Question:

Hello.a dog attacked My cousin and her left eye hurts. she did the surgery and now she can see with the left eye just 2 percent.she should do the surgery again to see 50 percent. will she be like her past after several surgeries? and Can she see 100 percent with her left eye in the future?  

Age of the patient: 9 Years, Patient's gender: Female

Answer:

Visual recovery depends on a lot of parameters. Including the extent of the injury. What structures in the eye got damaged and how meticulously the repair was done. It will also depend on the behaviour of the eye in the postoperative period. Kindly upload your documents, we might be able to advise better after examining your reports.

It's hard to accept, but despite all the medical advances, we have not been able to restore a post-traumatic eye to a completely normal condition. The eye is an optical structure and once distorted, the light rays in the eye can never focus like before. So unfortunately past performance is never achieved.

Question:

I am 27 years old & I am a Graphic Designer.I have a problem with vehicle sounds...when I hear very loud sound I feel like very stressed...I have also dry eyes problem...I was gone to the eyes doctor he gives me eye drops for permanently...Is there any solution...  

Age of the patient: 27 Years, Patient's gender: Male

Answer:

I guess your work requires a lot of work on the computer screen. You might be suffering from computer vision syndrome. In this case, there is a deficiency in tear film due to less frequent blinking and stress of working on a screen. Another possibility is dryness or insufficient tear film production. It might be diagnosed with a Schirmer's test. Kindly get back to us with the results of the test.

Question:

I want to ask for my baby. She is one year old. 4months before we met (me with my family) road accident. My baby's left brain damaged and little blood clotted there. Doctor did one surgery. After the surgery, she lost her vision. Now she can't see. We consulted many doctors in India. They said maybe she will get vision within one or two years. But not sure. 

What we do? Any speciality hospital or medicine available?  

Age of the patient: 1 Year, Patient's gender: Female

More details about the presenting complaint:

Lost vision due to a road accident

Answer:

Your baby is suffering from damage to optic nerve resulting from trauma to head. The remaining potential in the optic nerve can be determined by a test called VER, visual evoked response in which light stimulus is provided and corresponding electrical response in the brain is measured. You can get back to us with the test results for further discussion.

Question:

The upper half of my right eye went blurry and grey. There was no pain, I didn't feel anything in my eye at all. I took a picture of it, there was nothing. It almost went away after 10 m ou minutes, I still see a little distortion in the upper part of my vision. Internet says possible detached retina. Can that fix itself? I just recently found out the VA is not covering my eyes so I have to wait for open enrollment to get insurance.  

Age of the patient: 44 Years, Patient's gender: Male

Answer:

Are you suffering from any systemic disease like diabetes or hypertension? You will need a dilated examination of your retina. Retinal detachment, venous occlusion, vitreous haemorrhage are a few possibilities. Retinal detachment is unlikely to resolve on its own. 

Question:

If I look at an object like say in the dark, that object will be bright yellow or could be white, and the image of that object keeps flashing before my eyes in a white, or yellow colour, what in the world is that, or what is it called?

I also see trials of light, and colours flashing before my eyes, and no I am not on drugs.

I am going to see the eye doctor again, but I am also going to bring that up to my neurologist, and health doc because something is weird. I am not sure what it is.

I do suffer from panic and severe depression, so maybe that is it, or I have gone crazy. lol.  

Age of the patient: 45 Years, Patient's gender: Female

More details about the presenting complaint:

Flashes of light, floaters, flashes of images in the dark, seeing yellow, or white flashing colours. I do have a history of severe panic and depression.

Answer:

What you have described in your initial paragraph is known as after-image which is a normal physiological phenomenon and nothing to worry about.

Now regarding flashes and floaters. They might be a sign of a break in your retina. Better get your retina evaluated after dilating your pupils by a retina specialist.

Question:

Uncontrollable eye movements, especially bad when passing people. I think its nystagmus, as my eyes will flicker left and right  

Age of the patient: 18 Years, Patient's gender: Male

More details about the presenting complaint:

As I about my day, going out or just relaxing I start flickering my eyes. I get called a spaz and a creep. I just wanna be normal.

Previous history of the same issue:

It was minor in high school, wear if I'm walking down the hall and there's a person coming, I force my eyes to keep looking straight, but there's this uncontrollable flash of light and my eyes flickered. then I hear the yucks and disgusting from the people that passed me.

Answer:

What you have described are normal involuntary pursuit movements of the eyes in which our eyes track anything which moves in front of us.

You need not worry about it. If people around you feel uncomfortable, try to look just momentarily towards them, then shift your gaze to someone or something else. People feel uncomfortable when they have a feeling that someone is staring at them.

In the video you have sent, your eyes look fairly stable. Still, I would recommend, you consult a neuro-ophthalmologist just to be extra careful.

Question:

My son plays sports and 2 years ago was kicked in the eye while playing. I took him to the ER and he had inflammation behind the eye. His couldn't see for a few hours but his sight came back. Soon after scheduled an appt with an optometrist who specialized in vision therapy, and that is when he was diagnosed with colour blindness (see red as grey and yellow as white). However, fast forwarding to now he told me for a couple of months everything red is grey and yellow is white. I have an appt in 2 weeks to meet with an optom. to see if it's something that can be corrected. In your expertise, can you give me on some feedback whether it's possible to regain his sight the way it was before?

Answer:

Wanted to know if the trauma while playing was in both the eyes or just one eye?

Also is the colour blindness in just one eye or both? 

Usually, colour blindness is genetic and you incidentally detected it while getting him examined.

Unfortunately, it is very unlikely to get reversed, but we can hope for the best. 

Question:

Weird uncontrollable eye movements similar to nystagmus. Very bad when I walk past people or when I am reading.  

Age of the patient: 18 Years, Patient's gender: Male

More details about the presenting complaint:

My eyes have a flickering problem. It makes people uncomfortable, and I have a peripheral vision staring problem too. whenever I go outside, I try to blur my vision out, but I still focus on the people who walk by or are minding their own business.

Previous history of the same issue:

It started in high school, where when I'm walking down the hall past a person, I will try my hardest to look ahead, but my eyes feel a flicker, and the person who noticed will be disgusted or uncomfortable. Now its so bad that it happens constantly whenever I go out.

Answer:

What you have described are normal involuntary pursuit movements of the eyes in which our eyes track anything which moves in front of us.

You need not worry about it. If people around you feel uncomfortable, try to look just momentarily towards them, then shift your gaze to someone or something else.

People feel uncomfortable when they have a feeling that someone is staring at them.

In the video you have sent, your eyes look fairly stable. Still, I would recommend, you consult a neuro-ophthalmologist just to be extra careful.

Question:

I have severe conjunctivitis and I went to the doctor about a week ago but it is no better and it physically hurts to see and blink and so pretty much everything. I have eye cream but it really isn’t helping  

Age of the patient: 16 Years, Patient's gender: Female

Answer:

You can use an antibiotics eye drop with frequent lubricants with an antibiotic eye ointment at night before going to bed.

In case it's viral conjunctivitis, it may take up to three weeks to resolve.

Kindly do visit your ophthalmologist weekly to rule out any corneal involvement. It will require steroid eye drops.