Corneal Injuries: Symptoms and Concerns for Eye Health - Ophthalmology

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Hello Doctor, I would like to ask the following two questions:
1.
Recently, I experienced photophobia and eye pain with discharge, and after seeing a doctor, I was diagnosed with a corneal injury and elevated intraocular pressure (21.23).
I have been using eye drops for two days.
Due to work requirements, I have to stare at a screen for long periods.
Today, when I moved my eyes, I felt some tightness in my right eye, especially when looking to the right.
Could this be related to the cornea?
2.
A few days ago, while exercising, I did some jumping activities, and later, I noticed a flash of light in my right eye.
I already have floaters, so I would like to know if this could be a sign of retinal detachment or if it could be related to the corneal injury.
Since my intraocular pressure is high, I am unable to undergo dilation for examination, but I am quite concerned.
Thank you, Doctor!

n, 30~39 year old female. Ask Date: 2016/05/06

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
Corneal injuries can cause a sensation of irritation, and there may be discomfort when moving the eye; however, please continue to monitor the intraocular pressure.
2.
A corneal abrasion will not show flashes of light, and a dilated fundus examination may not necessarily affect intraocular pressure, but it can be checked.
The Ophthalmology Department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2016/05/06

More Info


Hello! Thank you for your questions regarding corneal injuries and your eye health concerns. Let's address your two questions in detail.

1. Tightness and Discomfort in the Right Eye: The tightness and discomfort you are experiencing in your right eye, especially when moving your gaze to the right, could indeed be related to your corneal injury. When the cornea is injured, it can lead to inflammation and discomfort, which may manifest as a feeling of tightness or strain in the eye. This sensation can be exacerbated by prolonged screen time, as staring at a computer can lead to eye fatigue and exacerbate any existing discomfort. The cornea is a sensitive part of the eye, and any injury can cause a range of symptoms, including pain, light sensitivity (photophobia), and excessive tearing or discharge.
Additionally, since you mentioned that your eye pressure was measured at 21 and 23 mmHg, which is on the higher side of normal (normal intraocular pressure is typically between 10 and 21 mmHg), it is essential to monitor this closely. Elevated eye pressure can lead to conditions such as glaucoma, which can affect your vision. It is crucial to follow your doctor's recommendations regarding eye drops and to have regular follow-ups to ensure that your eye pressure is managed effectively.

2. Flashes of Light During Physical Activity: The appearance of a flash of light in your right eye during jumping exercises could be concerning, especially since you have a history of floaters (known as "vitreous floaters"). Flashes of light can occur when the vitreous gel inside the eye pulls on the retina, which can happen during physical activity or sudden movements. While this can be a benign occurrence, it can also indicate more serious conditions, such as retinal detachment, especially if accompanied by new floaters, a shadow in your vision, or a sudden decrease in vision.

Given your concerns about retinal detachment, it is important to seek immediate medical attention, even if your eye pressure is currently high and prevents dilation for a thorough examination. A comprehensive eye exam, including a detailed assessment of the retina, is crucial to rule out any serious conditions. Your eye care provider may have alternative methods to assess your retina without dilating your pupils.

In summary, your symptoms of tightness in the right eye may be related to your corneal injury and the strain from prolonged screen time. The flash of light during physical activity warrants further investigation to rule out any potential retinal issues. It is essential to maintain open communication with your eye care provider, adhere to prescribed treatments, and seek prompt evaluation for any new or worsening symptoms. Your eye health is paramount, and addressing these concerns early can help prevent complications. Thank you for reaching out, and I hope this information helps clarify your situation!

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