Unilateral eye pain?
Hello, doctor.
I am currently a graduate student preparing for my oral defense and I have been experiencing floaters.
When looking at a white piece of paper, the blank areas are filled with moving black dots, similar to the static on a television screen.
Additionally, I have a disparity in vision between my two eyes; without glasses, my right eye sees more clearly than my left, but with glasses, my left eye sees more clearly than my right.
Recently, my right eye has been frequently experiencing pressure and pain.
Sometimes, when I look in the mirror, I feel that the pupil of my right eye appears larger than that of my left.
If I stay up late writing my thesis for too long, I sometimes notice a dark, gradient curtain in the left visual field of my right eye, but this does not seem to happen all the time.
I would like to ask a few questions:
1.
Do I need to seek treatment urgently? Should I go to a hospital or a clinic? I was supposed to see a doctor today, but I couldn't use my health insurance card, so I didn't go.
I wonder if it will be too late to see a doctor after I resolve the issue with my health insurance card.
2.
What can I do to relieve and prevent the pressure and pain?
3.
Why is there unilateral pressure and pain in my right eye while the other eye is not experiencing much issue? Is this related to the disparity in vision I have before and after wearing glasses? Would getting a new prescription for glasses resolve this issue?
Thank you, doctor, for your answers.
Ju Er, 20~29 year old female. Ask Date: 2016/05/31
Dr. Chen Anping reply Ophthalmology
1.
Due to binocular disparity, prolonged eye use can lead to fatigue.
2.
95% of cases of floaters are benign, but it is still important to see a doctor early for a thorough examination of the retina.
3.
Replacing glasses will not improve this condition.
Reply Date: 2016/05/31
More Info
Unilateral eye pain can be a concerning symptom, especially when accompanied by other visual disturbances such as floaters and differences in visual acuity between the two eyes. Based on the information provided, it seems that you are experiencing a range of symptoms that may be related to eye strain, refractive errors, or potentially more serious underlying conditions.
1. Urgency of Treatment
Given your symptoms, it is advisable to seek medical attention as soon as possible. While some eye issues can be benign, the presence of unilateral pain, visual discrepancies, and floaters warrants a thorough examination by an eye care professional. If you are unable to use your health insurance card at the moment, consider visiting an urgent care facility or an eye clinic that may offer services without insurance. Delaying treatment could lead to complications, especially if there is an underlying condition affecting your retina or optic nerve.
2. Relief and Prevention of Eye Pain
To alleviate the discomfort in your right eye, consider the following strategies:
- Rest Your Eyes: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain.
- Warm Compresses: Applying a warm, damp cloth over your eyes can help relax the muscles around the eyes and improve blood circulation.
- Proper Lighting: Ensure that your workspace is well-lit to minimize glare and strain.
- Hydration: Staying hydrated can help maintain moisture in your eyes, reducing dryness and discomfort.
- Screen Time Management: Limit prolonged periods of screen time, and consider using blue light filters on your devices.
If your symptoms persist despite these measures, it is crucial to consult an eye specialist for further evaluation.
3. Causes of Unilateral Eye Pain
Unilateral eye pain can arise from several factors:
- Eye Strain: Extended periods of reading or screen time can lead to fatigue in the eye muscles, resulting in discomfort.
- Refractive Errors: Differences in vision between your eyes, as indicated by your visual acuity changes with and without glasses, can contribute to strain and pain. It is essential to have an updated prescription for your glasses.
- Dry Eye Syndrome: Insufficient tear production can lead to discomfort, particularly if you are frequently using screens.
- Retinal Issues: Conditions such as retinal detachment or tears can cause sudden changes in vision and pain. Floaters may also indicate changes in the vitreous gel of the eye.
- Optic Nerve Issues: Conditions affecting the optic nerve, such as optic neuritis, can lead to unilateral pain and visual disturbances.
The visual discrepancies you are experiencing, particularly the differences in clarity between your right and left eyes, may indeed be related to your refractive errors. However, simply updating your glasses may not resolve the underlying issue if there are other factors at play, such as retinal or optic nerve problems.
Conclusion
In summary, your symptoms suggest that you should seek medical attention promptly. While self-care measures can provide temporary relief, a comprehensive eye examination is necessary to rule out any serious conditions. The differences in visual acuity and the unilateral pain you are experiencing could be interconnected, and addressing these issues with a qualified eye care professional will help ensure your long-term eye health.
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