Blurred vision
Hello, I initially noticed blurred vision in one eye after waking up in the morning, without any pain.
I thought it was due to lack of sleep, so I took a nap around noon, but there was no improvement.
In the afternoon, I went to see an ophthalmologist, who diagnosed me with a corneal abrasion.
I was prescribed chloramphenicol eye drops and erythromycin ointment.
The next day after starting the medication, I felt a significant foreign body sensation in my eye (or dryness, something like that; I'm not very good at describing it).
It only feels less noticeable right after I wake up, and my vision hasn't improved.
Is this normal? Should I consider getting further examinations?
Ce, 20~29 year old female. Ask Date: 2016/07/07
Dr. Gao Pilin reply Ophthalmology
Hello, regarding corneal abrasion, it is important to rest and allow the epithelial cells of the cornea to heal.
Once they have healed, your vision should return to normal, and you should no longer experience any foreign body sensation.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open from Monday to Friday, 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pi-Lin
Reply Date: 2016/07/07
More Info
Blurry vision can be a concerning symptom, and understanding its causes, treatments, and when to seek further help is crucial for maintaining eye health. In your case, it appears that you have experienced blurry vision due to a corneal abrasion, which is essentially a scratch on the surface of the cornea. This condition can lead to discomfort, sensitivity to light, and a feeling of having something in the eye, which you described as an "foreign body sensation."
Causes of Blurry Vision
Blurry vision can arise from various factors, including:
1. Refractive Errors: Conditions like myopia (nearsightedness), hyperopia (farsightedness), and astigmatism can cause blurry vision. These are typically corrected with glasses or contact lenses.
2. Corneal Issues: As in your case, a corneal abrasion can lead to temporary blurry vision. Other corneal problems include infections (keratitis), dystrophies, or scarring.
3. Cataracts: Clouding of the lens can lead to gradual blurry vision, often accompanied by glare or halos around lights.
4. Retinal Issues: Conditions like retinal detachment or macular degeneration can also cause sudden or gradual vision changes.
5. Systemic Conditions: Diabetes, hypertension, and other systemic diseases can affect vision.
Treatments
For your specific situation with a corneal abrasion, the treatment typically involves:
- Antibiotic Eye Drops: As prescribed, chloramphenicol drops help prevent infection.
- Ointments: Erythromycin ointment can provide additional protection and lubrication.
- Artificial Tears: These can help alleviate dryness and discomfort.
- Avoiding Contact Lenses: It’s advisable to refrain from wearing contact lenses until the cornea has healed completely.
Recovery Expectations
It is not uncommon to experience a sensation of dryness or heaviness in the eye after a corneal abrasion, especially when using antibiotic drops. The healing process can vary from person to person, but many abrasions heal within a few days to a week. However, if you notice that your vision is not improving or if the discomfort persists, it is essential to follow up with your eye care provider.
When to Seek Further Help
You should consider seeking further evaluation if:
- Your vision does not improve after a few days of treatment.
- You experience increased pain, redness, or discharge from the eye.
- You have persistent blurry vision or any new symptoms, such as flashes of light or floaters.
Conclusion
In summary, while your current symptoms may be a normal part of the healing process from a corneal abrasion, it is crucial to monitor your condition closely. If your symptoms do not improve or worsen, do not hesitate to return to your eye doctor for further evaluation. They may perform additional tests, such as a slit-lamp examination, to assess the cornea and ensure there are no complications. Remember, timely intervention is key to preserving your vision and eye health.
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