Retinal hemorrhage, retinal detachment, floaters?
Hello Doctor, about a month ago, I noticed a flickering phenomenon in my left eye when looking at things (similar to a flashing light), so I went to see an ophthalmologist.
The first doctor used equipment to examine my retina and found signs of bleeding and abnormal curvature of the blood vessels.
He recommended that I get further checked by an internist.
At that time, my blood pressure was elevated, but after a few weeks, it stabilized somewhat.
I then went to see a second ophthalmologist, who initially diagnosed me with retinal hemorrhage.
I am currently waiting for scheduled retinal photography and OCT.
In the past few days, I have also noticed that colors in my left eye appear somewhat yellowish, with reduced saturation, and objects seem smaller and more blurred.
Recently, I have experienced occasional symptoms resembling floaters (black and gray strands drifting), although the flickering has decreased.
I have follow-up examinations and consultations in a couple of days.
Should I see a doctor again before the follow-up, as it feels like my symptoms are increasing? Thank you!
Mi, 30~39 year old female. Ask Date: 2016/07/13
Dr. He Jianxian reply Ophthalmology
I would like you to return for a follow-up on the scheduled date!
Reply Date: 2016/07/13
More Info
It sounds like you have been experiencing a range of concerning symptoms related to your left eye, including flashes of light, retinal hemorrhage, changes in color perception, and the appearance of floaters. These symptoms can be quite distressing, and it's understandable that you're feeling anxious about your eye health. Let's break down your situation and provide some insights into what might be happening.
Understanding Your Symptoms
1. Retinal Hemorrhage: This condition occurs when blood leaks into the retina, which can be caused by various factors, including hypertension, diabetes, or trauma. The presence of blood vessels that appear abnormal, as noted by your first eye doctor, is a significant finding that warrants further investigation. Retinal hemorrhages can lead to vision problems, including blurred vision and changes in color perception.
2. Flashes and Floaters: The flashes of light you are experiencing, often described as "seeing stars," can be related to the vitreous gel in the eye pulling away from the retina, a condition known as posterior vitreous detachment. Floaters, which appear as small spots or threads in your vision, can also be a result of this detachment or other retinal issues. While floaters are common, a sudden increase in their number, especially when accompanied by flashes of light, should be evaluated promptly.
3. Color Perception Changes: The yellowish tint and reduced saturation you are noticing in your left eye could be related to the retinal hemorrhage or other underlying issues affecting the retina's function. This symptom, combined with the other visual disturbances, suggests that there may be a significant change in how your retina is processing visual information.
Next Steps
Given that you are awaiting further testing, including OCT (Optical Coherence Tomography) and fundus photography, it is crucial to keep those appointments. These tests will provide detailed images of the retina and help your eye care professional assess the extent of any damage or changes.
1. Monitoring Symptoms: If you notice any sudden changes in your vision, such as a significant increase in floaters, new flashes of light, or a curtain-like shadow over your vision, you should seek immediate medical attention. These could be signs of retinal detachment, which is a medical emergency.
2. Follow-Up Appointments: Since you mentioned that your symptoms seem to be increasing, it may be wise to contact your eye care provider to discuss your concerns before your scheduled appointment. They may recommend an earlier visit based on your symptoms.
3. Managing Underlying Conditions: Since you mentioned having high blood pressure, it's essential to manage this condition effectively, as uncontrolled hypertension can exacerbate retinal issues. Regular check-ups with your primary care physician to monitor and manage your blood pressure are crucial.
Conclusion
Your symptoms indicate that you are experiencing significant changes in your eye health, particularly in your left eye. While some of these changes, such as floaters, can be common, the combination of retinal hemorrhage, flashes, and altered color perception requires thorough evaluation and monitoring. It is essential to keep your scheduled appointments and communicate any new or worsening symptoms to your healthcare providers. Early detection and intervention can help preserve your vision and address any underlying conditions effectively.
Stay proactive about your eye health, and don't hesitate to reach out to your healthcare team with any concerns. Your vision is important, and timely care can make a significant difference.
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