Corneal edema can lead to a decrease in visual acuity?
Hello, doctor.
I would like to ask about an issue I experienced a few weeks ago.
I developed corneal edema in my right eye due to wearing contact lenses.
After using the medication prescribed by the doctor, I went for a follow-up appointment and was told that it had healed.
However, in the past few days, while attending class (wearing glasses), I noticed that my vision in the affected eye is not as clear as in my left eye when looking at the blackboard.
This was not the case before.
Is this a sign that it hasn't fully healed, or could my prescription have changed?
Youyou, 20~29 year old female. Ask Date: 2016/08/05
Dr. Gao Pilin reply Ophthalmology
Hello again: If this situation occurs, it is advisable to visit an ophthalmologist for a check-up.
Early treatment is essential if there are any issues with the cornea.
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 can only serve as a reference; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin
Reply Date: 2016/08/05
More Info
Corneal edema, or swelling of the cornea, can occur due to various factors, including prolonged contact lens wear, which can lead to insufficient oxygen supply to the cornea. When the cornea becomes edematous, it can result in blurred vision, sensitivity to light, and discomfort. Your experience of not seeing clearly with the affected eye compared to the other eye is not uncommon and can be attributed to the residual effects of the edema.
After the initial treatment for corneal edema, it is possible that your cornea has not fully healed, which could explain the ongoing visual disturbances. The cornea is a highly sensitive and vital part of the eye, and any swelling can impact its ability to refract light properly, leading to blurred vision. Additionally, if there was any damage to the corneal epithelium or stroma during the edema, it might take some time for the cornea to recover fully.
It is also important to consider that your visual acuity may have changed due to the edema, and this could potentially lead to a change in your prescription. If the edema has caused structural changes in the cornea, such as scarring or irregularities, this could further affect your vision and necessitate a new prescription for glasses or contact lenses.
Here are a few points to consider regarding your situation:
1. Follow-Up with Your Eye Care Provider: Since you have already been treated for corneal edema, it is crucial to follow up with your eye care provider. They can perform a thorough examination to assess the health of your cornea and determine if any residual swelling or other issues persist.
2. Visual Acuity Testing: Your eye doctor may perform visual acuity tests to determine if your prescription needs to be adjusted. If your vision has changed, they can provide you with an updated prescription to ensure you see clearly.
3. Avoid Contact Lens Use: If you have experienced corneal edema, it is advisable to avoid wearing contact lenses until your eye care provider confirms that your cornea has healed completely. This will help prevent further irritation and allow your cornea to recover.
4. Hydration and Eye Drops: Your doctor may recommend specific eye drops to help with hydration and healing. These can be lubricating drops or medicated drops to reduce inflammation and promote healing.
5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased discomfort, light sensitivity, or changes in vision. Report these to your eye care provider, as they may indicate that further intervention is needed.
6. Long-Term Care: If you have a history of corneal edema or other corneal issues, discuss long-term management strategies with your eye care provider. This may include recommendations for contact lens wear, eye care routines, and regular check-ups to monitor corneal health.
In summary, your current visual difficulties may be related to the recent corneal edema, and it is essential to consult with your eye care provider for a comprehensive evaluation. They can determine the extent of healing and whether any changes in your prescription are necessary. Taking proactive steps in managing your eye health will help ensure that you maintain clear vision and prevent further complications.
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