Eye Tremors and Retinal Issues: Causes and Concerns - Ophthalmology

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Nystagmus and Retinal Issues


Hello, Doctor.
A few days ago, I underwent a retinal examination and noticed a yellow-green sensation in the center of my left eye.
When reading, the words in the central vision appear highlighted, similar to being marked with a highlighter, while my right eye does not exhibit this phenomenon.
What could be the cause? Additionally, due to experiencing dizziness, I underwent a vestibular evoked myogenic potential (VEMP) test (caloric test).
However, I have a history of high myopia combined with vitreous detachment and lattice degeneration, which has led to persistent photopsia.
My doctor has specifically advised me against engaging in vigorous activities.
Could the induced nystagmus from the test cause any traction or adverse effects on the retina?

Lin Tongxue, 20~29 year old female. Ask Date: 2017/11/08

Dr. Cai Wenyuan reply Ophthalmology


Hello, will inducing nystagmus cause any pulling or adverse effects on the retina? It should not.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/11/08

More Info


Understanding eye tremors and retinal issues can be complex, especially when symptoms like visual disturbances and dizziness are involved. Based on your description, it seems you are experiencing a combination of visual anomalies, particularly in your left eye, along with a history of high myopia and vitreous detachment. Let's break down your concerns and explore the potential causes and implications.


Visual Symptoms
The yellow-green hue you perceive in the center of your vision, especially when reading, could be indicative of several underlying issues. One possibility is that you are experiencing a phenomenon known as "metamorphopsia," where straight lines appear wavy or distorted. This can occur due to retinal issues, such as macular degeneration or retinal edema, particularly in individuals with high myopia. Given your history of vitreous detachment, it’s essential to monitor for any changes in your vision, as this condition can lead to more severe complications, including retinal tears or detachment.


Retinal Health and High Myopia
High myopia is associated with structural changes in the eye, which can increase the risk of retinal complications. The presence of vitreous detachment can lead to traction on the retina, potentially causing visual disturbances like flashes or floaters. The fact that you are experiencing these symptoms alongside a history of vitreous changes raises the need for careful monitoring by an eye care professional.


Dizziness and Eye Tremors
Dizziness can be multifactorial. In your case, it may be related to vestibular issues, especially since you mentioned undergoing tests for induced nystagmus (eye tremors). While eye tremors themselves are not typically harmful to the retina, the underlying causes of dizziness should be thoroughly evaluated. If the dizziness is related to inner ear problems, it may not directly affect your retinal health, but it can complicate your overall visual perception.


Concerns About Induced Eye Tremors
Regarding your concern about whether inducing eye tremors could cause retinal damage, it is generally considered safe to perform such tests under controlled conditions. However, if you have pre-existing conditions like vitreous detachment or a history of retinal issues, it’s crucial to communicate these concerns with your healthcare provider. They can provide tailored advice and may recommend avoiding certain activities that could exacerbate your condition.


Recommendations
1. Regular Eye Exams: Given your history of high myopia and retinal issues, regular comprehensive eye exams are essential. This will help monitor any changes in your retinal health and visual function.

2. Avoid Strain: Limit activities that require intense focus, especially in poor lighting conditions, as this can exacerbate visual fatigue and discomfort.

3. Report Changes: If you notice any new symptoms, such as an increase in flashes, floaters, or significant changes in vision, report these to your eye care provider immediately.

4. Manage Dizziness: Since dizziness can affect your quality of life, consider consulting with a specialist in vestibular disorders if it persists. They can help determine the underlying cause and suggest appropriate treatments.

5. Lifestyle Adjustments: Ensure you maintain a healthy lifestyle, including a balanced diet rich in antioxidants, which can support eye health. Staying hydrated and managing stress can also contribute positively to your overall well-being.

In conclusion, while your symptoms warrant attention, they can often be managed effectively with appropriate medical care and lifestyle adjustments. Always prioritize communication with your healthcare providers to ensure that your concerns are addressed and that you receive the best possible care for your eye health.

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