The left eye has a brighter visual sensation, accompanied by symptoms of a migraine?
Hello, this issue has been troubling me for over three months.
Initially, my left eye becomes blurry and unclear when I look to the left at an angle greater than 30 degrees.
I have visited an ophthalmologist and a medical center multiple times, and they all indicated that there are no issues with my eyeball.
I have high myopia, with both eyes at -7.00 diopters and -2.00 diopters of astigmatism, but my vision test results while wearing glasses are normal.
Currently, when I look straight ahead, I feel that my left eye's vision is brighter, and I often feel discomfort, which is somewhat relieved when I slightly cover the light with my palm.
However, over time, this has also caused some mild headaches.
I'm unsure whether I should continue seeing an ophthalmologist or consult a neurologist.
Mr. Wu, 30~39 year old female. Ask Date: 2017/11/15
Dr. Gao Pilin reply Ophthalmology
Hello Mr.
Wu: The perception of brightness can sometimes be related to a stronger prescription.
You might consider reducing your prescription slightly to see if that improves the sensation.
Migraines are not caused by eye issues; if you are experiencing migraines, I recommend consulting a neurologist.
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.
Please note that online responses are for reference only, and it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Sincerely, Gao Pilin.
Reply Date: 2017/11/15
More Info
Based on your description, it seems that you are experiencing a combination of visual disturbances in your left eye, including blurriness when looking to the left, a perception of increased brightness, and associated headaches. Given your history of high myopia and astigmatism, it is understandable that you are concerned about these symptoms, especially since they have persisted for over three months.
Firstly, it is important to note that visual disturbances can arise from various causes, and the symptoms you describe may not necessarily be linked to a single issue. The fact that multiple eye examinations have shown no structural problems with your eyes is reassuring, but it does not completely rule out the possibility of underlying neurological issues.
The sensation of increased brightness in one eye, also known as photophobia, can sometimes be related to conditions affecting the retina or the optic nerve. In your case, since you have high myopia, it is possible that changes in the vitreous body or the retina could be contributing to your symptoms. However, the absence of any findings during your eye exams suggests that these may not be the primary cause.
The headaches you are experiencing could be a result of several factors. Migraines can manifest with visual symptoms, including aura, which may include bright spots or changes in vision. The fact that you find relief by shielding your eye from light could indicate that your symptoms are indeed related to migraine rather than a direct eye issue. Migraines can be triggered by various factors, including stress, fatigue, and visual strain, especially from prolonged screen time, which you mentioned has increased due to online classes.
Given these considerations, it would be prudent to consult a neurologist. A neurologist can evaluate your headaches in more detail and determine if they are indeed migraines or if there is another underlying neurological condition that needs to be addressed. They may recommend imaging studies, such as an MRI, to rule out any structural issues in the brain that could be contributing to your symptoms.
In the meantime, there are several strategies you can employ to help manage your symptoms. Reducing screen time, taking regular breaks, and ensuring you are using appropriate lighting while working can help alleviate visual strain. Additionally, keeping a headache diary to track the frequency, duration, and triggers of your headaches can provide valuable information for your healthcare provider.
In summary, while your eye examinations have not revealed any significant issues, the combination of visual disturbances and headaches warrants further investigation by a neurologist. They can help determine the cause of your symptoms and recommend appropriate treatment options. It is essential to address both your visual and headache symptoms to improve your overall quality of life.
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