Blurry Vision in One Eye: When to Seek Further Testing - Ophthalmology

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Recently, I have been experiencing increasing blurriness in my right eye?


The right eye previously underwent scleral buckle surgery due to retinal detachment and has been regularly monitored every six months with fundus examinations.
The doctor has indicated that there are no issues, but the patient feels that the vision in the right eye has been becoming increasingly blurry.
Should an OCT or any other examinations be performed?

Ye, 20~29 year old female. Ask Date: 2019/01/09

Dr. He Jianxian reply Ophthalmology


It is recommended to directly communicate with your original physician, as they should arrange appropriate examinations for you.

Reply Date: 2019/01/09

More Info


Blurry vision in one eye can be concerning, especially for someone with a history of retinal detachment. Given your previous surgery for scleral buckle placement, it's essential to monitor any changes in your vision closely. Blurry vision can arise from various causes, including but not limited to retinal issues, cataracts, macular degeneration, or even conditions affecting the optic nerve.

Since you have a history of retinal detachment, it is crucial to take any new symptoms seriously. Even if your regular check-ups have indicated no issues, changes in vision can sometimes signal underlying problems that may not have been apparent during your last examination. The fact that you are experiencing increasing blurriness in your right eye warrants further investigation.

Optical Coherence Tomography (OCT) is a non-invasive imaging test that provides high-resolution cross-sectional images of the retina. It can help identify subtle changes in the retinal layers that may not be visible during a standard eye exam. OCT is particularly useful for detecting conditions such as macular edema, retinal tears, or other retinal pathologies that could contribute to your blurry vision.

In addition to OCT, your eye care provider may recommend other tests, such as:
1. Visual Field Testing: This assesses your peripheral vision and can help identify any blind spots or areas of vision loss.


2. Fundus Photography: This captures detailed images of the retina and can help track changes over time.

3. Fluorescein Angiography: This test involves injecting a dye into your bloodstream and taking pictures of the retina to assess blood flow and identify any abnormalities.

4. Refraction Test: This determines your exact prescription for glasses or contact lenses and can help rule out refractive errors as a cause of your blurry vision.

Given your history and current symptoms, it is advisable to schedule an appointment with your ophthalmologist as soon as possible. They can perform a comprehensive eye examination and determine the most appropriate tests based on your specific situation. Early detection and treatment of any potential issues are crucial in preserving your vision and preventing further complications.

In summary, while your regular check-ups have indicated no problems, the increasing blurriness in your right eye is a valid reason to seek further testing. OCT and other diagnostic tests can provide valuable insights into the health of your retina and help identify any issues that may require intervention. Don't hesitate to reach out to your eye care provider to discuss your symptoms and the need for additional testing. Your vision is important, and taking proactive steps can help ensure its health and clarity.

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