Eye Coordination Issues: Symptoms and Solutions

Q: Eye Coordination Issues: Symptoms and Solutions

Hello, 雅： Based on your description, it is important to identify the cause of the eye misalignment and address it accordingly. <br>Abnormal vision can stem from issues with either the eyes or the brain. <br>Given your previous problem with elevated intracranial pressure, in addit

Eye misalignment

Hello Doctor, I have another question.
For the past few days, my left eye feels somewhat enlarged and is not coordinating well with my right eye.
Sometimes, my left eye suddenly becomes blurry and feels tight, almost like an allergic reaction, and it’s uncomfortable.
When I take a nap, the pain in my left eye radiates to the back of my head.
I visited an ophthalmologist who suggested I see a neurologist.
Previously, I was told I had high intracranial pressure, but I mainly want to ask what I should do about the lack of coordination.
Also, I would like to ask if the fact that several doctors have said there’s no problem means that my lens (the doctors did not mention this part, but I assume if they didn’t say anything, then it’s fine) or retina is not an issue (I have had a fundus examination).
I apologize, Doctor, but I also want to ask about occasionally experiencing photophobia on the left side, where it suddenly appears yellowish and then white.
Could this indicate cataracts? Thank you for your response, Doctor.
Thank you.

Ya, 30~39 year old female. Ask Date: 2019/04/13

Dr. Gao Pilin reply Ophthalmology

Hello, 雅: Based on your description, it is important to identify the cause of the eye misalignment and address it accordingly.
Abnormal vision can stem from issues with either the eyes or the brain.
Given your previous problem with elevated intracranial pressure, in addition to considering optic neuritis, it would be advisable to consult a neurologist.
However, since you mentioned issues with the lens, cataracts can likely be ruled out.
Cataracts are usually easily identifiable and would not cause sudden changes in color perception.

At the E-Hospital in Puzi, Taiwan, the ophthalmology department is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses should only be taken as reference; 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: 2019/04/13

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your eye coordination issues. Based on your description, it seems you are experiencing a range of symptoms that could be indicative of several underlying conditions. Let's break down your symptoms and explore potential solutions.

Symptoms Overview
1. Eye Discomfort and Coordination Issues: You mentioned that your left eye feels "zoomed in" compared to the right, and that it sometimes becomes foggy or feels tight. This could suggest a problem with how your eyes are working together, known as binocular vision dysfunction.
2. Pain and Sensitivity: The pain radiating from your left eye to the back of your head, especially after napping, could be related to eye strain or tension headaches. Additionally, the sensitivity to light (photophobia) and sudden changes in vision (like the yellowing you described) are concerning and warrant further investigation.

3. Previous Medical Evaluations: You have seen multiple doctors, including an eye specialist and a neurologist, who have suggested that there are no significant issues with your eye structure, such as the lens (crystalline lens) or retina. However, the mention of high intracranial pressure is something to take seriously, as it can lead to various visual disturbances.

Potential Causes
1. Binocular Vision Dysfunction: This occurs when the eyes do not work together effectively, leading to symptoms like double vision, eye strain, and discomfort. It can be caused by muscle imbalances or neurological issues.

2. Dry Eye Syndrome: Given your symptoms of discomfort and the feeling of tightness, it’s possible that you may be experiencing dry eye syndrome, which can exacerbate feelings of fatigue and discomfort, especially after prolonged screen time or reading.

3. Migraine-Related Visual Disturbances: If you have a history of migraines, they can sometimes cause temporary visual disturbances, including photophobia and changes in vision.

4. Cataracts: While you expressed concern about cataracts due to the yellowing of your vision, it is typically accompanied by other symptoms such as increased glare, difficulty seeing at night, and a gradual loss of vision clarity. Given your age and the absence of significant findings from your previous evaluations, this may be less likely but still worth monitoring.

Recommendations
1. Follow-Up with Specialists: Since you have already seen an ophthalmologist and a neurologist, I recommend following up with both if your symptoms persist or worsen. A comprehensive evaluation by a neuro-ophthalmologist may be beneficial, as they specialize in vision problems related to the nervous system.

2. Vision Therapy: If binocular vision dysfunction is confirmed, vision therapy might be a suitable option. This involves exercises designed to improve coordination and focus between the eyes.

3. Manage Dry Eyes: If dry eyes are contributing to your discomfort, consider using artificial tears or lubricating eye drops. Additionally, ensure you are taking regular breaks from screens (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds).

4. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare providers in diagnosing the issue.

5. Lifestyle Adjustments: Ensure you are maintaining a healthy lifestyle, including adequate hydration, a balanced diet rich in omega-3 fatty acids (which can help with eye health), and regular sleep patterns.

Conclusion
While it is reassuring that previous evaluations have not revealed significant issues, your ongoing symptoms warrant further investigation. It’s essential to communicate openly with your healthcare providers about your concerns and any changes in your symptoms. Don’t hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your eye health is crucial, and addressing these symptoms early can help prevent further complications.

Take care, and I hope you find relief soon.

Best regards.

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