[Inquiry] There is a sensation of pain above the eyeball, and when looking into the distance or at certain angles, there is vertical double vision, along with a slight headache?
Hello Dr.
Gao, thank you for taking the time to answer my questions, I appreciate it! Recently, the temperature has been quite low.
I have diabetes and have been on medication for six months, but since all my test results were normal, I stopped taking the medication half a year ago.
Recently (on January 30), I suddenly felt pain above my eye, and on the fourth day (February 2), I experienced double vision when looking at objects.
This occurs when I look far away or at certain angles, but it returns to normal after a short while.
However, this eye condition has also caused some headaches.
A few years ago, I had a similar issue with double vision, which was horizontal, and I went to the hospital for treatment.
At that time, I was referred to a neurologist and continued taking diabetes medication.
I would like to ask: 1.
Why is my eye experiencing this condition? 2.
Is it possible that diabetes is affecting my eye health? 3.
Could stopping the medication have led to my current condition? 4.
Is there a correlation with the sudden drop in temperature? Thank you again, Dr.
Gao, for your time in answering my questions.
Wishing you a happy Lunar New Year!
Jack, 50~59 year old female. Ask Date: 2020/02/03
Dr. Gao Pilin reply Ophthalmology
Hello Jack:
1.
What could be causing this condition in the eyes? It may be due to a problem with the coordination of the extraocular muscles.
2.
Could diabetes be affecting the health of the eyeball? Diabetes can lead to issues related to the nerves of the extraocular muscles.
3.
Is the current condition a result of discontinuing medication? Diabetes itself can cause such neuropathic changes, and whether stopping medication has an impact needs to be evaluated by a physician.
4.
Is there a correlation with sudden drops in temperature? A decrease in temperature can cause vasoconstriction, which may potentially lead to such effects.
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I hope to have the opportunity to assist you.
Gao Pilin
Reply Date: 2020/02/03
More Info
Understanding eye pain and double vision, especially in the context of diabetes and environmental factors like weather changes, is crucial for maintaining eye health. Your symptoms of pain above the eye and intermittent double vision can be concerning, particularly given your history of diabetes. Let’s break down your questions and explore the potential causes and implications.
1. Why might the eyes exhibit such symptoms?
Eye pain and double vision can arise from various conditions. In your case, the pain above the eye could be related to several factors, including inflammation of the eye muscles, increased intracranial pressure, or even sinus issues. The occurrence of double vision, particularly if it is transient, may suggest a problem with the muscles controlling eye movement or the nerves that innervate them. Conditions such as diabetic neuropathy can affect these nerves, leading to symptoms like double vision. Additionally, if you have a history of migraines or tension headaches, these could also manifest as eye pain and visual disturbances.
2. Does diabetes affect eye health?
Yes, diabetes can significantly impact eye health. Diabetic retinopathy is a common complication of diabetes, where high blood sugar levels damage the blood vessels in the retina, potentially leading to vision problems. Moreover, diabetes can cause changes in the lens of the eye, leading to cataracts or changes in refractive error. It’s important to monitor your blood sugar levels closely and maintain them within the target range to minimize the risk of these complications.
3. Could stopping medication lead to current symptoms?
If you have stopped taking diabetes medication, it could potentially lead to fluctuations in your blood sugar levels. High blood sugar can exacerbate diabetic complications, including those affecting the eyes. If your blood sugar levels have been unstable since stopping medication, it may be worthwhile to consult with your healthcare provider about resuming treatment or exploring alternative management strategies.
4. Is there a connection between sudden temperature drops and eye symptoms?
Environmental factors, including sudden changes in temperature, can indeed affect eye comfort and health. Cold weather can lead to dry air, which may exacerbate dry eye symptoms, causing discomfort and potentially leading to visual disturbances. Additionally, cold weather can trigger migraines in some individuals, which may also manifest as eye pain and visual changes.
Given your symptoms and medical history, it is advisable to seek a comprehensive eye examination from an ophthalmologist. They may perform tests to assess your visual acuity, check for signs of diabetic retinopathy, and evaluate the health of the optic nerve. Furthermore, a consultation with a neurologist may be warranted to rule out any neurological causes for your double vision, especially considering your previous experiences with similar symptoms.
In the meantime, consider the following recommendations:
- Monitor your blood sugar levels closely and maintain them within the target range.
- Stay hydrated and use artificial tears if you experience dryness.
- Avoid sudden exposure to bright lights or screens, which may exacerbate discomfort.
- Keep a symptom diary to track when your symptoms occur and any potential triggers, including weather changes or stress levels.
In conclusion, while your symptoms may be related to diabetes and environmental factors, a thorough evaluation by healthcare professionals is essential to determine the underlying causes and appropriate treatment. Your proactive approach to understanding these symptoms is commendable, and I encourage you to continue seeking answers for your eye health.
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