Eye problems
Hello, doctor.
I had a follow-up appointment yesterday for a visual field test.
The doctor mentioned that there is a dark spot in the center of my right eye, indicating an abnormality with the optic nerve (my right eye has normal vision).
In my left eye, there are two dark spots that are less concerning.
The doctor said everything is overall normal.
I thought it was severe floaters, but the examination revealed an issue with the optic nerve.
Doctor, will this really not improve? How can I protect my eyes? Thank you.
Ya, 30~39 year old female. Ask Date: 2020/10/08
Dr. Gao Pilin reply Ophthalmology
Hello, if there is an issue with the optic nerve, any visual field loss may not be recoverable.
However, it is sometimes necessary to monitor the condition over a period of time and conduct visual field tests to check for any changes.
If the defects remain in the same areas, the reliability of the results will increase.
If intraocular pressure is high, it is important to manage the pressure, avoid overexertion of the eyes, and continuously monitor changes in the optic nerve and visual field.
The ophthalmology department at Puzi Hospital in Taiwan is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pi-Lin
Reply Date: 2020/10/08
More Info
Hello! Thank you for your question regarding your vision issues and the health of your optic nerve. It sounds like you are experiencing some concerning symptoms, and I understand how distressing this can be. Let's delve into your situation and explore ways to protect your vision and manage your symptoms.
From your description, it seems that you have undergone a visual field test, which revealed an area of darkness in your right eye, indicating a potential issue with your optic nerve. While your right eye maintains normal visual acuity, the presence of a visual field defect can be indicative of underlying optic nerve damage or dysfunction. The left eye, while having some less impactful areas of darkness, also requires monitoring.
Firstly, it’s important to understand that damage to the optic nerve can sometimes be permanent, depending on the underlying cause. Conditions such as glaucoma, optic neuritis, or other neurological issues can lead to irreversible changes in the optic nerve. However, not all visual field defects are permanent; some may improve over time, especially if the underlying cause is addressed.
To protect your optic nerve health, consider the following strategies:
1. Regular Eye Exams: Continue to have regular check-ups with your eye care professional. Monitoring changes in your vision and optic nerve health is crucial. If you notice any new symptoms, report them immediately.
2. Manage Eye Pressure: If your eye pressure is elevated, it’s essential to manage it effectively. High intraocular pressure can lead to glaucoma, which can damage the optic nerve. Follow your doctor’s recommendations regarding medications or treatments to control eye pressure.
3. Healthy Lifestyle Choices: A balanced diet rich in antioxidants (found in fruits and vegetables) can support eye health. Omega-3 fatty acids, found in fish, are also beneficial. Staying hydrated and maintaining a healthy weight can further reduce the risk of eye diseases.
4. Protect Your Eyes: Wear sunglasses that block UV rays when outdoors. This can help protect your eyes from harmful light exposure that may exacerbate existing conditions.
5. Limit Screen Time: Given that prolonged screen time can lead to eye strain and fatigue, try to take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain and discomfort.
6. Manage Systemic Health: Conditions like diabetes and hypertension can affect your vision and optic nerve health. Managing these conditions through medication, diet, and exercise is crucial.
7. Consider Supplements: Some studies suggest that certain vitamins and minerals, such as Vitamin A, C, E, and zinc, may support eye health. However, consult your healthcare provider before starting any new supplements.
8. Follow-Up on Symptoms: If you experience any changes in your vision, such as increased darkness in your visual field, flashes of light, or new floaters, seek immediate medical attention.
In terms of recovery, while some visual field defects may improve, others may not. It’s essential to remain hopeful but also realistic about the potential outcomes. Your healthcare provider may recommend additional tests or treatments based on your specific situation.
In conclusion, while the prognosis for optic nerve health can vary, taking proactive steps to protect your vision and maintain overall eye health is crucial. Regular follow-ups with your eye care professional and adopting a healthy lifestyle can significantly impact your visual well-being. If you have further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.
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