Eye Abnormalities: When to See an Eye Specialist - Ophthalmology

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Visual abnormalities


Hello, doctor.
Today, when I went to get my glasses fitted, the staff assisting with the refraction indicated that there is an abnormal condition in my right eye.
I have a history of myopia in both eyes, and I have also developed astigmatism.
Over the past few years, I have noticed that my right eye has significant difficulty seeing near objects clearly, while I can see distant objects more clearly than with my left eye.
Additionally, my astigmatism seems to have increased.

I checked my previous glasses prescription, which was right eye S:-3.00 C:-1.00 x 20.
This time, the staff made multiple adjustments but still could not find a suitable prescription for me.
The clearest prescription they found was S:-0.50 C:-0.75 x 160.
They advised me not to get glasses for now and suggested that I see an ophthalmologist, as there may be an injury to my right eye, issues related to wearing colored contact lenses, or possibly corneal distortion.
I need to arrange a separate appointment with the ophthalmologist, and I would like to ask for your advice on this matter.

Zhi, 20~29 year old female. Ask Date: 2021/07/12

Dr. Gao Pilin reply Ophthalmology


Hello, Zhi: Your right eye has difficulty seeing things up close, while distant objects appear clearer than with your left eye.
This may indicate hyperopia, even though you previously wore glasses for myopia.
However, the current prescription is quite low.
I recommend undergoing dilation before measuring your prescription again, as it may not be myopia at all.
Online responses should only be considered as references; it is essential to seek medical attention at a healthcare facility if necessary.
Best regards, Gao Pi-Lin.

Reply Date: 2021/07/12

More Info


When it comes to understanding eye abnormalities and determining when to see an eye specialist, it's essential to recognize the signs and symptoms that may indicate a more serious underlying issue. Based on your description, it seems you are experiencing a range of visual disturbances, particularly in your right eye, which has raised concerns about its health and functionality.

Firstly, the fact that you have noticed a significant difference in clarity between your two eyes, especially with near vision, is a critical indicator that warrants further investigation. The presence of myopia (nearsightedness) and astigmatism in both eyes, along with the recent changes in your right eye's vision, suggests that there could be an underlying issue that needs to be addressed. The inability to find a suitable prescription during your recent fitting could imply that your right eye is not responding to corrective lenses as expected, which could be due to several factors, including corneal irregularities or other structural changes in the eye.

The recommendation to see an eye specialist is prudent. An eye care professional can conduct a comprehensive examination, including tests for visual acuity, refraction, and possibly imaging studies to assess the health of your retina and cornea. Conditions such as keratoconus (a progressive thinning of the cornea), cataracts, or even retinal issues could contribute to the symptoms you are experiencing. Additionally, if there has been any trauma to the eye, it is crucial to rule out any damage that could affect your vision.

Moreover, if you have been wearing colored contact lenses, it is essential to ensure that they fit properly and are not causing any irritation or damage to your cornea. Poorly fitting lenses can lead to complications such as corneal abrasions or infections, which can significantly impact vision.

In terms of your specific symptoms, the fact that you are experiencing increased astigmatism and difficulty seeing clearly at near distances could also be related to changes in the lens of your eye, such as presbyopia, which is a natural age-related change. However, given the significant difference in vision between your two eyes, it is crucial to investigate further.

In summary, you should definitely schedule an appointment with an eye specialist as soon as possible. During this visit, be sure to discuss all your symptoms in detail, including any changes in vision, discomfort, or any history of eye injuries. Early detection and treatment of eye conditions can prevent further deterioration of vision and help maintain your overall eye health. Remember, your vision is invaluable, and taking proactive steps to address any abnormalities is essential for preserving it.

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