Sudden Blurry Vision: Possible Causes and Urgent Care Options - Ophthalmology

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Sudden blurred vision or loss of vision?


Hello doctor, I previously inquired about case #171787.
My mother initially had vision problems in one eye, and then suddenly, the other eye became blurry after she woke up the day before yesterday.
However, the doctors couldn't determine the cause.
I would like to know what possible reasons could lead to blurry vision in both eyes that gradually worsens.
Why do hospital reports take so long? Could this condition lead to permanent blindness? Do you have any recommendations for specialists who focus on these types of issues? I hope we won't have to wait another ten days for the reports.
I'm really worried about my mother's potential for permanent blindness.
Thank you.

Mei Mei, 50~59 year old female. Ask Date: 2021/08/24

Dr. Gao Pilin reply Ophthalmology


Hello, Mei Mei: I apologize, but there are many reasons that can affect vision.
Any part of the eye, the optic nerve, or even the brain can potentially lead to poor vision.
Therefore, multiple examinations may be necessary to determine the cause.
I cannot make a diagnosis or speculate without proper evaluation.
I recommend consulting with the surgeon or the physician conducting the examinations to suggest how to proceed with further testing.

Reply Date: 2021/08/24

More Info


Sudden blurry vision can be alarming, especially when it affects a loved one, as in your case with your mother. There are several potential causes for sudden changes in vision, and understanding these can help guide you in seeking appropriate care.


Possible Causes of Sudden Blurry Vision
1. Retinal Detachment: This is a serious condition where the retina separates from the back of the eye. Symptoms may include sudden blurry vision, flashes of light, or seeing floaters. If not treated promptly, it can lead to permanent vision loss.

2. Stroke or Transient Ischemic Attack (TIA): A stroke can affect the areas of the brain responsible for vision, leading to sudden changes in vision. A TIA, often called a "mini-stroke," can also cause temporary vision loss.

3. Optic Neuritis: This is an inflammation of the optic nerve, often associated with multiple sclerosis. It can cause sudden vision loss or blurriness in one eye.

4. Cataracts: While cataracts typically develop slowly, they can sometimes cause sudden changes in vision, especially if there is a rapid progression.

5. Diabetic Retinopathy: For individuals with diabetes, fluctuations in blood sugar levels can lead to changes in vision due to damage to the blood vessels in the retina.

6. Glaucoma: Acute glaucoma can cause sudden blurry vision along with severe eye pain, headache, and nausea. This is a medical emergency.

7. Corneal Abrasion or Infection: Damage to the cornea or an infection can lead to sudden blurry vision and discomfort.


Urgent Care Options
Given the potential seriousness of these conditions, it is crucial to seek immediate medical attention if your mother experiences sudden blurry vision. Here are some steps you can take:
- Visit an Eye Specialist: An ophthalmologist is a medical doctor specializing in eye care and can provide a comprehensive examination. If your mother has already seen a doctor but the cause remains unclear, consider seeking a second opinion from another ophthalmologist.

- Emergency Room: If the blurry vision is accompanied by other symptoms such as severe headache, weakness, or confusion, go to the emergency room immediately. These could be signs of a stroke or other serious conditions.

- Follow-Up Appointments: If initial tests do not reveal the cause, ensure that follow-up appointments are scheduled. Sometimes, additional imaging tests like an MRI or CT scan may be necessary to rule out neurological causes.


Concerns About Permanent Vision Loss
It is understandable to be concerned about the potential for permanent vision loss. The key to preventing this is timely intervention. Many conditions that cause sudden vision changes can be treated effectively if addressed quickly. For example, retinal detachment and strokes require immediate treatment to preserve vision.


Waiting for Test Results
The waiting period for test results can be stressful. Unfortunately, the time required for processing can vary based on the type of tests conducted and the healthcare facility's workload. While waiting, it is essential to maintain open communication with the healthcare providers to understand the next steps and any immediate actions that can be taken.


Recommendations for Specialists
If you are looking for specialists, consider seeking out a retinal specialist or a neuro-ophthalmologist, especially if there are concerns about retinal issues or neurological involvement. These specialists have advanced training in diagnosing and treating complex eye conditions.

In conclusion, sudden blurry vision can have various causes, some of which may require urgent care. It is crucial to act quickly and seek appropriate medical attention to prevent potential permanent damage. Your concern for your mother's health is valid, and ensuring she receives the right care is the best course of action.

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