Starbursts and Halos: Insights on Eye Symptoms - Ophthalmology

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Hello! Thank you for reaching out with your concerns regarding the visual symptoms you are experiencing, specifically the starbursts, halos, and rainbow vision. These symptoms can indeed be quite distressing, especially for someone with a history of eye conditions such as floaters and high myopia.

To begin with, the phenomenon of seeing starbursts and halos around lights, particularly at night or in low-light conditions, can be attributed to several factors. One common cause is the optical quality of the eye, which can be affected by various conditions, including corneal irregularities, lens opacities (like cataracts), or even the effects of high myopia itself. In your case, since you mentioned recently changing to new orthokeratology lenses, it is possible that the lenses are contributing to these visual disturbances. Orthokeratology lenses work by reshaping the cornea to temporarily correct refractive errors, and any slight misalignment or irregularity in the lens fit can lead to visual artifacts such as halos and starbursts.

The theory that vitreous traction on the retina could be causing these symptoms is also plausible. As the vitreous gel in the eye ages or changes, it can pull on the retina, leading to visual disturbances. This is particularly relevant for individuals with high myopia, as they are at a greater risk for vitreous detachment and retinal issues. However, if your recent dilated eye exam showed no retinal problems, this is reassuring.
Regarding your question about whether these symptoms will resolve once the vitreous has finished pulling, it is difficult to predict. In some cases, as the vitreous detaches or stabilizes, visual symptoms may improve. However, if the symptoms persist, it could indicate an underlying issue that needs further evaluation.

Since you have already stopped wearing your lenses for a couple of days and are still experiencing halos and starbursts, it may be beneficial to consult with an eye care professional as soon as possible. They can perform a thorough examination to rule out any potential complications related to your lenses or other ocular conditions.
In the meantime, here are some tips to help manage your symptoms:
1. Avoid Bright Lights: Try to minimize exposure to bright lights, especially at night, as this can exacerbate the halo and starburst effects.

2. Use Artificial Tears: If you experience dryness, using lubricating eye drops may help alleviate some discomfort.

3. Monitor Your Symptoms: Keep a log of when the symptoms occur and any activities that seem to trigger them. This information can be helpful for your eye care provider.

Lastly, it's important to maintain regular follow-ups with your eye care provider, especially given your history of high myopia and the recent changes in your vision. They can provide tailored advice and treatment options based on your specific situation. Remember, while it’s easy to feel anxious about visual changes, many conditions can be managed effectively with the right care. Take care, and I hope you find relief from your symptoms soon!