Eye-Related Sounds: Insights from Orthopedic Perspective - Orthopedics

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Inquiry Consultation


Dear Dr.
Chen,
I am unsure which medical specialty my issue falls under.
If it is not within your area of expertise, I kindly ask for your guidance on which department I should consult.
Here is my concern: when I turn my eyes to the right (and occasionally to the left), I experience a flash of light accompanied by a "pop" sound that resonates in my ear, similar to the sound of an electrical short circuit.
I have already visited an ophthalmologist for an examination, and there were no abnormalities found in my eyes.
The doctor mentioned that the flashes could be related to the vitreous pulling on the retina, but regarding the "sound," there was no clear diagnosis.
They suggested it might be a friction sound between the eye muscles, but that was merely speculation.

Therefore, I would like to ask for your perspective from an orthopedic standpoint: what could be causing this sound? Is it truly a friction sound between the eye muscles, or could there be another underlying reason? I appreciate your insights on this matter.
Thank you, Dr.
Chen.

Axiang, 30~39 year old female. Ask Date: 2021/11/05

Dr. Chen Bochen reply Orthopedics


Hello: This is my personal opinion: Although they are all ophthalmologists, there is a significant difference in the areas of expertise and specialties among them.
I recommend that you consult several ophthalmologists (preferably from a medical center).
Orthopedic surgeons generally have limited knowledge about the eyes and may not be able to address your concerns effectively.

Reply Date: 2021/11/05

More Info


Dear Patient,
Thank you for your inquiry regarding the unusual sounds and sensations you experience when moving your eyes. While I am not an ophthalmologist, I can provide some insights from an orthopedic perspective, as well as general medical knowledge that may help you understand your symptoms better.

From your description, it seems that you experience a sensation of a "flash" and a "pop" sound in your ear when you turn your eyes to the right (and occasionally to the left). This phenomenon can be quite perplexing, especially since you have already consulted with an eye specialist who indicated that there are no apparent issues with your eyes.

The sound you are hearing could potentially be related to several factors:
1. Vitreous Detachment: As you mentioned, the flashes of light could be associated with the vitreous humor (the gel-like substance inside the eye) pulling away from the retina. This is a common occurrence, especially as people age, and can sometimes be accompanied by visual disturbances. While the flashes are typically harmless, they can be alarming.

2. Muscle Movement: The sound you describe as similar to an electrical short could be related to the movement of the extraocular muscles that control eye movement. These muscles are attached to the eye and can create sounds when they contract or relax, especially if there is any tension or strain involved. This is not commonly reported, but it is plausible that the movement of these muscles could create a sound that resonates in the ear.

3. Eustachian Tube Dysfunction: The Eustachian tube connects the middle ear to the back of the nose and helps equalize pressure. If there is any dysfunction or pressure change in this area, it could potentially create sounds that you perceive as coming from your eye movements.
4. Neurological Factors: Sometimes, neurological conditions can lead to unusual sensory experiences. If the sound is accompanied by other symptoms such as dizziness, headaches, or changes in vision, it may warrant further investigation by a neurologist.

5. Tinnitus: The sound you hear could also be a form of tinnitus, which is often described as ringing, buzzing, or other sounds in the ear that are not caused by external noise. Tinnitus can be triggered by various factors, including stress, exposure to loud noises, or even changes in ear pressure.

Given that your eye examination did not reveal any abnormalities, it may be beneficial to consult with an ear, nose, and throat (ENT) specialist or a neurologist to explore the auditory aspect of your symptoms further. They can perform a thorough evaluation to determine if there is an underlying condition that needs to be addressed.

In summary, while the flashes of light may be related to vitreous changes in the eye, the accompanying sound could stem from muscle movement, Eustachian tube dysfunction, or even tinnitus. It is essential to follow up with the appropriate specialists to ensure a comprehensive assessment of your symptoms.

Thank you for reaching out, and I hope this information provides some clarity. Please take care of your health, and do not hesitate to seek further medical advice as needed.

Best regards.

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