Ear and Eye Symptoms: Seeking Guidance from an ENT Specialist - Otolaryngology

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Dear Dr.
Cheng,
I am unsure which medical specialty my question pertains to.
If it is not within your area of expertise, I kindly ask for your guidance on which specialty I should consult.
Here is my concern: when I turn my eyes to the right (and occasionally to the left), I see flashes of light and hear a "pop" sound in my ear, similar to the sound of an electrical short circuit.
I have already visited an ophthalmologist, who found no abnormalities in my eyes.
The doctor mentioned that the flashes could be related to the vitreous pulling on the retina, but they could not determine the cause of the "pop" sound.
They speculated that it might be due to friction between the eye muscles and facial muscles, but this was merely a guess.

Could you please provide your insights on what might be causing this sound? Is it indeed due to the friction between facial muscles, or could there be another underlying reason? Thank you for your assistance, Dr.
Cheng.

A-Xiang, 30~39 year old female. Ask Date: 2021/11/05

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there are no obvious abnormalities in the eyes, it is recommended to visit a neurologist for evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/11/05

More Info


Hello, thank you for reaching out with your concerns regarding the unusual symptoms you are experiencing with your eyes and ears. Based on your description, it appears that you are dealing with a complex interplay of ocular and auditory symptoms that may require a multidisciplinary approach for proper diagnosis and treatment.

The phenomenon of seeing flashes of light when moving your eyes, particularly when looking to the side, can be associated with a condition known as "posterior vitreous detachment" (PVD). This occurs when the vitreous gel that fills the eye begins to shrink and pull away from the retina. While this is often a benign condition, it can sometimes lead to more serious issues, such as retinal tears or detachments, which can cause significant vision problems. It is crucial that you continue to monitor this symptom with your eye care professional, especially if you notice an increase in the frequency or intensity of the flashes.

The "pop" sound you describe hearing in your ear when moving your eyes could potentially be linked to several factors. One possibility is that it relates to the Eustachian tube, which connects the middle ear to the back of the throat. Changes in head position can sometimes cause the Eustachian tube to open or close, leading to a popping sound. This is often harmless and can occur due to pressure changes in the ear.

Another consideration is the interaction between the muscles around the eyes and those in the face. The muscles that control eye movement are closely related to the facial muscles, and any tension or strain in these areas could potentially create unusual sounds or sensations. This could be exacerbated by stress, fatigue, or even underlying muscle tension.

Given the complexity of your symptoms, it may be beneficial to consult with an Ear, Nose, and Throat (ENT) specialist, as they can provide a comprehensive evaluation of your auditory symptoms and their potential relationship to your eye movements. Additionally, a neurologist may also be helpful in ruling out any neurological conditions that could be contributing to your symptoms.

In summary, while your symptoms may seem interconnected, they could stem from different underlying causes. It is essential to pursue further evaluation with specialists who can conduct appropriate tests, such as imaging studies or auditory assessments, to determine the root cause of your symptoms.
In the meantime, consider keeping a symptom diary to track when these occurrences happen, their duration, and any associated activities or stressors. This information can be invaluable for your healthcare providers in diagnosing and managing your condition effectively.
Thank you for sharing your experience, and I hope you find the answers and relief you seek soon. Please do not hesitate to reach out for further assistance or clarification on your health journey.

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