Eye Issues: Vision Problems and Post-Vaccine Symptoms - Ophthalmology

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Eye problems


Hello Doctor, I have a few questions I would like to ask.

1.
I do not wear glasses, but I have hyperopia and astigmatism in my left eye, which has resulted in amblyopia (my vision test shows 0.1, making it difficult to see clearly).
My right eye has a vision of 1.0, but the clinic doctor mentioned that I have myopia.
Do I need to wear glasses?
2.
Last week (on January 18), I received the third dose of the BNT vaccine, and a few days later, I started feeling a tight sensation in both temples and between my eyebrows (this happened a few months ago as well, during which my vision also felt strange, but it went away after a few weeks).
Recently, I have been experiencing a peculiar reflective sensation when looking at things, which is hard to describe (similar to the reflection on the surface of water), especially in dim environments or when looking at black objects.
Even when I close my eyes, it feels like there is a reflective sensation in front of me, although it is dark.
However, I do not have symptoms such as floaters, flashlight-like spots, blurred vision, or double vision.
Yesterday, I visited the clinic, and the doctor said it was eye fatigue and prescribed eye drops (B12 and treatment for eye redness).
I would like to ask if this situation could be a psychological effect.
Thank you, Doctor, for taking the time to respond.

Mr. Lin, 30~39 year old female. Ask Date: 2022/01/30

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Lin: I cannot determine whether this is a psychological effect or some other reason.
Let's follow the doctor's advice for treatment and see if it improves in a few days.
If there is no improvement, we can seek further medical evaluation.

Reply Date: 2022/01/30

More Info


Hello! Thank you for your detailed questions regarding your eye health and the symptoms you are experiencing. Let's break down your concerns and address them one by one.

1. Need for Glasses: Given that you have amblyopia (lazy eye) in your left eye due to hyperopia (farsightedness) and astigmatism, and your right eye has a vision of 1.0 but is noted to have myopia (nearsightedness), it is advisable to consider corrective lenses. Even if your right eye has good vision, wearing glasses can help balance the visual input from both eyes, especially since your left eye is not functioning optimally. Corrective lenses can improve your overall visual acuity and reduce eye strain, particularly during tasks that require prolonged focus, such as reading or using a computer.

2. Post-Vaccine Symptoms: The tight feeling around your temples and brow area following your recent BNT vaccine dose could be attributed to several factors, including tension headaches or eye strain, particularly if you have been using screens extensively. The sensation of seeing reflections or glare, especially in dim lighting, could be a result of visual fatigue or sensitivity, which is not uncommon after vaccination due to the body's immune response. While these symptoms can be distressing, they are often temporary and may resolve as your body adjusts.

3. Psychological Factors: It’s understandable to wonder if your symptoms are psychological, especially when they seem to fluctuate. However, given that you have a history of eye strain and fatigue, it is more likely that your symptoms are related to physical factors rather than purely psychological ones. Eye fatigue can manifest as discomfort, visual disturbances, and even tension in the surrounding muscles. It’s important to take regular breaks when using screens and to practice good eye hygiene, such as the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

4. Eye Drops: The eye drops prescribed to you (B12 and those for treating eye redness) are likely intended to alleviate symptoms of dryness and fatigue. Artificial tears can help lubricate your eyes and provide relief from dryness, while drops for redness may reduce irritation. It’s important to follow your doctor’s recommendations regarding which drops to use and when. If you find that one type of drop is not providing relief, you can discuss this with your healthcare provider for further guidance.

5. Visual Disturbances: The reflective sensation you describe, particularly in low-light conditions, may be linked to your eye's adaptation to light and could also be a sign of visual fatigue. If you notice that these symptoms persist or worsen, it would be wise to consult with an eye care professional for a comprehensive examination. They can assess for any underlying conditions that may need to be addressed.

In summary, it is essential to monitor your symptoms and maintain regular check-ups with your eye care provider. If you experience any significant changes in your vision or if your symptoms do not improve, seeking further evaluation is crucial. Remember to take care of your eyes by managing screen time, using prescribed eye drops, and considering corrective lenses to enhance your visual comfort. Thank you for your questions, and I hope this information helps you navigate your eye health concerns!

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