Blurred vision has not improved?
Hello, Doctor.
Ten days ago, my left eye was normal, but my right eye had blurred vision and was red and painful.
I went to see an ophthalmologist who said the retina was clear and diagnosed me with acute iritis.
I was prescribed atropine 0.5% and a corticosteroid.
After seven days, I returned for a follow-up; my pupil had not constricted and there was no adhesion.
My eye had become whiter and there was no inflammation, but my vision remained blurred.
The doctor advised me to stop using atropine to see what happens.
It has been three days since I stopped using atropine, but my symptoms have not improved.
My right eye sees near objects slightly clearer than far ones, but distant vision is still blurred.
Everything I see with my right eye appears slightly smaller and brighter compared to my left eye.
I researched online and found that using a dilating agent typically causes near vision to be blurred, but in my case, it is the distant vision that is blurred.
Is this normal, or could there be some underlying issue? What should I ask the doctor during my follow-up appointment in four days?
Cheng Xiansheng, 30~39 year old female. Ask Date: 2022/09/23
Dr. Gao Pilin reply Ophthalmology
Hello Mr.
Cheng: It is better to wait until the pupils constrict.
The effects of atropine may last up to a week, so it might take a few more days.
During your follow-up appointment, just inform the doctor about your symptoms, and they will conduct an examination for you.
Reply Date: 2022/09/23
More Info
When experiencing blurry vision, especially after a diagnosis of acute iritis (an inflammation of the iris), it’s crucial to communicate effectively with your eye doctor to understand the underlying issues and potential treatments. Here are some key points to consider and questions to ask during your next appointment.
Understanding Your Symptoms
1. Blurry Vision: You mentioned that your right eye is still blurry even after stopping the use of tropicamide (the dilating agent). Blurry vision can be caused by several factors, including inflammation, changes in the eye's refractive state, or even complications from the initial condition. It’s important to clarify whether the blurriness is due to residual inflammation or if there are other underlying issues.
2. Difference in Vision Between Eyes: You noted that your right eye appears smaller and brighter compared to your left eye. This could be a result of the inflammation affecting the way light enters your eye or how your brain processes the visual information from each eye. It’s essential to ask your doctor if this is a common symptom of iritis or if it indicates a more serious condition.
Questions to Ask Your Eye Doctor
1. Is the Blurriness Expected?: Given that you have stopped using the dilating drops for three days, ask your doctor if it is typical for vision to remain blurry after such treatment. Inquire about the expected timeline for improvement and what signs to look for that might indicate a need for further intervention.
2. Potential Complications: Ask if there are any complications associated with acute iritis that could lead to persistent blurry vision. Understanding the risks involved can help you manage your expectations and prepare for any necessary follow-up treatments.
3. Further Testing: Given your ongoing symptoms, it may be beneficial to ask if additional tests are warranted. This could include a more detailed examination of the retina, cornea, or other structures of the eye to rule out any other conditions that might be contributing to your blurry vision.
4. Treatment Options: Inquire about alternative treatments if your symptoms do not improve. Are there other medications or therapies that could help reduce inflammation or improve your vision? Understanding your options can empower you to make informed decisions about your care.
5. Long-term Management: Since you have a history of eye issues, ask about long-term management strategies for your eye health. What lifestyle changes or preventive measures can you take to minimize the risk of future episodes of iritis or other eye conditions?
6. When to Seek Immediate Care: Lastly, it’s important to know when to seek immediate medical attention. Ask your doctor what symptoms would warrant an urgent visit, such as increased pain, significant changes in vision, or new symptoms like flashes of light or floaters.
Additional Considerations
- Follow-Up Appointments: Ensure you understand the importance of follow-up appointments. Regular monitoring is crucial for conditions like iritis, as they can lead to complications if not managed properly.
- Visual Changes: Keep a diary of your symptoms, noting any changes in your vision, pain levels, or other relevant factors. This information can be invaluable for your doctor in assessing your condition.
- Mental Health: Dealing with vision problems can be stressful and anxiety-inducing. If you find yourself feeling overwhelmed, consider discussing your mental health with your doctor or seeking support from a mental health professional.
In summary, clear communication with your eye doctor is essential for understanding and managing your symptoms. By asking the right questions and being proactive about your eye health, you can work together to find the best path forward for your vision and overall well-being.
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