Eye Discomfort: Symptoms, Diagnosis, and Next Steps

Q: Eye Discomfort: Symptoms, Diagnosis, and Next Steps

Hello： 1. A fundus examination will reveal any issues; if the examination shows no problems, there is no need to worry. 2. Appropriate instruments and methods can also be used to visualize the fundus. 3. If there are concerns, please have a physician perform a

Discomfort in the left eye with a sensation of seeing stars?

I have been experiencing discomfort in my left eye.
Initially, I felt twitching at the outer corner of my left eye along with flashes of white light.
After seeing a doctor, I was diagnosed with floaters, dry eye, and allergies, and was advised to rest more.
However, after resting, my symptoms have not improved.
Recently, I have been feeling a tingling sensation at the outer corner of my left eye, and occasionally, I see flashes of light that resemble "stars" for a few seconds.
I have visited the doctor several times, but they only checked my intraocular pressure, visual acuity, and prescription for glasses.
About three months ago, I had a fundus examination, which showed no issues, but I wasn't dilated beforehand, so I'm unsure of its effectiveness.

I would like to ask the doctor:
1.
Am I right to be concerned that this could be a precursor to retinal detachment? Can intraocular pressure and visual acuity tests determine this condition?
2.
Is a fundus examination useful without dilation?
3.
I am unsure if this is urgent.
When I visit the clinic, what specific tests should I request?

Niming, 20~29 year old female. Ask Date: 2023/01/22

Dr. Gao Pilin reply Ophthalmology

Hello: 1.
A fundus examination will reveal any issues; if the examination shows no problems, there is no need to worry.
2.
Appropriate instruments and methods can also be used to visualize the fundus.
3.
If there are concerns, please have a physician perform a dilated fundus examination.

Reply Date: 2023/01/22

More Info

Understanding eye discomfort can be a complex issue, especially when symptoms persist despite previous medical evaluations. Based on your description, it seems you are experiencing a range of symptoms, including sensations of flickering lights, a feeling of pressure or discomfort in the eye, and a persistent sense of unease. Let's address your concerns systematically.

1. Concerns about Retinal Detachment: You mentioned a fear of retinal detachment. It's important to understand that while symptoms like flashes of light (photopsia) and floaters can be associated with retinal issues, they are not definitive indicators of retinal detachment. Typically, retinal detachment presents with a sudden increase in floaters, a shadow or curtain over your vision, or a sudden loss of vision. While checking intraocular pressure (IOP) and visual acuity are standard practices, they do not directly assess the condition of the retina. A thorough examination by an ophthalmologist, including a dilated fundus examination, is crucial for evaluating the retina's health. If you have persistent symptoms, especially if they worsen, it is advisable to seek immediate medical attention.

2. Effectiveness of Non-Dilated Fundus Examination: A non-dilated fundus examination can provide some information about the retina, but it is limited. Dilation allows the doctor to see a wider view of the retina and can help identify issues that may not be visible otherwise, such as early signs of retinal tears or detachments. If you have concerns about your retinal health, it is essential to request a dilated examination during your next visit.

3. Urgency and Recommended Tests: Given your ongoing symptoms, it is reasonable to express your concerns directly to your healthcare provider. You might want to request specific tests such as Optical Coherence Tomography (OCT), which provides detailed images of the retina and can help identify subtle changes that may not be visible through standard examination methods. Additionally, you could ask for a comprehensive dilated eye exam if it hasn’t been performed recently. If you experience any sudden changes in your vision, such as a significant increase in floaters, flashes of light, or a shadow in your vision, seek immediate medical attention.

In summary, while your symptoms may be related to conditions like dry eye syndrome or allergies, the presence of flashes and the sensation of pressure warrant a thorough evaluation to rule out more serious conditions such as retinal detachment. It’s essential to communicate openly with your eye care provider about your symptoms and concerns, and don’t hesitate to advocate for the tests you feel are necessary for your peace of mind. Regular follow-ups and monitoring are crucial, especially if you have a history of eye issues. Remember, early detection and intervention can significantly improve outcomes in eye health.

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