Could Your Eye Symptoms Indicate Glaucoma? - Ophthalmology

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Is it glaucoma?


I noticed that when riding my bike tonight, I see halos around lights in my right eye (if the light is red, the halo is only red; if it's yellow, the halo is only yellow).
However, when I wear my glasses, everything appears normal.
Could this be glaucoma? My right eye prescription is approximately -4.50.

hen jiao lv, 30~39 year old female. Ask Date: 2023/04/06

Dr. Gao Pilin reply Ophthalmology


Hello: Seeing halos around lights does not necessarily indicate glaucoma.
Halos may occur because the eyes are unable to focus light correctly, which could be due to irregularities in the shape of the eyeball, refractive errors, corneal issues, or lens problems.
Since you mentioned that the halo issue improved after wearing glasses, this may suggest that your halo problem is related to refractive errors rather than glaucoma.
However, it could also be a symptom of other visual issues, so it is advisable to have an examination to clarify the problem.

Reply Date: 2023/04/06

More Info


Your symptoms of seeing colored halos around lights, especially at night, can be concerning, and it's understandable that you're worried about the possibility of glaucoma. However, let's break down your symptoms and the potential causes.

1. Colored Halos and Light Sensitivity: The phenomenon of seeing colored halos around lights, particularly when driving at night, can be attributed to several factors. In your case, since you mentioned that wearing glasses makes everything appear normal, it suggests that your vision correction is playing a significant role in how you perceive light. This could indicate that your current prescription may not be optimal, or it could be related to the type of lenses you are using.
2. Possible Causes:
- Refractive Errors: If your glasses prescription is not accurate, or if you have uncorrected astigmatism, this can lead to visual distortions, including halos and glare. Astigmatism, in particular, can cause light to scatter in different directions, leading to the perception of halos.

- Dry Eyes: Dry eye syndrome can also contribute to visual disturbances. When your eyes are not adequately lubricated, it can affect how light enters the eye, leading to glare and halos.

- Cataracts: Although you are relatively young, cataracts can develop at an earlier age in some individuals, especially those with high myopia. Cataracts can cause light to scatter, resulting in halos around lights.

- Glaucoma: While glaucoma can cause visual disturbances, it typically presents with other symptoms such as peripheral vision loss, eye pain, and headaches. The halos you describe are more commonly associated with other conditions rather than glaucoma itself.

3. Importance of Regular Eye Exams: Since you have a history of myopia (with a prescription of around -4.50), it is crucial to have regular eye examinations. These exams can help monitor your eye health and detect any changes that may indicate the onset of conditions like glaucoma or cataracts.
4. When to Seek Help: If you experience any sudden changes in your vision, such as an increase in the number of floaters, flashes of light, or a significant change in your peripheral vision, it is essential to seek immediate medical attention. These could be signs of retinal issues, which require prompt evaluation.

5. Conclusion: Based on your description, it seems less likely that your symptoms are directly indicative of glaucoma, especially since your glasses help normalize your vision. However, it is essential to continue monitoring your symptoms and maintain regular check-ups with your eye care professional. If your symptoms persist or worsen, do not hesitate to reach out for further evaluation. Your eye health is paramount, and staying proactive about it will help ensure that any potential issues are addressed early on.
In summary, while your symptoms are concerning, they may not necessarily point to glaucoma. Regular eye exams and open communication with your eye care provider will be key in managing your eye health effectively.

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