Is Light Sensitivity a Sign of Retinal Detachment or Recovery?

Q: Is Light Sensitivity a Sign of Retinal Detachment or Recovery?

Hello： Based on your description, you may be experiencing some changes in your eyes, but it is unclear whether these symptoms are related to retinal detachment. <br>Retinal detachment typically presents with symptoms such as floaters and flashes, but not all patients exhibit thes

It is difficult to determine whether the photophobia is improving or if there is a risk of retinal detachment?

Hello, doctor.
My eyes only feel strange in terms of color when I look out, and I don't have symptoms like an increase in floaters.
Could this be a precursor to retinal detachment? Is dilation necessary for retinal detachment examinations? I have suspected dry eye and entropion, which has caused light sensitivity (I had surgery last year to repair a corneal abrasion by suturing my lower eyelid down).
However, since I still need to work and look at the computer, I have been using a yellow-tinted night mode on my screen, and I also lower the brightness on my phone by two degrees; otherwise, it feels too bright and uncomfortable.
This situation has persisted for three to four months.
I have visited different clinics, and in the past two weeks, I experienced eye twitching and flashes of white light, so I went to a large hospital for a dilated eye exam.
The results indicated that my entropion is more severe and that the muscles around my face are tense, but there are no issues with the fundus.

In the last couple of days, I have had a fever due to gastritis, so I have been lying in bed and sleeping.
However, when I wake up and look out, the colors seem strange...
it feels like my vision has a yellow tint? I feel like the lighting at home isn't as bright anymore, and I can look at my phone screen without using night mode, even increasing the brightness a bit, otherwise, it feels too dark.
However, when I go outside, the colors don't seem too strange, or sometimes when I get up at night with a fever and turn on the light, the colors appear normal; it's not always uncomfortable when I look out.
I'm not sure if my light sensitivity has lessened because I've been resting for two days, so I can adapt without needing such low light, or if there might be some other issue.
I'm uncertain how to determine if my vision is normal.
It doesn't seem right to go to the clinic for a dilated exam every time I feel uncomfortable...

Kohaku, 20~29 year old female. Ask Date: 2023/04/09

Dr. Gao Pilin reply Ophthalmology

Hello: Based on your description, you may be experiencing some changes in your eyes, but it is unclear whether these symptoms are related to retinal detachment.
Retinal detachment typically presents with symptoms such as floaters and flashes, but not all patients exhibit these symptoms.
If you have concerns, it is advisable to seek medical attention promptly for a professional examination of your eyes.
Regarding whether dilation is necessary to check for retinal detachment, doctors usually recommend dilated fundus examination, as it allows for a better assessment of the retina, especially for patients with myopia, hypertension, or diabetes.
It is recommended that you seek medical care as soon as possible to obtain professional advice and recommendations regarding your current symptoms.
If you have concerns or questions, you should ask your physician to conduct a thorough examination and diagnosis of your condition.
Additionally, to maintain good vision and eye health, it is advisable to have regular eye examinations, particularly for those who spend long hours using computers, smartphones, and other digital devices.
It is possible that after a few days of rest, your eyes have received adequate relaxation, which may have improved your photophobia symptoms.
However, other issues still need to be evaluated.

Reply Date: 2023/04/09

More Info

Light sensitivity, or photophobia, can indeed be a complex symptom that may arise from various underlying conditions, including retinal issues. In your case, it seems that you have been experiencing a range of visual disturbances, including light sensitivity, altered color perception, and discomfort when exposed to bright lights. These symptoms can be distressing and warrant careful consideration.

Firstly, it’s important to understand that light sensitivity can be caused by several factors. In your situation, you mentioned a history of dry eyes and entropion (inward-turning eyelashes), which can contribute significantly to discomfort and sensitivity to light. When the cornea is compromised, as in your case with a previous corneal abrasion, it can lead to heightened sensitivity to light due to irritation and inflammation. This could explain why you feel more comfortable in dim lighting and prefer using night mode on screens.

Regarding your concerns about retinal detachment, it’s crucial to note that while light sensitivity can be a symptom of retinal issues, it is not exclusively indicative of retinal detachment. Typical symptoms of retinal detachment include an increase in floaters, flashes of light, and a shadow or curtain effect over your vision. Since you have not reported an increase in floaters or flashes, it may be less likely that you are experiencing retinal detachment at this time. However, any change in vision, especially if it is accompanied by discomfort or altered color perception, should be evaluated by an eye care professional.

As for the necessity of dilation during a retinal examination, it is often recommended because it allows the doctor to get a better view of the retina and optic nerve. Dilation can help identify issues that may not be visible without it, such as retinal tears or detachments. However, if you have had recent examinations that did not reveal any significant issues, your doctor may decide that dilation is not necessary for every visit, especially if your symptoms are primarily related to surface issues like dry eyes or eyelash problems.

The changes in your color perception, such as seeing things as more yellow, could be related to several factors. It might be a temporary effect due to your recent illness and fever, which can affect how your brain processes visual information. Additionally, fatigue and prolonged rest can sometimes lead to temporary changes in visual perception.
In conclusion, while light sensitivity can be associated with retinal issues, it is essential to consider the broader context of your symptoms. Given your history of dry eyes and eyelash problems, it is plausible that these are contributing to your discomfort. However, any persistent or worsening symptoms should prompt a visit to your eye care provider for a thorough examination, including dilation if deemed necessary. Regular follow-ups are crucial, especially since you have a history of eye issues. If you notice any new symptoms, such as an increase in floaters or flashes, or if your visual discomfort worsens, seek immediate medical attention. Your eye health is paramount, and staying proactive about your symptoms will help ensure the best outcomes.

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