Post-Car Accident Subarachnoid Hemorrhage: Vision Issues and Surgery Risks - Ophthalmology

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Subarachnoid hemorrhage due to a car accident resulting in re-examination?


I was involved in a car accident on June 17 of this year, which resulted in subarachnoid hemorrhage.
It has been five months, but my vision has not improved.
After being discharged, I have been attending follow-up appointments monthly and have undergone two visual field tests.
The doctor has assessed that surgery is necessary for improvement.
I have right eye diplopia and difficulty seeing below with both eyes.
The doctor advised me to cover one eye to avoid focusing issues, but over time, my left eye's vision has become more blurred.
When I inquired, the doctor mentioned that surgery could restore 80% of normal vision (direct vision), but the blurriness below both eyes may not improve with surgery.
Given my situation, can I apply for disability benefits? Thank you.
Additionally, there are risks associated with the surgery, and I need approval from a neurosurgeon to proceed, starting with the eye surgery.
I apologize for the intrusion and thank you for your assistance.

Mai Xiao Qing, 40~49 year old female. Ask Date: 2023/11/09

Dr. Gao Pilin reply Ophthalmology


Hello: To apply for disability assistance, an assessment of vision or visual field is required.
Please inquire at the organization where you wish to apply for disability assistance about the eligibility criteria and request the necessary documentation to be filled out by an ophthalmologist.
The standards may vary depending on the assistance organization.
After that, you will need to undergo an eye examination and obtain the certification.
As for the risks associated with strabismus surgery, they are very low, as it only involves local anesthesia to adjust the extraocular muscles.
It will not affect your existing vision.

Reply Date: 2023/11/09

More Info


Post-car accident subarachnoid hemorrhage (SAH) can lead to various complications, including vision problems, which you are currently experiencing. Given that you sustained this injury on June 17 and have not seen improvement in your vision after five months, it is understandable that you are concerned about your condition and the potential need for surgery.

Subarachnoid hemorrhage occurs when there is bleeding in the space between the brain and the tissues covering it. This can happen due to trauma, such as a car accident, and can lead to increased intracranial pressure, irritation of the brain, and potential damage to the optic pathways, which may explain your vision issues. The fact that you have undergone two visual field tests and are still experiencing symptoms indicates that your condition requires careful monitoring and possibly intervention.

Regarding your vision problems, the right eye's diplopia (double vision) and the inability to see normally in the lower part of both eyes suggest that there may be issues with the muscles controlling eye movement or with the visual pathways in the brain. The recommendation to cover one eye is a common strategy to manage diplopia temporarily, allowing your brain to adapt to the visual input from one eye at a time. However, if your left eye's vision is deteriorating, this is concerning and warrants further evaluation.

The proposed surgery to address your vision issues carries risks, as with any surgical procedure. However, the fact that your doctor mentioned an 80% chance of normalizing your vision suggests that the potential benefits may outweigh the risks. It's crucial to have a thorough discussion with your neurosurgeon and ophthalmologist about the specific risks associated with the surgery, including the possibility of infection, bleeding, or further complications that could arise from the procedure itself.

As for your question about applying for disability benefits, eligibility for such assistance typically depends on the extent of your visual impairment and how it affects your daily life and ability to work. You should consult with the relevant authorities or organizations that handle disability claims in your area to understand the specific criteria and documentation required. This often includes assessments from medical professionals, including your ophthalmologist, who can provide evidence of your visual impairment.

In summary, while your situation is complex, it is essential to maintain open communication with your healthcare providers regarding your vision issues and the proposed surgical intervention. They can provide you with the best guidance tailored to your specific condition. Additionally, exploring disability benefits may provide you with necessary support as you navigate this challenging time. Always prioritize your health and well-being, and do not hesitate to seek second opinions if you feel uncertain about your treatment options.

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