Concerns After Eye Examination: Oscillopsia and Eye Safety - Ophthalmology

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Eye Consultation Inquiry


Dear Dr.
He,
Hello.
Yesterday (March 22), I went to the ophthalmology department for a dilated fundus examination.
During the instillation of the dilating drops, the nurse accidentally touched my right eyeball with a cotton swab (long cotton stick).
Although the subsequent fundus examination showed that my eyes are normal and I currently have no significant discomfort in my right eye, I am still a bit worried.
I would like to ask Dr.
He the following questions:
1) The nurse accidentally touched my right eyeball with a cotton swab, and the fundus examination confirmed that my eyes are normal and I currently have no unusual symptoms.
In your opinion, does this indicate that my right eyeball has not been injured?
2) After the instillation of the dilating drops yesterday, I experienced oscillopsia, which is the sensation that stationary objects are moving.
Today, I occasionally see this oscillation, but I have not experienced this before.
Could you please explain why I am experiencing oscillopsia? Is it related to the dilating drops, the cotton swab touching my eye, or could it be due to other factors (such as eye strain, migraines, etc.)?
3) Following up on the above, I have occasionally experienced oscillopsia over the past two days.
What would you recommend I do? Should I continue to observe or seek medical attention immediately?
Thank you, Dr.
He.

Kris, 40~49 year old female. Ask Date: 2024/03/23

Dr. He Jianxian reply Ophthalmology


Hello Mr.
Kris:
1.
If the cotton swab caused any injury, you would likely feel significant discomfort.
Since you have not experienced any discomfort, it is unlikely that your eye has sustained any serious damage.

2 & 3.
Generally, neither dilation nor a cotton swab injury would cause the visual disturbances you mentioned.
I recommend that you continue to monitor your condition, and if there is no improvement, consider seeking medical attention.

Director He Jianxian, Ophthalmology, Nantou Hospital

Reply Date: 2024/03/23

More Info


Hello! Thank you for reaching out with your concerns regarding your recent eye examination and the subsequent symptoms you are experiencing. It's understandable to feel anxious after an incident involving your eyes, especially when it involves potential trauma or unusual visual disturbances. Let's address your questions one by one.

1. Cotton Swab Incident: The fact that your eye examination showed no abnormalities and that you currently do not have any noticeable discomfort is a positive sign. While it is always concerning when something comes into contact with the eye, the eye is quite resilient. If the examination did not reveal any damage, it is likely that your eye was not harmed by the cotton swab. However, if you experience any new symptoms such as pain, redness, or changes in vision, it would be prudent to follow up with your eye care provider.

2. Oscillopsia: The phenomenon you are experiencing, known as oscillopsia, can be quite disconcerting. It is characterized by the perception that stationary objects are moving or oscillating. This can occur for various reasons, including the effects of the dilating drops used during your examination. These drops can temporarily affect your vision and may lead to visual disturbances, especially if your eyes are still adjusting after dilation. Additionally, if you have a history of migraines or have been experiencing eye strain, these factors could also contribute to oscillopsia. It is essential to consider that stress or anxiety about the incident may also heighten your awareness of any visual changes.

3. Management of Oscillopsia: For the time being, it would be wise to monitor your symptoms. If the oscillopsia persists or worsens, or if you develop additional symptoms such as headaches, dizziness, or visual changes, you should seek medical attention. In the meantime, ensure you are taking regular breaks from screens and giving your eyes a chance to rest, especially if you have been using them extensively. Staying hydrated and managing stress levels can also be beneficial. If you have a history of migraines or other neurological symptoms, it may be worth discussing these with your healthcare provider to rule out any underlying issues.

In summary, while the initial examination seems reassuring, it is essential to remain vigilant about any changes in your symptoms. If you have any doubts or if your symptoms do not improve, do not hesitate to reach out to your eye care professional for further evaluation. They can provide you with the most accurate advice tailored to your specific situation. Remember, your eye health is paramount, and it’s always better to err on the side of caution when it comes to potential eye injuries or unusual visual symptoms. Take care!

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