Eye Injury from Phone Accident: Symptoms and When to Seek Help - Ophthalmology

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The phone accidentally hit my left eye?


A month and a half ago, while lying down and using my phone, I accidentally dropped it, causing the phone to hit my left eye.
The distance was about 15 centimeters, and since I didn't have any vision problems at the time, I didn't seek medical attention.
There were just some blood vessels in the corner of my left eye.
After that, I experienced intermittent pain in the corner of my left eye, feeling like there was pressure inside, which would relieve itself after a few minutes.
I already have floaters (it looks like I'm viewing through a microscope) and occasionally see white flashes (lasting a few seconds and in random directions).
However, in the past two weeks, I noticed that the left eye symptoms seemed to worsen.
A week ago, I visited an ophthalmology clinic for a basic examination and indirect fundoscopy.
The doctor said there were no issues and that it was just typical floaters, but both eyes had slightly elevated intraocular pressure (22 and 23).
I recall that my pressure was about the same before the injury, and my corneal thickness was around 610 and 620 micrometers, which might be normal for me.
The doctor prescribed eye drops for protection, but the pain in my left eye persists, and I frequently see flashes, which frightens me.
I feel anxious every day and would like to know how long I should wait before seeking medical attention again if my condition does not improve.
Additionally, I discovered yesterday that when I turn off the lights to dilate my pupils, my left pupil is larger.
When the lights are on and my pupils constrict, they are about the same size.
Is this normal? I’m not sure if it has always been this way or if it’s due to the injury, and I’m worried about any potential effects.
I'm only 18 years old and don’t want to go blind.

Niming, 10~19 year old female. Ask Date: 2024/04/05

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, you experienced pain in the corner of your left eye, floaters, and flashes after your phone hit your eye, along with elevated intraocular pressure.
Since the physician indicated there were no issues during your first visit, you can feel somewhat reassured.
However, it is advisable to seek medical attention again under the following circumstances: * If the pain in your left eye worsens, or if the floaters and flashes intensify.
* If you experience a decrease in vision or blurriness.
* If you notice any visual field defects or dark spots in your vision.
Additionally, you mentioned that the pupil of your left eye is larger in the dark and similar in size to the right eye's pupil when the lights are on.
This may be due to damage to the pupillary sphincter muscle from the impact, preventing it from constricting properly.
It is recommended that you have an ophthalmologist examine this issue during your next visit.

Reply Date: 2024/04/05

More Info


In your situation, it is crucial to take your symptoms seriously, especially after experiencing an eye injury from a phone. The symptoms you describe—persistent pain, flashes of light, and the sensation of pressure in your left eye—are concerning and warrant further evaluation.
Firstly, it's important to understand that eye injuries can lead to various complications, even if they seem minor at first. The fact that you experienced a direct impact to your eye, even from a distance of 15 centimeters, can potentially cause damage to the eye structures, including the cornea, retina, or even the optic nerve. The presence of blood vessels in the eye (as indicated by the bloodshot appearance) suggests that there was some trauma, and the ongoing pain and visual disturbances you are experiencing could be signs of a more serious condition.

You mentioned that you have a history of floaters and occasional flashes of light, which can be benign in many cases. However, the increase in frequency and intensity of these symptoms following your injury is concerning. Flashes of light, particularly, can indicate retinal issues, such as a tear or detachment, which can lead to vision loss if not treated promptly.
Regarding your question about when to seek further medical attention, you should definitely return to an eye care professional if you experience any of the following:
1. Increased Pain: If the pain in your left eye worsens or becomes constant.

2. Changes in Vision: Any new blurriness, loss of vision, or dark spots in your field of vision.

3. Increased Frequency of Flashes or Floaters: If you notice more frequent flashes of light or a sudden increase in floaters.

4. Pupil Size Discrepancy: The observation that your left pupil is larger in low light and equalizes in bright light could indicate a problem with the muscles controlling the pupil or nerve damage. This is not typical and should be evaluated by a specialist.

In terms of your eye pressure readings (22 and 23 mmHg), while these are slightly elevated, they are not alarmingly high. However, if you have a family history of glaucoma or other risk factors, monitoring your eye pressure regularly is essential.

The use of eye drops prescribed by your doctor is a good step, but if your symptoms persist or worsen, do not hesitate to seek a second opinion or further testing, such as a comprehensive eye exam or imaging studies like an OCT (Optical Coherence Tomography) or even an ultrasound of the eye to rule out any serious conditions.

In summary, while your initial examination did not reveal any immediate concerns, the persistence of your symptoms, particularly the pain and visual disturbances, necessitates further evaluation. Eye health is critical, and being proactive about any changes or concerns is the best approach to prevent potential complications. Always prioritize your vision and seek help when in doubt.

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