Blurry Vision: Common Causes and When to Seek Help - Ophthalmology

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Sometimes vision is blurry?


Hello doctor, a couple of days ago I felt a bit uncomfortable with my eyes and went to see a doctor.
The doctor diagnosed me with conjunctivitis and prescribed some Tobramycin eye drops and Refresh Plus.
Sometimes I feel like there's something in my eye, and I occasionally notice that it's an eyelash or some discharge from my eye, which causes my vision to become slightly blurry.
However, after using these two eye medications for the past two days, I’ve noticed that the blurriness in my right eye has increased (the eye drops were used in both eyes), and I suddenly feel a bit of fogginess, but it clears up after I blink.
I would like to know if this is normal and if I need to undergo any further examinations.

Niming, 20~29 year old female. Ask Date: 2024/05/08

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, you are currently using Terbinafine eye drops and Refresh Plus to treat conjunctivitis.
During the treatment, you experienced blurred vision in your right eye, but it returned to normal after blinking.
Here are a few steps you can take: 1.
Continue to monitor: Keep using the eye medications and observe the response of your right eye.
If the episodes of blurred vision gradually decrease, it may be a transitional reaction during the treatment.
2.
Maintain cleanliness: Ensure that the area around your eyes and your eyelashes are clean to avoid foreign objects or secretions entering your eyes, which can reduce the sensation of foreign body presence.
3.
Follow medical advice: Continue to use the eye medications as directed by your physician and be aware of any allergic reactions or discomfort.
4.
Consult your physician: If the blurred vision persists or you feel anxious, it is advisable to return for an eye examination.
The doctor may conduct further assessments to confirm whether the use of the eye medications is appropriate or if other treatment options are needed.
I hope these suggestions help you resolve the issue.
If you have any further concerns or if symptoms worsen, please make sure to return for an eye examination.

Reply Date: 2024/05/08

More Info


Blurry vision can be a concerning symptom, and understanding its common causes is essential for determining when to seek medical help. In your case, it seems that you have been diagnosed with conjunctivitis (commonly known as pink eye), which can lead to various visual disturbances, including blurry vision. The medications prescribed, such as antibiotic eye drops, are typically effective in treating this condition, but it’s important to monitor your symptoms closely.


Common Causes of Blurry Vision
1. Refractive Errors: Conditions like myopia (nearsightedness), hyperopia (farsightedness), and astigmatism can cause blurry vision. These are often corrected with glasses or contact lenses.

2. Dry Eyes: Insufficient tear production can lead to dryness and irritation, causing temporary blurriness. This can be exacerbated by environmental factors or prolonged screen time.

3. Infections: As in your case, conjunctivitis can cause blurry vision due to inflammation and discharge. Other infections, such as keratitis (inflammation of the cornea), can also lead to similar symptoms.

4. Cataracts: This age-related condition leads to clouding of the lens, resulting in progressively blurry vision. It is more common in older adults but can occur in younger individuals due to other factors.

5. Glaucoma: Increased intraocular pressure can damage the optic nerve, leading to vision changes, including blurriness. Regular eye exams are crucial for early detection.

6. Retinal Issues: Conditions such as retinal detachment or macular degeneration can cause sudden or gradual blurry vision. These are serious conditions that require immediate medical attention.

7. Neurological Issues: Blurry vision can sometimes be a sign of neurological problems, including migraines or more serious conditions like multiple sclerosis.


When to Seek Help
Given your recent diagnosis of conjunctivitis and the use of prescribed eye drops, experiencing occasional blurry vision can be a normal part of the healing process. However, you should seek further evaluation if:
- The blurry vision persists or worsens despite treatment.

- You experience additional symptoms such as severe pain, light sensitivity, or significant changes in vision.

- There is an increase in discharge or redness in the eye.

- You notice any new symptoms, such as flashes of light or floaters.


Recommendations
1. Follow-Up with Your Eye Care Provider: If the blurry vision continues or worsens, it’s important to return to your eye doctor for a thorough examination. They may perform tests to assess your tear production, check for corneal abrasions, or evaluate the overall health of your eyes.

2. Maintain Eye Hygiene: Ensure that you are keeping your eyes clean and free from irritants. Avoid rubbing your eyes, as this can exacerbate irritation and lead to further complications.

3. Use Artificial Tears: If dry eyes are contributing to your symptoms, using preservative-free artificial tears can help lubricate your eyes and reduce discomfort.

4. Monitor Symptoms: Keep a diary of your symptoms, noting when the blurry vision occurs and any associated activities or environmental factors. This information can be helpful for your eye care provider.

5. Limit Screen Time: If you spend long hours in front of screens, take regular breaks to reduce eye strain. The 20-20-20 rule is a good practice: every 20 minutes, look at something 20 feet away for at least 20 seconds.

In conclusion, while experiencing blurry vision after starting treatment for conjunctivitis can be common, it’s essential to monitor your symptoms and seek further evaluation if necessary. Regular eye exams and maintaining good eye hygiene are key components in preserving your vision and overall eye health.

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