Concerns About Eye Health After a Fight: What You Need to Know - Ophthalmology

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An altercation that occurred eight or nine years ago?


Hello Doctor: Recently, I read some articles in the newspaper about eye problems, which reminded me of an incident about eight or nine years ago when I got into a fight.
It was quite intense, and my entire face was swollen, possibly including my eyes.
However, I didn't see a doctor at that time, as I didn't have any acute symptoms that prompted me to seek medical attention.
Over the past eight or nine years, I haven't noticed anything unusual with my eyes, except for what seems to be floaters (though I'm not sure when they started; I have myopia of 300 degrees).
When I deliberately observe, I can see two or three very faint, thread-like floaters in my field of vision.
My main concern is that even though I haven't felt anything particularly abnormal over these years, I still worry that the fight might have caused some serious long-term effects.
Is it possible that there is some significant injury that I am unaware of, which could suddenly lead to blindness in the future? I feel like I'm not expressing myself very well! But I would appreciate it if you could help clarify my concerns.
Thank you, and I wish you peace and joy.

Xiao Feng, 20~29 year old female. Ask Date: 2004/09/11

Dr. Hu Yusheng reply Ophthalmology


Hello, Mr.
Hsiao-Feng.
If the eyeball has sustained a non-rupture traumatic impact, it requires long-term monitoring for potential issues, primarily two concerns: one is the development of retinal tears or retinal detachment, and the other is the onset of glaucoma.
Both conditions may manifest several years or even decades later.
While this may sound alarming, you can feel reassured by paying attention to the following points:
1.
Sudden onset of floaters or a significant increase in floaters.
2.
Experiencing flashes of light or lightning-like phenomena.
3.
A decrease in the visual field or blurred vision.
4.
Eye pain or redness and swelling.
If any of these symptoms occur, it is essential to seek medical attention immediately.
Additionally, having an annual eye examination that includes dilated fundus examination and intraocular pressure measurement can help protect your eyes effectively.

Sincerely, Dr.
Yu-Sheng Hu, Ophthalmologist.

Reply Date: 2004/09/11

More Info


It's understandable to have concerns about your eye health, especially after a traumatic event like a fight. While you mentioned that you didn't experience any acute symptoms at the time and have not noticed any significant issues in the years since, it's still important to address your worries regarding potential long-term effects.

Firstly, it's worth noting that the eye is a delicate organ, and trauma can lead to various complications, some of which may not be immediately apparent. In your case, since you experienced facial swelling and potential impact to the eye, there could have been some underlying damage that went unnoticed. However, the absence of symptoms for eight to nine years is a positive sign. Most serious eye injuries typically present symptoms relatively soon after the incident.

The presence of floaters, which you described as thin, light strands in your vision, is common and can occur for various reasons, including age-related changes in the vitreous gel of the eye. While floaters can be annoying, they are often benign. However, if you notice a sudden increase in floaters, flashes of light, or a shadow in your peripheral vision, it is crucial to seek medical attention immediately, as these could be signs of a retinal tear or detachment.

Regarding your concerns about potential long-term effects from the fight, it is unlikely that you would suddenly lose vision years later due to an injury that seemed to have healed without complications. However, it is always wise to be proactive about your eye health. Regular eye examinations can help monitor any changes in your vision and detect issues early on. An eye care professional can perform a comprehensive evaluation, including checking for any signs of retinal damage or other conditions that might have developed over time.

If you have not had an eye exam in a while, I recommend scheduling one. During the exam, you can discuss your history of trauma and any concerns you have about your floaters or other visual disturbances. The eye doctor may perform tests such as a dilated eye exam to get a better look at the retina and vitreous, ensuring everything is healthy.

In summary, while your past injury raises valid concerns, the lack of symptoms over the years is reassuring. Regular check-ups with an eye care professional are essential for maintaining eye health and addressing any worries you may have. If you experience any new symptoms or changes in your vision, do not hesitate to seek immediate medical attention. Taking these steps will help ensure that your eyes remain healthy and that any potential issues are caught early.

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