Visual Disturbances: When to Seek Eye Care - Ophthalmology

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Strange!


Two days ago, I went to the ophthalmologist for a vision check.
Over the past two days, I've been experiencing overlapping halos of colored light when looking at things, and these lights seem to move around...
sometimes resembling lightning passing in front of my eyes.
Additionally, when reading, I feel a sharp pain when light from the book enters my eyes, which I don't recall experiencing before.
This issue wasn't as pronounced before my visit to the ophthalmologist.
What could these symptoms indicate? Should I see a doctor again?

Youxin Girl, 10~19 year old female. Ask Date: 2006/07/09

Dr. Ke Meilan reply Ophthalmology


Hello: If you have floaters along with photophobia and increased diffraction, you might consider wearing darker glasses to avoid excessive light exposure.
Floaters are related to vitreous degeneration and are associated with myopia.
Sincerely, Dr.
Komeilan, Ophthalmology.

Reply Date: 2006/07/09

More Info


It sounds like you are experiencing some concerning visual disturbances, and it's important to address these symptoms promptly. The symptoms you describe—seeing overlapping colored lights, flashes resembling lightning, and experiencing pain when light hits your eyes—could be indicative of several underlying issues that warrant further evaluation by an eye care professional.

Firstly, the presence of overlapping colored lights and flashes can be associated with a condition known as visual aura, which is often linked to migraines. However, it can also be a sign of more serious conditions such as retinal detachment or vitreous detachment. These conditions occur when the vitreous gel inside the eye begins to pull away from the retina, which can lead to visual disturbances and, in some cases, vision loss if not treated promptly.

The pain you experience when light hits your eyes, especially after using atropine, could be due to increased sensitivity to light (photophobia). Atropine is a medication that dilates the pupils and can temporarily alter how your eyes respond to light. If you are experiencing discomfort that is new or worsening, it is crucial to discuss this with your eye doctor. They may need to adjust your treatment or investigate further to ensure that there are no complications from the atropine or other underlying issues.

Given your symptoms, I strongly recommend that you seek further evaluation from an eye care professional as soon as possible. It is essential to rule out any serious conditions, especially if you notice a sudden change in your vision or if the symptoms persist. An eye examination can help determine the cause of your symptoms and guide appropriate treatment.

In the meantime, here are a few tips to help manage your symptoms:
1. Limit Bright Light Exposure: If you find that bright lights exacerbate your symptoms, try to avoid direct sunlight or harsh indoor lighting. Wearing sunglasses outdoors can help reduce glare and discomfort.

2. Take Breaks from Screens: If you are using a computer or reading for extended periods, make sure to take regular breaks. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

3. Stay Hydrated: Dehydration can sometimes exacerbate visual disturbances, so ensure you are drinking enough water throughout the day.

4. Document Your Symptoms: Keep a record of when your symptoms occur, their duration, and any potential triggers. This information can be valuable for your eye care provider.

5. Avoid Self-Medicating: Do not attempt to adjust your medication or treatment without consulting your doctor. If you suspect that atropine is causing your symptoms, discuss this with your eye care provider.

In conclusion, while some visual disturbances can be benign, the combination of symptoms you are experiencing warrants a thorough examination. Prompt attention to your eye health is crucial, especially if you notice any changes in your vision. Please make an appointment with your eye doctor as soon as possible to ensure that you receive the appropriate care and treatment. Your vision is precious, and taking proactive steps can help protect it.

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