Blurred vision due to retinal tears or detachment?
Hello Doctor: I have high myopia, with my left eye approximately 650-700 degrees and my right eye about 850-900 degrees (the measurements vary from different clinics).
I experience floaters and sometimes see flashes of light.
Last Tuesday, June 17, I underwent a dilated eye exam, and the doctor said my retina looked fine.
However, this week, my left eye has been very blurry (the right eye is fine).
I already have dry eye syndrome, but my left eye has been blurry for several days.
I have been applying warm compresses 1-2 times a day and using preservative-free artificial tears (0.5 ml) three times a day, but my left eye remains blurry for several days.
The blurriness is not like a veil covering my vision; rather, it is a significant decrease in clarity.
I would like to ask the doctor: 1.
Can dry eye syndrome cause blurry vision to persist for so many days? 2.
Would retinal deterioration (such as holes or detachments) present with symptoms of blurry vision and difficulty seeing clearly? 3.
I just had my eyes dilated on June 17; if I want to see another doctor for an examination in the next few days, would the short interval and another dilation affect my eyes? 4.
On the day of my exam, I was sensitive to light and rode for half an hour without sunglasses in bright sunlight.
Could prolonged exposure to bright light cause any issues? Thank you, Doctor, for patiently reading my questions!
Yi Mian, 30~39 year old female. Ask Date: 2008/06/26
Dr. Liu Jingxian reply Ophthalmology
Hello, Miss: Based on your described symptoms, you have dry eye syndrome and have recently experienced floaters, occasional flashes of light, and blurred vision in your left eye over the past few days.
According to clinical experience, the blurred vision caused by dry eye syndrome differs from that caused by retinal tears (retinal detachment).
In dry eye syndrome, you can see objects, but the visual quality is inadequate, whereas in the early stages of retinal detachment, vision may be normal, but there are defects in the visual field, leading to vision loss only in the later stages.
If you are still concerned about the possibility of retinal detachment, you can undergo a dilated eye exam, which is generally safe for the eyes.
Regarding riding a bike without sunglasses during the day, although dilation can cause light sensitivity, as long as you are not looking directly at the sun, it should not cause direct harm to your eyes.
Wishing you good health.
Taiwan E-Learning Institute - Ophthalmology, Taipei City Hospital Zhongxing Branch.
Reply Date: 2008/06/26
More Info
Hello! Thank you for sharing your concerns regarding your vision issues, especially considering your history of high myopia and dry eye syndrome. Let's address your questions one by one, while also providing some additional context to help you understand your symptoms better.
1. Can dry eye syndrome cause prolonged blurry vision?
Yes, dry eye syndrome can lead to persistent blurry vision. When the eyes do not produce enough tears or the tears evaporate too quickly, it can result in dryness and irritation. This can cause fluctuations in vision, particularly when focusing on screens or reading for extended periods. If your left eye has been consistently blurry for several days, it could be due to inadequate lubrication, leading to corneal surface irregularities. While artificial tears can help, they may not always provide sufficient relief, especially if the underlying cause of dryness is not addressed.
2. Can retinal deterioration (such as holes or detachment) cause blurry vision?
Yes, retinal issues can manifest as blurry vision. If there are changes in the retina, such as thinning, holes, or detachment, they can lead to significant visual disturbances. Symptoms may include sudden changes in vision, flashes of light, or the appearance of new floaters. However, if your retinal examination on June 17 showed no abnormalities, it is less likely that your current symptoms are due to retinal problems. Nonetheless, if you experience any sudden changes in your vision, it is crucial to seek immediate medical attention.
3. Is it safe to have another dilated eye exam shortly after a previous one?
Generally, it is safe to have another dilated eye exam within a short period, especially if you are experiencing new or worsening symptoms. However, it is essential to inform the new doctor about your recent examination and any medications you have used. The dilation process can temporarily affect your vision and sensitivity to light, but it should not cause any long-term harm to your eyes.
4. Could prolonged exposure to bright sunlight without sunglasses cause any issues?
Yes, prolonged exposure to bright sunlight can potentially harm your eyes, especially after dilation, as your pupils remain larger and allow more light to enter. This can lead to discomfort, increased sensitivity to light, and even temporary vision disturbances. While it is unlikely to cause permanent damage, it is advisable to wear sunglasses that block UV rays when outdoors, particularly after having your eyes dilated.
In summary, your persistent blurry vision in the left eye could be related to your dry eye condition, but it is essential to rule out any retinal issues. If your symptoms do not improve with artificial tears or if they worsen, I recommend following up with an eye care professional for a comprehensive evaluation. They may consider additional treatments for dry eye or further investigate any potential retinal concerns. Remember, maintaining regular eye exams is crucial, especially with your history of high myopia. Take care of your eyes, and don't hesitate to seek help when needed!
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