Left eye
Hello, doctor! I am a 21-year-old female.
Last Friday, I suddenly saw only a white blur in my left eye (my right eye is fine).
I haven't experienced any trauma or anything like that.
After going to the hospital for a check-up, I noticed that the blood vessels in my left eye are much thicker than those in my right eye.
The doctor tested my blood, and everything came back normal.
He mentioned that there is a slight 'blockage' in the blood vessels of my left eye.
He said that if it completely blocks, I could go blind.
He advised that ophthalmology cannot help me and suggested I see an internist to explore possible solutions.
I am very scared.
Is there really no way to treat this? Can laser treatment or medication help to clear the blockage? Also, I don't understand why this is happening to me.
Is there anything I should avoid doing? My vision has returned to normal now.
What can I do to prevent the situation from worsening? Thank you for your time.
I will patiently wait for your response.
misato, 20~29 year old female. Ask Date: 2009/06/03
Dr. Gao Pilin reply Ophthalmology
Hello: Based on your symptoms, it is possible that you are experiencing amaurosis fugax.
Amaurosis fugax refers to a temporary loss of vision in one or both eyes, which can last from a few seconds to several minutes, or even hours.
When experiencing amaurosis fugax, it is crucial to document the duration of the vision loss.
If it lasts only a few seconds, it may be caused by optic nerve edema or other ocular conditions.
However, if the duration is longer, it often indicates underlying cardiovascular or hematologic issues.
Unilateral amaurosis fugax is typically caused by thrombosis, unilateral internal carotid artery occlusion, vascular spasm, or inflammation, while bilateral amaurosis fugax is more commonly associated with severe atherosclerosis of the aorta or bilateral internal carotid arteries.
Generally, the occurrence of amaurosis fugax can be a precursor to a stroke; therefore, anyone experiencing this symptom should undergo a comprehensive medical evaluation.
If the issue is related to common arterial occlusion or thrombosis, further cardiovascular surgical intervention may be necessary.
It is important to rule out problems outside of the eyes, so a visit to an internal medicine specialist is recommended.
Reply Date: 2009/06/03
More Info
Hello! Thank you for reaching out with your concerns regarding your eye health. It sounds like you are experiencing a significant issue with your left eye, particularly with the sudden appearance of a white area and the observation of vascular changes. I understand that this can be quite alarming, especially at a young age. Let’s break down your situation and discuss potential next steps.
From your description, it seems that you have experienced a sudden change in vision, specifically seeing a white area in your left eye, which was accompanied by the observation of thicker blood vessels compared to your right eye. The doctor mentioned a possible vascular blockage in your left eye, which can indeed be concerning. Vascular issues in the eye can lead to various complications, including vision loss if not addressed properly.
Understanding Eye Vascular Issues
1. Vascular Blockage: The term "blockage" in the context of eye health often refers to a condition known as retinal vein occlusion or retinal artery occlusion. These conditions occur when blood flow is obstructed in the retinal veins or arteries, leading to potential damage to the retina. Symptoms can include sudden vision loss, blurred vision, or seeing spots or flashes of light.
2. Causes: The causes of these vascular issues can vary widely. They may include underlying health conditions such as hypertension, diabetes, or high cholesterol, which can affect blood vessel health. Other factors may include blood clotting disorders or even lifestyle factors such as smoking or lack of physical activity.
3. Treatment Options: While it may seem daunting, there are treatment options available for vascular issues in the eye. These can include:
- Laser Therapy: This can help to reduce swelling and improve blood flow in some cases.
- Injections: Medications can be injected into the eye to help reduce inflammation or improve blood flow.
- Surgery: In more severe cases, surgical options may be considered to restore blood flow or repair damage.
4. Referral to Internal Medicine: Your doctor’s recommendation to see an internal medicine specialist is crucial. They can help identify any underlying systemic issues that may be contributing to your eye condition. This may involve blood tests, imaging studies, or other diagnostic procedures to assess your overall vascular health.
What You Can Do
1. Follow-Up Care: It’s essential to follow up with your healthcare provider as recommended. Regular monitoring of your eye condition and overall health is vital.
2. Lifestyle Modifications: Consider adopting a healthier lifestyle. This includes a balanced diet rich in fruits and vegetables, regular exercise, maintaining a healthy weight, and avoiding smoking. These changes can significantly impact your vascular health.
3. Monitor Symptoms: Keep track of any changes in your vision or any new symptoms that may arise. If you notice any sudden changes, such as increased blurriness or loss of vision, seek immediate medical attention.
4. Stay Informed: Educate yourself about your condition. Understanding the nature of your eye health can empower you to make informed decisions regarding your treatment and lifestyle.
5. Manage Stress: Stress can have a negative impact on your overall health. Consider stress management techniques such as mindfulness, yoga, or meditation.
Conclusion
While it can be frightening to hear about potential vascular issues in your eye, it’s important to remember that there are treatment options available, and many people successfully manage these conditions. By working closely with your healthcare providers and making proactive lifestyle choices, you can help protect your vision and overall health. Don’t hesitate to reach out to your doctor with any questions or concerns you may have as you navigate this situation. Take care, and I wish you the best in your journey towards better eye health!
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