Should I Consult an ENT Specialist for Ongoing Blurry Vision? - Otolaryngology

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Dear Dr.
Chen,
About two months ago, I noticed that my left eye's vision became blurry, but there was no pain.
On March 15, I went to an ophthalmologist for a comprehensive examination (including glaucoma-related tests, optical coherence tomography of the retina, fluorescein angiography, brain MRI, and head CT).
I had a follow-up appointment with the ophthalmologist on the 30th, but after reviewing my case and test results, the doctor did not find any issues related to my blurry vision.
However, my left eye is still persistently blurry, with no improvement and no significant deterioration.
I would like to know if, after having undergone the aforementioned tests, it would still be necessary to refer me to an otolaryngologist, or if it is unnecessary.
Thank you for your response.
Best regards,
Angie

Angie, 20~29 year old female. Ask Date: 2010/04/02

Dr. Chen Jianzhi reply Otolaryngology


Dear Inquirer: Hello, based on your literal question, I am not sure what your issue is.
Would you mind bringing your brain MRI and head CT images to my clinic? I can take a look for you.
My clinic hours are Tuesday and Thursday mornings, or Wednesday afternoons.
Thank you.
Dr.
Chen Chien-Chih, Physician at Taoyuan Hospital, Department of Health, Lecturer at Fu Jen Catholic University.

Reply Date: 2010/04/02

More Info


Hello Angie,
Thank you for reaching out with your concerns regarding your ongoing blurry vision. It sounds like you have already taken significant steps by undergoing a comprehensive evaluation with an ophthalmologist, including various tests such as glaucoma assessments, OCT scans, and imaging studies of the brain. Given that these tests did not reveal any issues directly related to your vision, it's understandable to feel frustrated and uncertain about the next steps.

When it comes to persistent blurry vision without pain, there are several potential causes, some of which may not be directly related to the eyes themselves. While your ophthalmologist has ruled out many common ocular conditions, it is still possible that other factors could be contributing to your symptoms. Here are a few considerations:
1. Neurological Factors: Since you have already had brain imaging, it is less likely that a significant neurological issue is causing your blurry vision. However, subtle neurological conditions can sometimes manifest with visual disturbances. If you have any accompanying symptoms such as headaches, dizziness, or changes in balance, it may be worth discussing these with your healthcare provider.

2. Systemic Conditions: Conditions such as diabetes, hypertension, or autoimmune diseases can affect vision. If you have any underlying health issues, it might be beneficial to consult with a primary care physician or an internist to evaluate your overall health status.

3. ENT Consideration: Consulting an ENT (Ear, Nose, and Throat) specialist may be appropriate if you suspect that your blurry vision could be related to sinus issues, allergies, or other ENT-related conditions. For example, sinus infections or inflammation can sometimes lead to visual disturbances due to pressure on the optic nerve or surrounding structures. If you have experienced symptoms such as nasal congestion, sinus pain, or headaches, this could warrant a visit to an ENT specialist.

4. Psychological Factors: Stress, anxiety, and other psychological factors can also manifest as visual disturbances. If you are experiencing significant stress or anxiety related to your vision issues, it may be helpful to speak with a mental health professional.

5. Follow-Up with an Ophthalmologist: If your symptoms persist, it may be worthwhile to return to your ophthalmologist for a follow-up. They may consider additional tests or refer you to a specialist in neuro-ophthalmology, who focuses on visual problems related to the nervous system.

In conclusion, while it may not be strictly necessary to consult an ENT specialist at this point, doing so could provide additional insights, especially if you have any related symptoms. It’s essential to keep an open line of communication with your healthcare providers and advocate for your health. If your blurry vision continues without improvement, further evaluation is warranted, and seeking a second opinion or additional referrals may be beneficial.

Take care, and I hope you find clarity and resolution for your vision concerns soon.

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