Unstable Vision: Causes and Solutions for Eye Health Issues

Q: Unstable Vision: Causes and Solutions for Eye Health Issues

Hello： 1. If there is a problem with sinusitis, you should seek treatment from an otolaryngologist. 2. Changing the angle basically only requires adjusting the lens angle, which does not affect clarity or depth perception. 3. Severe astigmatism can cause signi

Unstable vision prescription?

In early January, I accidentally pressed on my right eyeball while napping, causing the angle of the right eye to change from 170 degrees to 10 degrees.
Additionally, there was a small hole in the upper right part of the retina.
I underwent laser surgery in mid-January, but from January to May, I frequently experienced soreness around the eye socket and unstable vision in both eyes.
I consulted several ophthalmologists and underwent visual field testing (as I have a history of high intraocular pressure and suspected glaucoma, using TRAVATAN; my intraocular pressure fluctuated around 17-20 before 2013 and between 20-28 after 2013).
Some doctors believed the issue was related to my glasses prescription, so I got new glasses in early April (right eye: -9.50 with -2.00 astigmatism at 10 degrees; left eye: -8.75 with -2.00 astigmatism at 170 degrees).
However, after wearing them, I still experienced swelling and pain around the eye, and my vision remained unstable (sometimes clear in the left eye, sometimes clear in the right eye).
I also found it very difficult to see near objects and experienced double vision, with my eyes often appearing red.
Consequently, I got a pair of reading glasses (right eye: -9.00 with -1.25 astigmatism at 10 degrees; left eye: -8.50 with -2.00 astigmatism at 170 degrees), but the situation did not improve.
An ophthalmologist suggested that the issue might be related to unstable intraocular pressure.
Since early June, after seeing an ENT specialist and receiving treatment for sinusitis, my condition has improved.
I am currently wearing these glasses (right eye: -9.00 with -1.25 astigmatism at 10 degrees; left eye: -8.50 with -2.00 astigmatism at 170 degrees), but my vision still feels less three-dimensional and clear, with both eyes occasionally being clear and sometimes not.
My eyes are sometimes red, but not as red as before, and the frequency of redness has decreased significantly.
1.
Should I continue consulting with the ENT specialist, or should I see an ophthalmologist?
2.
Could the change in the angle of the right eye from 170 degrees to 10 degrees cause my vision to be unclear or not three-dimensional? Previously, both eyes had an angle of 170 degrees.
3.
The ophthalmologist mentioned that the astigmatism correction for the right eye in the glasses prescribed in early April was too strong, approximately 75 degrees too much.
Can I continue to wear them? Will it harm my eyes?

momoto, 30~39 year old female. Ask Date: 2013/07/29

Dr. He Jianxian reply Ophthalmology

Hello: 1.
If there is a problem with sinusitis, you should seek treatment from an otolaryngologist.
2.
Changing the angle basically only requires adjusting the lens angle, which does not affect clarity or depth perception.
3.
Severe astigmatism can cause significant image distortion and reduced clarity, but it does not harm the eyes.
Wishing you good health.

Reply Date: 2013/07/29

More Info

Understanding unstable vision can be quite complex, especially when it involves multiple factors such as eye pressure, refractive errors, and previous injuries. Based on your description, it appears that you have experienced a significant change in your eye health due to an incident where you pressed on your right eye, leading to a change in the angle of your eye and a small retinal tear. You have also undergone laser surgery to address this issue.
1. Continuing Care: Given your history of high eye pressure and the recent changes in your vision, it is crucial to continue seeking care from an ophthalmologist. While your ear, nose, and throat (ENT) doctor may have helped with your sinus issues, which can affect your overall comfort and possibly your vision, your eye health requires specialized attention. The symptoms you are experiencing—such as eye pain, fluctuating vision, and redness—are best evaluated by an eye care professional who can monitor your eye pressure and assess any potential complications from your previous injury and surgery.

2. Impact of Eye Angle Change: The significant change in the angle of your right eye from 170 degrees to 10 degrees is concerning. This alteration can indeed affect your depth perception and the clarity of your vision. The eyes work together to provide a three-dimensional view of the world, and any misalignment can lead to issues such as double vision (diplopia) and difficulty focusing on objects. If your eyes are not aligned properly, it can result in a lack of stereopsis, which is the perception of depth. This could explain why you feel that your vision is not as clear or three-dimensional as it used to be.

3. Eyeglass Prescription Concerns: Regarding your eyeglass prescription, it’s essential to ensure that your lenses are appropriate for your current vision needs. If your right eye's prescription is over-corrected by 75 degrees, it could lead to visual discomfort and may not provide the clarity you need. Wearing glasses with an incorrect prescription can cause eye strain, headaches, and further exacerbate your vision problems. It is advisable to discuss this with your eye care provider, who can perform a thorough refraction test to determine the most accurate prescription for your current vision status.

In summary, it is vital to maintain regular follow-ups with your ophthalmologist to monitor your eye health, especially given your history of high eye pressure and the recent changes in your vision. They can provide tailored advice and treatment options based on your specific needs. Additionally, if you experience any new symptoms, such as sudden changes in vision, increased pain, or persistent redness, seek immediate medical attention. Your eye health is paramount, and addressing these concerns promptly can help prevent further complications.

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