Peripheral Glare: Is It Related to Uveitis?

Q: Peripheral Glare: Is It Related to Uveitis?

Hello Kathy： If you have a history of iritis, you should have your eyes examined immediately if you notice any changes in your vision, as there are many potential causes affecting vision that require clinical diagnosis. <br>If you cannot get an appointment at the uveitis clinic,

Reflection around the visual field?

Hello, Dr.
Gao.
I have been seeing doctors for iritis since high school.
In college, due to persistent inflammation, my left eye's pupil became adhesively stuck all around.
Later, when I started working, it became inconvenient to visit the outpatient clinic during weekdays, so I stopped continuing treatment.
I used to regularly use my dilating drops and anti-inflammatory eye drops (I think it was called Nedocromil), but I haven't used them recently.
I only take them out when I have high eye pressure or a cold.
However, recently one night, I suddenly noticed bright lights around my vision.
Although I can see things, it feels uncomfortable because only the center is normal, while everything around it is glowing.
I have to adjust the angle to see my phone clearly.
After resting my eyes for a while, it improved somewhat.
I would like to ask if this is due to a worsening of my iritis? Should I continue seeing the uveitis specialist, or should I switch to a different clinic? Thank you!

Kathy, 20~29 year old female. Ask Date: 2015/06/20

Dr. Gao Pilin reply Ophthalmology

Hello Kathy: If you have a history of iritis, you should have your eyes examined immediately if you notice any changes in your vision, as there are many potential causes affecting vision that require clinical diagnosis.
If you cannot get an appointment at the uveitis clinic, you can first visit a general outpatient clinic, where the physician should provide appropriate management and refer you to a specialist if necessary.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2015/06/20

More Info

Peripheral glare, or the perception of bright lights or halos around objects, can indeed be related to uveitis, particularly if you have a history of iritis (inflammation of the iris) as you mentioned. Uveitis can lead to various visual disturbances, including glare, due to the inflammation affecting the structures of the eye.
When the uvea, which includes the iris, ciliary body, and choroid, becomes inflamed, it can cause changes in the way light is processed by the eye. This inflammation can lead to complications such as posterior synechiae (adhesions between the iris and the lens), which you have experienced. These adhesions can affect the pupil's ability to respond to light, leading to irregularities in how light enters the eye and potentially causing glare or halos.

The bright lights you are seeing around objects could be a result of several factors related to your uveitis:
1. Pupil Irregularity: If your pupil is not round due to adhesions, it may not constrict properly in bright light, leading to increased light scattering and glare.

2. Corneal Changes: Inflammation can also affect the cornea, leading to edema (swelling) or changes in the corneal surface, which can cause light to scatter and create glare.

3. Intraocular Pressure: You mentioned that you have high intraocular pressure at times. Elevated pressure can also contribute to visual disturbances, including glare, especially if it is related to conditions like glaucoma.

4. Medication Effects: If you have not been using your prescribed medications regularly, this could lead to a resurgence of inflammation, which may exacerbate symptoms like glare.

Given your history of uveitis and the recent onset of these symptoms, it is crucial to seek a comprehensive eye examination. You should consider returning to an ophthalmologist who specializes in uveitis or inflammatory eye diseases. They can assess the current state of your eye health, check for any complications from your previous condition, and determine if your symptoms are indeed related to a flare-up of your uveitis or if there are other underlying issues.

In the meantime, here are some recommendations to help manage your symptoms:
- Use Sunglasses: Wearing sunglasses with UV protection can help reduce glare from bright lights, especially outdoors.

- Avoid Bright Lights: Try to minimize exposure to bright lights or screens that can exacerbate your discomfort.

- Follow-Up on Medications: If you have been prescribed anti-inflammatory drops or other medications, it is essential to use them as directed to help control inflammation and prevent complications.

- Regular Eye Exams: Regular follow-ups with your eye care provider are crucial to monitor your condition and adjust treatment as necessary.

In conclusion, while peripheral glare can be associated with uveitis, it is essential to have a thorough evaluation to determine the exact cause of your symptoms and to receive appropriate treatment. Your eye health is paramount, and addressing these issues promptly can help prevent further complications.

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