Vision Problems After Eye Injury: Can My Sight Improve? - Ophthalmology

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Vision problems after eye injury?


Dear Doctor, I previously experienced redness in my eyes and self-administered eye drops, which led to irritation and localized abrasion on the eyeball.
After consulting a physician, I was prescribed medication, and the redness has improved.
During this time, I also had inflammation caused by wearing contact lenses.
My eye condition has significantly improved, but I have noticed a marked decrease in vision in the eye that was initially abraded.
I'm wondering if this can recover.

Miss Lin, 20~29 year old female. Ask Date: 2015/06/21

Dr. Gao Pilin reply Ophthalmology


Hello Miss Lin: Generally, a superficial corneal abrasion should heal and restore vision once the cornea has recovered.
However, if scarring occurs in the cornea, it can affect vision, especially if the scar is located near the center of the cornea.
If your vision has worsened, it may indicate that the abrasion has not fully healed, so please seek medical attention for an examination.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday to Friday from 8:00 AM to 12:00 PM and Wednesday from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2015/06/21

More Info


After experiencing an eye injury, it is common to have concerns about the potential long-term effects on vision. Your situation, involving redness, irritation, and subsequent vision changes, is not uncommon. The good news is that many eye injuries can heal over time, but the extent of recovery can vary based on several factors.

Firstly, it’s important to understand that the eye is a complex organ with various components, including the cornea, lens, retina, and optic nerve. When an injury occurs, it can affect any of these parts, leading to symptoms such as redness, pain, and changes in vision. In your case, the initial redness and irritation likely resulted from inflammation, which can occur after an injury or due to contact lens wear. The fact that your redness has improved suggests that the inflammation is subsiding, which is a positive sign.

Regarding the specific concern about vision deterioration in the injured eye, several factors could contribute to this. If the injury caused a superficial abrasion or damage to the cornea, it might lead to temporary vision changes. The cornea has a remarkable ability to heal, but this process can take time. If the injury was more severe, such as involving deeper layers of the cornea or affecting the lens or retina, the recovery might be more complicated.

In many cases, vision can improve as the eye heals. However, if the injury has led to scarring on the cornea or other structural changes, it may result in permanent vision changes. It’s essential to have regular follow-ups with your eye care provider to monitor the healing process. They may perform tests to assess the integrity of the cornea and other structures in the eye. If necessary, treatments such as prescription eye drops, protective contact lenses, or even surgical options may be considered to aid in recovery.

Additionally, if you are experiencing persistent vision problems, it may be beneficial to explore options such as vision therapy or specialized lenses that can help improve visual function. These approaches can sometimes assist in adapting to changes in vision and enhancing overall visual comfort.

It’s also worth noting that the use of contact lenses, especially if they were not fitted correctly or if they were worn for extended periods, can lead to complications such as corneal ulcers or infections. If you suspect that your contact lenses contributed to your current issues, it may be wise to take a break from them and consult with your eye care provider about alternative options.

In summary, while there is potential for improvement in your vision following an eye injury, the outcome largely depends on the nature and severity of the injury. Regular monitoring and appropriate treatment are crucial in maximizing your chances for recovery. If you have ongoing concerns about your vision or the healing process, do not hesitate to seek a second opinion or further evaluation from an eye specialist. Your vision is invaluable, and ensuring that you receive the best possible care is essential for your long-term eye health.

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