Managing Hazy Vision After Hyphema: Insights and Solutions - Ophthalmology

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How to improve cloudy lens caused by bleeding in the anterior chamber?


Hello Dr.
Wang, I have been living abroad for many years.
About two months ago, my right eye was hit by a badminton shuttlecock (from a teammate's smash), resulting in a hyphema.
I received timely treatment for about three to four weeks, and now the blood clot has completely resolved.
However, my vision has changed, and I constantly feel a hazy sensation in my eye.
My doctor diagnosed that there is a very fine haze at the anterior lens.
The current solution he provided is to get new glasses (due to changes in the lens's refraction, my myopia and astigmatism have decreased, but I can only achieve a vision of 20/25 at best).
I am still using eye drops to control my intraocular pressure (Brimonidine Tartrate 0.2%), and my doctor mentioned that my pressure is well-controlled.
However, he also informed me that there is a possibility of developing cataracts or that I might have to live with this condition for life (both ophthalmologists mentioned this).
I also consulted a retina specialist, who stated that my retina is generally okay, with some minor damage that is healing.
I am very uncomfortable with this hazy sensation in my eye.
My questions are:
1.
Aside from replacing the lens, is there really no way to change this hazy condition of the lens? Or should I just pray for a miracle? My doctor said I am not yet at the stage of cataracts and advised me to take Vitamin C.
This hazy feeling is truly frustrating.
I have also started taking Lutein and B Complex.
2.
Is my condition considered traumatic cataract? If it is not yet at the cataract stage (according to my doctor), are there any other proactive non-invasive methods to prevent the occurrence of cataracts? Or should I consider seeking traditional Chinese medicine for treatment? My doctor seems to think I am overreacting, but I feel very frustrated and anxious about my eye condition.
I am worried that it will affect my life, work, and long-distance travel.
Thank you very much for your professional advice!

Jiao Lv Xiao Jie, 40~49 year old female. Ask Date: 2015/09/21

Dr. Wang Zhishun reply Ophthalmology


Hello: Your description is very clear.
It seems that surgery is not yet necessary at this point.
Eating a variety of colorful vegetables, avoiding direct ultraviolet light exposure, and maintaining good intraocular pressure should help delay the progression of cataracts.
The hazy sensation you are experiencing is likely due to a residual membrane from anterior chamber bleeding (located in front of the lens).
If this membrane is too close to the lens, it can only be addressed during cataract surgery.
If it is not too close, laser treatment may be an option.
Your condition is not classified as traumatic cataract; traditional Chinese medicine is unlikely to be helpful.
I hope you can relax and try to accept and adapt to it, as it should not significantly impact your daily life, work, or travel.
Thank you for your inquiry!

Reply Date: 2015/09/21

More Info


Managing hazy vision after experiencing hyphema can be a challenging and frustrating process, especially when the visual disturbances persist even after the initial injury has healed. Your situation, where you experienced a hyphema due to a traumatic event, followed by a fine haze in the lens, raises several important considerations regarding eye health and potential treatment options.

Firstly, it is essential to understand that hyphema, which is bleeding in the anterior chamber of the eye, can lead to various complications, including changes in the lens and potential development of cataracts. The fine haze you are experiencing in your lens may be a result of the trauma and subsequent healing process. This haze can affect the way light is refracted through the lens, leading to blurred or hazy vision.
1. Options for Managing Hazy Vision:
- Non-Surgical Interventions: While your current treatment involves adjusting your eyeglass prescription to accommodate changes in your vision, there are limited non-invasive options to directly address the lens haze. The use of Vitamin C and Lutein, as suggested by your doctor, may help support overall eye health, but they are not guaranteed solutions for lens opacities. Maintaining a healthy diet rich in antioxidants can be beneficial for eye health in general.

- Monitoring and Follow-Up: Regular follow-ups with your ophthalmologist are crucial. They can monitor the progression of the haze and determine if it worsens over time. If the haze does not improve or if your vision deteriorates, surgical options, such as cataract surgery, may become necessary in the future.

- Patience and Adaptation: It’s important to give your eye time to heal. Sometimes, the visual system can adapt to changes, and the brain may compensate for minor visual disturbances over time.

2. Understanding the Risk of Cataracts:
- Your concern about developing cataracts is valid, especially after trauma. While your current haze may not yet qualify as cataracts, it is essential to be vigilant about any changes in your vision. Cataracts can develop as a result of trauma, and while your doctors have indicated that you are not at that stage yet, it is wise to be proactive in monitoring your eye health.

- Preventive Measures: To potentially delay the onset of cataracts, consider lifestyle changes such as wearing UV-protective sunglasses, avoiding smoking, and managing any systemic health issues like diabetes. Regular eye exams will help catch any changes early.

3. Alternative Therapies:
- While your ophthalmologist may not see the need for alternative treatments, some individuals explore complementary therapies, including acupuncture or herbal remedies, through licensed practitioners. However, it is crucial to discuss any alternative treatments with your ophthalmologist to ensure they do not interfere with your current treatment plan.

4. Mental Health Considerations:
- It’s understandable to feel anxious and frustrated about your vision. Consider speaking with a mental health professional if your anxiety about your eye condition affects your daily life. They can provide coping strategies to help manage your feelings.

In conclusion, while there may not be immediate solutions to the haze in your lens, maintaining regular check-ups, adopting a healthy lifestyle, and managing your anxiety can significantly contribute to your overall well-being. If the haze persists or worsens, further discussions with your ophthalmologist about potential surgical options may be warranted. Remember, you are not alone in this journey, and seeking support from healthcare professionals can help you navigate these challenges effectively.

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