What are the effects of minor trauma on congenitally blind eye?

Question

Hello doctor,

I am a 41-year-old male with congenital blindness, cortical vision impairment, and nystagmus in the left eye. The right eye has no light perception but does have awareness of extremely bright light. There is no known history of lens subluxation or dislocation. I use Ventolin for asthma and Exlazone, a corticosteroid, for mild asthma.

Approximately two months ago, I bumped into a branch, experiencing some discomfort at the time. Although there is no pain now, I have noticed a change in the appearance. While I understand that a slit lamp is the appropriate diagnostic tool, I wonder if there is anything you can discern from this photo regarding potential conditions, such as a cataract or subluxated lens? I am not overly concerned due to the absence of pain, and I am mindful of the possibility of secondary glaucoma. However, I would greatly appreciate any brief insights you could offer based on this external image.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Given your history of impaired vision since childhood, the visual prognosis may be poor. The picture (attachments removed to protect the patient's identity) indicates the presence of cataract formation, and the history of steroid intake could be a contributing factor. However, surgery for cataracts may not restore vision due to cortical impairment.

If you are experiencing pain, it could be associated with secondary glaucoma resulting from increased pressure due to a swollen lens. To address this, you may consider using an antihypertensive eyedrop like Brimonidine 0.2 % twice a day and using lubricant eyedrops frequently.

On a positive note, there is no evidence of lens dislocation or other significant problems. Therefore, there is no need to worry excessively. If you have further concerns or if the situation changes, I would suggest you consult with an eye care professional for a more detailed evaluation.

I hope this information helps you.

Thank you.