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HomeAnswersOphthalmology (Eye Care)dry eyesAre dry eyes, and disorientation after acoustic trauma related?

Is my acoustic trauma causing me pain, dryness and disorientation in the eyes?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At March 22, 2022
Reviewed AtOctober 17, 2023

Patient's Query

Hi doctor,

Two months back, I had an acoustic trauma, which gave me tinnitus and ringing in my ears, aural fullness and hyperacusis, sensitivity to sound. All these symptoms decreased in severity but a few weeks later my wisdom tooth flared up, and on the same side my eye got blurry. I have eye pain and disorientation when moving my eyes. I now have glasses for astigmatism. I did not have any of these issues before the noise and my eyes are very dry. Already seen an ophthalmologist who says no issues with eyes just they are dry. Nobody knows if it is related to the noise or the extreme stress from the situation. Could you please advise and help me on what you think has happened here and what I can do about it? I am still trying to adjust to the glasses and light sensitivity.

Hi,

Welcome to icliniq.com.

I cannot relate your eye problem to your acoustic trauma. An ophthalmologist has already seen you so maybe it is severe dry eyes only. Can you share your glass number and photo of both your eyes so that a diagnosis can be arrived at and treatment can be started accordingly?

Patient's Query

Hi doctor,

I also have issues even when wearing the new glasses, and without glasses when I cover one eye at a time and look at an image, and away I get an after image. And when I focus on an image and cover each eye, like there is hazy light around it and also some double vision. I do not know what is happening to me. I am scared the noise and trauma have done some damage to me. My glasses number says right under spherical is +0.50 then under cylindrical -1.00 then axis -170.0; left is +0.25 spherical and cylindrical is 0.75 then the axis is 10.0. I have attached the photo I took this morning.

Hi,

Welcome back to icliniq.com.

Thank you for the photos (attachments removed to protect the patient's identity).Your eyes do seem alright. I want to ask you a couple of things. Is this the first time you have used glasses? Do you suffer from any other systemic illness or undergoing any medications, especially blood sugar and blood pressure? Did you get checked recently? How often do you use screens like computers, tablets, or mobile during the day? As for the double vision, is it with spectacles on or even off it? Is it after covering one eye or with both eyes open?

Patient's Query

Hi doctor,

I have checked my blood pressure, it is fine and normal. I wore glasses a long back, around 12 years ago when I was a teenager for a year or two. I do use the screens often as I am working from home. When I am wearing these new spectacles if I am looking on my phone like now it is fine, but sometimes it seems very bright and some light around words and one eye dips in and out to adjust. When I look up at TV or objects, everything goes out of focus then it takes a while for my eyes to adjust to the other eye which is still a bit blurry. I notice the slight double vision with and without glasses, especially when covering one eye at a time. I just feel scared because all this happened after I was exposed to very loud noisy microsuction in my ears. This caused aural fullness, a feeling of inflammation around the ears and temples, then around two weeks after I noticed swollen gums around my wisdom teeth and then the eye blurring and it feels worse now but I was crying non-stop with anxiety. Eyes feel very dry and pulled and tight muscles. In the blurriest eye, I feel pain when moving and it is difficult to focus sometimes or look up at the TV. And it just feels painful and stiff to move and it is very dry. The eyelid also feels like it is heavier on that side or there is a droopy sensation. And astigmatism, blurriness; I did not have this before it is a drastic change since the accident. I am really worried and wondering the cause of this sudden drastic change to my vision.

Hi,

Welcome back to icliniq.com.

So for how many days you have been wearing these new glasses now? The eyes are needing time to adjust is because of astigmatism. It will go in some time as you will get used to the new glasses. Use Copious lubricating eye drops. As for the double vision, I think you need to visit a neuro-ophthalmologist to rule out the cause. Try keeping the screen that you use at least four to six inches below your eyesight level. Also frequently blinking the eyes when using screens, will keep your eye surface moist. Periodic screen breaks with looking at distant objects will get your fatigued eyeball muscles to relax and you will feel better.

Patient's Query

Hi doctor,

Thanks for your guidance and responses.

I am so anxious about this. Do you think there is damage from the acoustic or noise trauma? I am struggling to remain calm. Do you think anxiety is contributing at all because this change was so sudden? The glasses I have been using for a week. I am worried I am not going to find the cause of this. Are there any other advanced tests to check neurons, muscle functions, brainstem response, blood vessels, and everything that I can do? I have booked an appointment to see a neurological ophthalmologist on the first day of the next month, then I can ask about those tests. Also, I am consulting an ophthalmologist again tomorrow. The pain and weakness feeling in my eye scares me. I often see after images of light once looking at the objects and sensitivity to light. When I went to the ER last week to get checked, they prescribed me Hylo forte eye drops but the pharmacy gave me evolve HA eye drops, ingredients are sodium hyaluronate 0.2% w/v, sodium chloride, boric acid, borax, and water for injections. I have not used it yet because I am worried it will cause me more issues or something.

Hi,

Welcome back to icliniq.com.

Do not worry, I still do not think it has to do anything with acoustic trauma. Also, please start the eye drops immediately so that you will get some relief. As it has the same contents, and only a different brand name so there is no reason not to start it. Regarding seeing images and sensitivity to light, you may take two to three weeks to adjust to your new glasses. Also, make it a point to get them checked with your ophthalmologist for the correctness of number and frame type with regards to centration. Hope this helps.

Patient's Query

Hi doctor,

Thanks for all your advice.

I will do what you said about the spectacles, but what about the slight double vision? Do you think this can be corrected? I am very anxious about this incident. I think it has caused neurological issues to my nervous system or neurons. Are there any advanced tests I can ask my neuro-ophthalmologist for? If there are any issues or tests for the arteries, muscles, tissues, etc. I really hope this gets better but I do not understand why it has been brought on suddenly and the eye pain, etc, and weakness.

Hi,

Welcome back to icliniq.com.

You need to just keep calm for now. After examining you, your neuro-ophthalmologist will advise all the necessary investigations so do not worry about it. And yes, the double vision can be corrected by eliminating the cause. All the best and keep me posted of any new developments after your visit.

Patient's Query

Thank you doctor,

I saw an ophthalmologist yesterday. But he had me in out quickly and told me that my vision is perfect in glasses when reading the letters. He looked in my eyes without drops and didn't see any issue. He also said I've probably always had this, but the reality is it is a sudden change I've noticed in my vision since this noise trauma and stress. I am terrified. He didn't notice the dry eyes, and now I don't know whether to take the drops.

Hi,

Welcome back to icliniq.com.

All these symptoms suggest dry eyes of severe form. Please start using the Lubricating drops prescribed to you. The more you delay starting the drops, the worst it will get. As for any neuropathy damage, noise trauma, or stress, do not worry at all now as your ophthalmologist has twice examined you. If anything had been, it would have been detected. Just start the medication as soon as possible (ASAP), and then by tomorrow, you should feel better.

Patient's Query

Thank you doctor,

Thanks for your response to me. I will start them. Also, from the corner of the better eye, which seems more blurred these days feels like I am seeing something in the corner, or when I move the eyes, there is light moving too or from images. Why do you think this is all happening to me? I hope it is not neurons misfiring or something from the inner ear from noise trauma. Because it is a sudden change for me but happened around two weeks after. It upsets me, and I am scared. I will not go back to how I was before. I will start the drops too. Thanks for helping me.

Hi,

Welcome back to icliniq.com.

Just start the drops and be positive. Do not overthink about the noise thing and misfiring neurons. You should be alright soon.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Gopal R. Damani
Dr. Gopal R. Damani

Ophthalmology (Eye Care)

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