Dr. Asha Juliet Barboza
Ophthalmology (Eye Care)
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Patient's Query
Hi doctor,
Before three months, a lighting type visual aura came over my eyes and remained for 40 minutes and disappeared. Note the visual aura was moving along the line of vision. It happened three times in a week. I went to two eye hospitals, but they said I have no eye problem. Then I went to a neurologist, and he asked to do an MRI. MRI report says subacute lacunar infarct in the right ganglio-caps region posteriorly. Treatment started, and my blood pressure was high at that time too. A lot of blood tests, Holter monitoring test, thyroid, CT angio was done. All are normal. But my eye flashes are appearing regularly, although now a bit less. Eye sensitivity to light has increased. I went to the doctor six to seven times in three months for this issue. Currently, I am eating Calcimax total, D-360 (for lower vitamin D in blood), Pan D, Telma 40 (for high BP), Amitone 25, Etilaam pro 40 (ocular migraine), Ecosprin AV 150/20, and Felicita OD. Please help me to get rid of my eye flashes and eye sensitivity.
Hello,
Welcome to icliniq.com.
If the flashes are present in both the eyes simultaneously, then it is more likely to be neurological or vascular insufficiency to the eye. You have not mentioned if a carotid Doppler was conducted. If there is a partial blockage in those vessels, it can cause it. I have noted that you are on treatment for ocular migraine too. The aura you described can be seen in that condition. Also, a high blood pressure can cause temporary visual symptoms. For light sensitivity, we need to rule out meibomianitis which is inflammation of the eyelid margin, disrupting the tear film, thereby causing diffraction of light and photosensitivity. Try a hot compress at night and artificial tears four times a day and see if that helps. Be patient and let the medications they prescribed take effect. If it does not subside, get a second opinion from another neurologist. I hope this helps.
Patient's Query
Thank you doctor,
I am attaching the cartoid reports also. Please help.
Hello,
Welcome back to icliniq.com.
I had a look at the new reports you attached (attachment removed to protect patient identity), and everything seems within normal limits. It is likely the cause of the flashes are ocular migraine, coupled with high blood pressure. Since you are very young, your blood vessels are not like older people. They react differently, thereby causing these unusual persistent flashes. I suggest you give it some time and monitor your blood pressure at home. Try the hot compression to the eyelids along with Refresh Tears eye drops I mentioned earlier. The ophthalmologist report you attached says you have a myopic fundus, although your power is not very high. So you need to get that checked regularly as these kind of retinas can also be prone to degenerative changes in the future.
Patient's Query
Thank you doctor,
I will do it as instructed. Please also note that the nature of flashes only come if I look at bright objects. If I look at a tubelight and blink, a long elongated flash remains for 5 seconds and goes away. When I started medication, the eye sensitvity was such that I was having difficulty in bright light completely, now about 15% of that irritation remain. I have a few eye floaters since many years. Also, I work in IT industry, and laptop exposure for more than eight hours.
Hello,
Welcome back to icliniq.com.
Since you have had so many tests done already, I suggest you do an OCT (optical coherance tomography) of the optic disc and macula of both eyes and your intra ocular pressure checked. Contact me with the reports.
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Ophthalmology (Eye Care)
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