Q. My doctor was unable to explain the cause of my concern. Please help.

Answered by
Dr. Ronald Tongbai
and medically reviewed by iCliniq medical review team.
Published on Oct 08, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

I am 28 years old. I was diagnosed as type 1 diabetic at age 25. I am used to smoke, but I quit when I was diagnosed. Recently, after a stressful situation I fell off the wagon for the first time since I was diagnosed and bought a pack of cigarettes. I did not smoke the whole pack, just a few. But, I started seeing vision changes and that seems to correlate with it. There are no floaters or flashes, but I have had this constant spot in my right eye for the past month or so. It looks exactly like the imprint light can leave in your eyes after staring at the sun or a light bulb for a long time and then looking away. It has been constantly there and never fades. It feels almost like this one section of my vision is more sensitive to light. It has got progressively more prominent. It was faint at first, but now it is very obvious and distracting when I am reading or working at the computer. It does not obstruct my vision and it is just incredibly distracting me. It is in a crescent shape. It is most obvious when I am working on the computer screen and then look away to a darker background. Also, when I blink rapidly, I see it and it almost looks like a strobe light. I had a dilated eye examination this morning and the ophthalmologist told me that there were no signs of bleeding or edema in my eyes. He said the vision changes I described were not a cause for concern, but at the same time he was not able to explain why I am seeing this. It is causing me a particular concern because once it started and I smoked another cigarette, it seemed to become more prominent, brighter, and more obvious in my field of vision. That really freaked me out and caused me to throw the rest of the pack away immediately. I have had pretty decent blood sugar control and all of my A1Cs have been in the 5.5 to 6.5 range since I was diagnosed initially. I take Adderall 25 mg for ADD and NovoLog. Is this a cause for concern? I was not able to find anything related to that type of vision change on the internet. I would really like to get an idea of what causes this type of thing for peace of mind and figure out if it is worth seeing a retina specialist.

Dr. Ronald Tongbai

Ophthalmology (Eye Care)
#

Hi,

Welcome to icliniq.com.

Most likely, it is not something to be alarmed about.

  • Small, unexplained visual change is actually a common occurrence that I see in a lot of my patients. Most cases are usually due to benign causes that very rarely lead to any further complications.
  • It can be tough to pinpoint the exact, since it can be a variety of benign conditions, most of which can be undetectable on a physical exam.
  • If the condition stays the same or improves, I would not worry too much about it. But, do get another checkup in about six weeks or so.
  • I would also advise you avoid smoking and recommend keeping your diabetes under control, which you seem to be doing a great job.
  • If you experience a worsening of symptoms or if you experience unexplained visual loss, floaters, flashing lights or other phenomena, then please seek urgent medical attention right away.

The Probable causes:

Unexplained visual phenomena.

Investigations to be done:

Follow up appointment in six weeks.

Preventive measures:

Stop smoking and manage diabetes.

Regarding follow up:

For further information consult an eye care ophthalmologist online.---> https://www.icliniq.com/ask-a-doctor-online/eye-care-ophthalmologist

Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Related Questions & Answers


Kindly guide me with the medicine to control diabetes.

Query: Hi doctor, I am 56 years old. My height is 167 cm and weight 100 kg. 11 years ago, I was diagnosed to have diabetes. The maximum score of my sugar was around 280 occasionally due to uncontrolled eating even with pills (DPP 4 and Metformin). Sometimes, I have overeating problem. My HbA1c is 6.5. My...  Read Full »

What is the treatment for chronic sinus infection due to weather?

Query: Hello doctor, I have chronic sinus infection because of it I will face problem whole winter. What treatment should I take to get relief from cold in these winter months? Shall I make a choice for vaccination?  Read Full »

Why is diabetes not under control even after taking medications?

Query: Hello doctor, I take GP3 before lunch and dinner, Obimate SR 1 gm after lunch and dinner, Tryglynase 2 before breakfast but diabetes is not coming under control. I have attached my report.  Read Full »

Popular

Popular

Ask your health query to a doctor online?

Ask an Eye Care Ophthalmologist Now

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.

Fee:  

 


Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.