Blurry Vision in One Eye

Discussion in 'Eye-Care' started by Sam, Nov 24, 2003.

  1. Sam

    Sam Guest

    Hi Everyone,

    I have a question, I recently (over the past 6 months) have noticed
    some blury vision in my left eye. When I have both eyes open my vision
    is perfect, however when I hold my hand over my right eye I can hardly
    read text at half a metre!
    I am 23 years old and have been working with computers for the past 13
    years. But I have never had any problems.

    I went to an Optometrist and they said everything was fine - They said
    i did not have to wear glasses as my right eye was compensating for
    everything.

    I just need some advice, and i'm wondering what everyone here thinks.

    I appreciate your help,

    Sam
     
    Sam, Nov 24, 2003
    #1
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  2. Sam

    John Blake Guest

    Might be a macula problem, the tiny central
    retina area key to seeing fine detail.
    Suggest seeing an ophthalmologist (eye
    doctor). Also, might try an Amsler Grid such as:
    http://www.altavista.com/r?ck_sm=d3...f2aa97de146&r=http://www.vrmny.com/amsler.htm
    Comparing grid views with different eyes, a
    grid distortion with one eye (warped lines)
    indicates a problem.
    John
     
    John Blake, Nov 24, 2003
    #2
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  3. Sam

    Otis Brown Guest

    Dear Sam,

    I believe that the recommendation of the first Optometrist is correct.

    However, if the blur and near annoys you, then have them
    check your eyes again.

    The use of a mild plus lens for that eye might ease
    the situation. If that is what you want then that
    is what you should have.

    Also -- please post the measurements made by
    the Optometrist. That would be the first step
    in understanding the recommendation he has made.

    Best,

    Otis
    Engineer
     
    Otis Brown, Nov 24, 2003
    #3
  4. Sam

    Sam Guest

    Hi Otis,

    I believe the perscription they gave me was .75. Although this is
    probably a weak perscription, all text is blurry if I hold my hand
    over my right eye.
     
    Sam, Nov 25, 2003
    #4
  5. Sam

    Otis Brown Guest

    Dear Sam,

    Re> ...all text is blurry if I hold my hand over my right eye.

    That is a serious problem. You need to get a better answer,
    or a second opinion. I would suggest going to an
    ophthalmologist (for that second opinion). Tell him
    exactly what you told us. If there is a serious
    problem with the retina you need to know about it NOW.

    Best,

    Otis
    Engineer
     
    Otis Brown, Nov 25, 2003
    #5
  6. Sam

    LarryDoc Guest

    And why is that? Is not an optometrist and eye doctor and capable of
    differentially diagnosing a retina problem from an optical error?

    --LB
     
    LarryDoc, Nov 26, 2003
    #6
  7. Sam

    Otis Brown Guest

    Dear Larry,

    If there is something MEDICALLY wrong, then the ophthslmologist
    can take action immediately. The OD can not.

    With all due respect, the first OD did not find any problem.

    I could be that a "medical" problem developed AFTER the
    first OD saw the man. If the "blur" is a immediate
    and strong at this man says it is, then the MEDICAL issue
    should be resolved as quickly as possible. If this issue
    is pure "optics", then the MD can quickly resolve that
    issue also.

    At this point we have no idea about what is going on.
    But if it is a retina tear or incipient retina detachment,
    then immediate action is REQUIRED.

    Best,

    Otis
    Engineer
     
    Otis Brown, Nov 26, 2003
    #7
  8. Sam

    Otis Brown Guest

    (Sam) wrote in message
    Dear Sam,

    It is not easy to give advice on your issue.

    If the OD said he was going to rely on "mono-vision",
    then what he has done is correct.

    I assume that he has checked for medical issues.
    At your age it is very unlikely that you would
    have MEDICAL issues.

    He should have gone into greater detail of
    describing what he was doing and WHY he was doing
    it so you would not become "concerned" as you are
    now.

    I personally support the "mono-vision" concept
    and feel that he is doing the "right thing" by
    you.

    You should go back to him and get the complete
    explanation as to what he his doing and why
    his is doing it. Perhaps post it to us
    so we could understand also.

    It does sound like one eye is more "positive" than
    the other, and this MIGHT explain why you have
    "blur at near" with that one eye.

    I pretty sure he would have picked up any
    medical problem -- or would have refered you
    to an ophthalmologist if he had seen
    any MEDICAL problem with your retina.

    If you have never worn minus-lens glasses,
    detached retinas are very rare at your age.

    As always you will get conflicting opinions
    on this site.

    We offer conflicting advice -- but call the
    first OD and get a more complete explanation.

    Best,

    Otis
    Engineer

    *******
     
    Otis Brown, Nov 26, 2003
    #8
  9. Sam

    Ann Guest

    I'm not sure what an OD is exactly but when I had a vision problem and
    went to my optician/optometrist he could see nothing wrong. At the
    hospital however, a tumour was diagnosed. The ophthalmologist has far
    more sophisticated instruments with which to see disorders, not to
    mention far more experience.

    I am not suggesting that this poster has a tumour but he should seek
    an opinion from a ophthalmologist.

    Ann
     
    Ann, Nov 26, 2003
    #9
  10. Sam

    LarryDoc Guest

    Perhaps you should find out before commenting. There is, by the way, a
    big difference between an optician and optometrist when it comes to
    medical issues (USA). One is a doctor with adequate training and one is
    not.
    Again, not necessarily true.

    And don't forget that there are incompetent practitioners in any
    profession.
    Well let's see: During the last 9 months I've diagnosed:
    Multiple Sclerosis
    Pitutitary Tumor
    Thyroid Tumor
    Diabetes

    All of which were missed by the patients primary care physician. The two
    first cases were easy(er) to miss but the last two listed disorders were
    so obvious the MD should be (and was) reported for missing it.

    --LB

    --
    Dr. Larry Bickford, O.D.
    Family Practice Eye Health & Vision Care

    The Eyecare Connection
    http//www.eyecarecontacts.com
    larrydoc at eye-care-contacts dot com (remove -)
     
    LarryDoc, Nov 26, 2003
    #10
  11. Sam

    Ann Guest

    Haha! Maybe you should find out which country the OP was posting from
    before you comment... IP: 213.38.109.134

    inetnum: 213.38.109.128 - 213.38.109.255
    netname: ITG-EUROPE-SEC
    descr: ITG Europe
    country: GB
    admin-c: GM8301-RIPE
    tech-c: IH22-ORG
    rev-srv: ns0.insnet.net
    rev-srv: ns1.insnet.net
    status: ASSIGNED PA
    mnt-by: AS5378-MNT
    changed: 20000627
    source: RIPE

    route: 213.38.0.0/16
    descr: INSNET-213.38/16
    descr: ALLOCATED PA Space do not break up
    member-of: RS-AS5378
    origin: AS5378
    mnt-by: AS5378-MNT
    changed: 19991101
    source: RIPE

    role: Internet Network Services Technical Department
    address: Cable and Wireless UK Operations
    address: 76 Hammersmith Road
    address: Hammersmith
    address: London,
    address: GB
    phone: +44 20 7825 6000
    fax-no: +44 20 7825 6000
    e-mail:
    Which country are we are talking about again?
    None of this means anything to the OP. He should go to his GP and ask
    to be referred to an ophthalmologist.

    Ann
     
    Ann, Nov 26, 2003
    #11
  12. Sam

    Dr. Leukoma Guest


    Blurred vision is not what one would expect from a retinal detachment, and
    retinal detachments are indeed rare in a hyperopic individual. The spectre
    of a retinal detachment was raised by Otis, an engineer who would like to
    be a doctor, and plays one without a license on this NG.

    I am all for this man seeing an eyecare professional, whether it is an
    ophthalmologist or an optometrist. Either can efficiently diagnose this
    person's problem. In the remote chance that there is a retinal problem,
    both the optometrist and the ophthalmologist will most assuredly refer the
    patient to a retinal specialist. However, if the problem is related to an
    optical or binocular vision problem, the optometrist will be the more
    efficient person to see, as this is their specialty.

    DrG
     
    Dr. Leukoma, Nov 27, 2003
    #12
  13. Sam

    Dr. Leukoma Guest

    I will further add to my previous post, that any retinal detachment capable
    of screwing up the vision should and would be detected by anybody competent
    with an ophthalmoscope.

    Are y'all(Texas term) living in a fantasy world?

    DrG
     
    Dr. Leukoma, Nov 27, 2003
    #13
  14. Sam

    Ann Guest

    I didn't mention a retinal detachment.
    I didn't mention Otis. I said that when I had a problem... me
    personally, ... the problem was only diagnosable by an
    ophthalmologist. Both my GP and the optician, who happens to call
    himself an optometrist but uses only simple diagnostic tools, could
    see nothing wrong. It turned out to be malignant melanoma which is
    not something that anyone would want to have misdiagnosed.

    Just out of interest, how many cases of malignant melanoma have you or
    that other OD whose name escapes me, diagnosed?
    Well that depends which country you're in. If you're all going to
    advise people who are in Britain to go see your American
    professionals, that isn't very helpful. It seems to me that when it
    comes to other countries, you all know jack shit. God help anyone
    posting from somewhere else like Nigeria, or Korea, you wouldn't have
    a clue. You don't even bother to ask them what country they're in
    before advising them to see the wrong people.

    Please, please, do not tell people from the UK that it's okay to do
    anything other than ask their GP for a referral to an ophthalmologist
    if they are at all concerned about the health of their eyes.

    Ann
     
    Ann, Nov 27, 2003
    #14
  15. Sam

    The Real Bev Guest

    I wouldn't ask an eye specialist to diagnose a skin problem. Why did
    you? It may be noted that DOCTOR Larry Bickford specifically mentioned
    a difference between a USA optician and a USA ophthalmologist. It's not
    necessary to fly off the handle because the Brit system is different
    from the USA system.
    Perhaps you might lighten up a bit. Very few people do a whois or dig
    to find out where a new poster comes from, we just look at the From:
    entry and the words and think about them. The
    ophthalmologist/optometrist/optician thing has come up many times here,
    the consensus being that a US optometrist can do/recognize almost
    anything that needs to be done and send you to am ophthalmologist for
    the rest.

    I assume that anyone who speaks excellent English is American unless
    there's something else that gives it away, like a Scandinavian name or
    domain designation or a reference to the Tower of London, for instance.
    The best English-speakers are Scandinavian of some sort, even better
    than Brits. Sorry, but since most usenet posters in the
    non-nation-designated newsgroups tend to be American it's not exactly a
    totally-off-the-wall error.
    Chill, nobody told you to do anything and if (s)he did you're free to
    disobey. Magna Charta, remember? Personally, I am unlikely to ask my
    GP for a referral of any sort because his recommendations in the past
    have been less than excellent.
     
    The Real Bev, Nov 27, 2003
    #15
  16. Sam

    Ann Guest

    ROFL! Malignant melanoma of the choroid of the eye... it's a tumour
    that's inside the eye. Treatment was to remove the eye. I don't
    think I'd want a dermatologist doing that.
    Frankly, I find that offensive. It suggests that you have an
    egocentric narrow minded view of the world. You really do think that
    the only people on the net are Americans. Expand your horizons a bit.
    Where I work we have people of 128 different nationalities. The world
    is a big place.

    Actually in the newsgroup I've read the longest, there are more
    British regulars than Americans, and it's just a talk.* group not a
    British group.
    He wasn't advising me. I'm talking generally. It's irresponsible to
    give people the wrong advice. To tell a Briton to see an optometrist
    when he's likely to interpret that as an optician, is dangerous
    advice. It's not something that I'd want on my conscience in any
    case. Considering people are saying that Otis shouldn't be giving
    advice, they maybe ought to think a bit more about themselves.
    In the UK, we have no option but to get the GP to refer us to a
    specialist. We don't have direct access to specialists. No referral,
    no appointment.

    Ann
     
    Ann, Nov 27, 2003
    #16
  17. Sam

    The Real Bev Guest

    You didn't mention the location of the melanoma. Normally they're skin
    problems that can kill you if you ignore them long enough.
    Frankly, I don't care.
    Everyone who is really important to me lives within 60 miles of my
    house. I consider myself lucky that this is so. I have traveled all
    over the US and spent three weeks in Europe. My son has backpacked
    extensively (and cheaply) through Australia, Thailand, Indonesia and
    latin America and married a Colombian woman. The world is round. Big
    deal.
    I speak three languages. I used to speak all of them fluently, but now
    it's down to just one. Just because the rest of the world is big it
    doesn't mean it's better. No, Americans are not the only people on the
    net. As a country, in fact, our percentage of linux-users is dwarfed by
    the Scandinavian countries and, last time I looked, Antarctica.
    How very nice for you.
    Otis has a long history here. You and the original poster have not.
    Perhaps it would help if we all wore flags on our foreheads, but it's
    ridiculous to get this pissed because nobody recognized that the
    original poster (who has a hotmail account; hotmail is owned by
    Microsoft) was a Brit. Do you really expect people to chase down dotted
    quads? My ordinary facilities couldn't find it because I don't point to
    RIPE, so I had to go to the Network Tools website. Sue me.
    Pity. You might think about converting to the American system, we have
    a lot of choices if we can afford them.

    This is a silly discussion. May all the Americans here have a happy
    Thanksgiving and may all the non-Americans have a happy Thursday.
     
    The Real Bev, Nov 27, 2003
    #17
  18. Sam

    Ann Guest

    No thanks. The "if we can afford them" bit is too offputting. I'd
    rather everyone have the same rights to medical care whatever their
    financial circumstances. I've done okay with the NHS. I've been
    referred to an occuloplastic surgeon in another area and also to
    Moorfields Eye Hospital in London. The system works well enough.
    Talking to you is silly but if I've got my point across to just one of
    the experts here, I'll be happy enough. I don't think you even have a
    clue what my point was but I'd expect the professionals to understand
    that it is actually a serious matter.

    Ann
     
    Ann, Nov 27, 2003
    #18
  19. Sam

    Dr. Leukoma Guest

    Sorry about your misdiagnosis. I understand your concern, and accept your
    indignation.

    To answer your question, I have yet to diagnose a case of malignant
    choroidal melanoma. I have referred all suspicious-looking lesions to the
    retinal specialists, who have pronouned them as choroidal nevi. I had one
    interesting case last year where the patient was experiencing a disturbance
    in vision - not blurred vision. I noted a dark area between the optic
    nerve and the macula. I asked him to come back in one week whereupon I
    noted some very slight elevation which appeared on photography. I sent him
    to the retinal specialist, who pronounced it suspicious, whereupon he
    referred the patient again to another colleague who specialized in
    choroidal tumors. This lesion turned out to be nothing but a choroidal
    hematoma(blood clot), and it resolved without a problem.

    About two months ago, I noted on a routine examination a small peripheral
    elevation of the iris in an adult male. Further inspection revealed that
    the elevation extended back into the irido-corneal angle. Moreover, there
    was a single dilated surface vessel overlying this elevation. I referred
    this gentleman to another retinal specialist, who could conclude nothing,
    but was nevertheless impressed at my finding. He referred the patient on
    to the medical school for a very high resolution ultrasound scan. I have
    yet to know the outcome of this case. I didn't have an ultrasound, so I
    referred the patient to someone who did. He had an ultrasound, but didn't
    have the "right kind" of ultrasound.

    Can a choroidal nevus turn into a choroidal melonoma? You bet, in a small
    number of cases. Do they cause blurred vision? Only if they displace
    retina causing metamorphopsia, a blind spot, or fall within the visual
    axis.

    In this country there are ophthalmologists, optometrists, and opticians.
    The former two are licensed and are generally held to the same standard of
    care when providing services that are within the scope of practice. I
    believe that in the U.K., the counterpart of the optometrist is called the
    ophthalmic optician, whose scope of practice I would think is different
    from that of the U.S. optometrist. I am judging from my perspective, and
    you naturally are judging from your own perspective in the U.K.

    It is likely the case that the role of the ophthalmic optician within the
    U.K. healthcare system is somewhat different from that of the optometrist
    in the U.S. I am also aware that in the U.K., the GP is sometimes employed
    to do ophthalmic procedures such as LASIK. Obviously, if the patient who
    initiated this thread has already consulted the ophthalmic optician and did
    not get a diagnosis, then the next step would be to get a referral from the
    GP?

    And, you are absolutely correct in saying that I know little about the
    health care systems - or lack thereof - in third world countries, except
    that optometry as I know it does not exist. In fact, optometry does not
    exist in some EU countries. Therefore, when I mention the word
    "optometrist" in this newsgroup, some readers may not understand what I am
    saying, will form some concept of what I am saying derived from their
    personal experiences, and hopefully understand that I am speaking about
    someone who is licensed within their country to provide a comprehensive eye
    health examination. In the U.S., there are two choices.

    DrG
     
    Dr. Leukoma, Nov 27, 2003
    #19
  20. Sam

    Keyser Soze Guest

    MediCare and the like in the *states*, you know that blinkered nation just
    across the pond, must offer free care to a % of less fortunate members of
    society, based on their total patient turnover, if you're lucky enough to be
    one of the select few.
    Bev selectively chooses not to highlight this to you, not because you're
    British and are unlikely to take advantage of it or are likely to have a
    need for it, no, but because anybody watching would soon realise her
    revenues would become affect and she could be exposed to the fact
    she's shite at what she does.

    I think they call it selective healing. We don't have this in Britain, we're
    all treated as second rate citizens, except those of use that can afford

    <Aside: Reply with disdain at your peril>

    <Aside to Ann: This isn't an alt froup is it <looks around>> <FBG>
     
    Keyser Soze, Nov 27, 2003
    #20
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