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Suggest Treatment For Blurry Vision With Floaters In Left Eye

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Posted on Thu, 6 Aug 2015
Question: Hi,

Recently my vision appears to be a bit blurry for both long and short vision.
Upon looking at my left eye, there appears to be a light-coloured spot less than one mm diameter in the pupil. It appears to be half-way between the very centre of the pupil and the edge of the pupil. I am not sure but it does appear to be move a little with eye movement.

My vision is blurry especially if there is light and the light seems to be spread out like the view through the camera lense if there is oil on the lense. My left eye is long-sighted and the right eye is short-sighted but the vision both long and short has been OK. What could be causing the small spot and should I have an eye exam?


Thanks.

doctor
Answered by Dr. Dadapeer K (1 hour later)
Brief Answer:
It can be floater and requires eye examination.

Detailed Answer:
Hello
Welcome to Health care Magic

I am Dr. Dadapeer K, an ophthalmologist and I will be answering your question.

I reviewed your history.
The symptoms you have mentioned indicates floater.
This occurs because of degeneration involving the vitreous. Vitreous is a liquid gel which lies between lens and retina.
Most of the times floaters are harmless and does not require any treatment.

However eye examination by indirect ophthalmoscopy is advised in all to confirm the diagnosis and to look for associated retinal problems like retinal degenerations or retinal thinning.

Hence I advice you to consult your eye doctor for eye examination.

Hope this answers your question.
Do write back to me for further questions.


Thank you
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Dadapeer K (17 hours later)
Dear Dr. Dadapeer,

Thankyou. In the case of the floater, will the eyesight stabilise or would it recover after a while?

Is a usual eye exam with an optometrist enough to detect most issues such as floaters, cataracts, etc? I have seen some optometrists who offer OCT but what is the benefit in the scanning and is it safe?


Thanks,
Regards.
doctor
Answered by Dr. Dadapeer K (19 minutes later)
Brief Answer:
Examination with optometrist can be done.

Detailed Answer:
Hello
Thank you for the follow up question.

In case of floater vision will improve as the floaters decrease.
Examination of floaters require evaluation by indirect ophthalmoscopy and if your optometrist is trained in this then examination by optometrist is sufficient.

OCT is required for evaluation of retinal problems like maculopathy, macular edema..and is not required for examination of floaters.

Hope this answers your question.
Do write back to me for further questions.


Thank you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dadapeer K (3 days later)
Hi Dr. Dadapeer,

I have seen an optometrist who found a cataract in the left eye. I am not sure how the condition could have developed so quickly because my visions became blurry over a space of about two weeks.

Is it possible that glare from daylight or night driving or the diabetic condition could cause such quick growth because the cataract seemed to fill more than a quarter of the pupil. Is there anything that could be done to slow growth? I have also taken steroid spray (Omnaris) and crestor as well as Chinese medicinal herbs and I'm not sure if they could have caused the condition.


Thanks,
Regards.

Hi Dr. Dadapeer,

I have uploaded a copy of my referral letter with picture of the eye.


Thanks,
Regards.
doctor
Answered by Dr. Dadapeer K (1 hour later)
Brief Answer:
Diabetes and steroid drugs can cause rapid progression of cataract.

Detailed Answer:
Hello
Thank you for the follow up question.

I reviewed the report attached with the question.

Yes you are correct in the fact that the cataract develops slowly over months. But it can progress rapidly in case of diabetes or in usage of steroids. Since in the report it is mentioned that you had increased blood sugar levels, this can be a cause and requires evaluation by blood sugar testing to rule out diabetes. Since you have used steroid spray this can also be a cause.

The photo shows central posterior subscapsular cataract and this occurs in with er diabetes or with use of steroid drugs. Hence I think these can be the causes for your progression of cataract.

The definitive treatment for cataract is by surgery and the progression of cataract can be prevented to certain extent by control of diabetes and by stopping or avoiding steroid drugs.

Hope this answers your question.
Do write back to me for further questions.


Thank you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dadapeer K (32 minutes later)
Thanks Dr. Dadapeer,

I have been tested for diabetes about two years ago and the blood sugar was still normal but I wonder if cataracts can even develop with borderline diabetes or no proper diabetes but with increased sugar intake.

I have been taking more sugar than normal recently, mainly soft drinks and iced coffee, etc. Perhaps it is about three/four times more sugar intake than before.

In the meantime should I also wear sunglasses during the day or will that have no effect in case the cataract is caused by diabetes or steroids?

Can the glare from night lights be ruled out for sure? I have also recently changed to more night driving and also the lights in my residence have become brighter LED lights over the past few months.



Thanks,
Regards.
doctor
Answered by Dr. Dadapeer K (3 hours later)
Brief Answer:
Increased sugar intake will not lead to cataract.

Detailed Answer:
Hello
Thank you for the follow up question.

Cataract does not develop with mere excessive intake of sugar but can develop only when sugar is not metabolized properly as in diabetes.

You can wear sun glasses as this will prevent exposure to ultraviolet rays of light and one of the proposed mechanism of development of cataract is exposure to excessive sun light. Hence this will be protective.

Cataract is usually associated with increased glare hence no need to be worried about it.

Hope this answers your question.
Do write back to me for further questions.


Thank you
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dadapeer K

Ophthalmologist

Practicing since :2003

Answered : 5709 Questions

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Suggest Treatment For Blurry Vision With Floaters In Left Eye

Brief Answer: It can be floater and requires eye examination. Detailed Answer: Hello Welcome to Health care Magic I am Dr. Dadapeer K, an ophthalmologist and I will be answering your question. I reviewed your history. The symptoms you have mentioned indicates floater. This occurs because of degeneration involving the vitreous. Vitreous is a liquid gel which lies between lens and retina. Most of the times floaters are harmless and does not require any treatment. However eye examination by indirect ophthalmoscopy is advised in all to confirm the diagnosis and to look for associated retinal problems like retinal degenerations or retinal thinning. Hence I advice you to consult your eye doctor for eye examination. Hope this answers your question. Do write back to me for further questions. Thank you