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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Punched In Eye Previously. One Eye Smaller Than The Other. Soreness In The Eyelid. Reason?

I got punched in they eye about 8 years ago . 8 years on my eye still looks smaller to the other eye . My sight is fine but the eye i got hit in still looks a bit dull to look out of if i cover my othere eye Alain my eye seems to get a bit sore under top eye lid from time to time. Can you tell me what could be wrong with my eye
Thu, 28 Feb 2013
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Ophthalmologist 's  Response
Immediately following the injury, the cause of dullness now could be an optic nerve inflammation or an entity called Commotio retinae. They do reslove with time but it could leave behind a visual manifestation where the vision is fine like you have but colours appear a little ' washed out'. When you say your eye appears smaller, this too could have a few reasons. The one that seems likely is a mild trauma or perhaps a disinsertion of the levator muscle that raises the upper lid. If its just mild it does not cover the pupil and you may not have a vision related issue. I am assuming the blow you sustained was not severe enough to cause any bone damage in that area and no treatment was needed. If any other muscles of the eye were damaged, you could experience some double vision but that is probably not the case since you have not mentioned anything of the kind. If everything is stationary since then, you do not need any treatment. If you need to know for sure, an eye exam to check for the levator function and a funduscopy to look at the retina for any old damage can be done.
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Punched In Eye Previously. One Eye Smaller Than The Other. Soreness In The Eyelid. Reason?

Immediately following the injury, the cause of dullness now could be an optic nerve inflammation or an entity called Commotio retinae. They do reslove with time but it could leave behind a visual manifestation where the vision is fine like you have but colours appear a little washed out . When you say your eye appears smaller, this too could have a few reasons. The one that seems likely is a mild trauma or perhaps a disinsertion of the levator muscle that raises the upper lid. If its just mild it does not cover the pupil and you may not have a vision related issue. I am assuming the blow you sustained was not severe enough to cause any bone damage in that area and no treatment was needed. If any other muscles of the eye were damaged, you could experience some double vision but that is probably not the case since you have not mentioned anything of the kind. If everything is stationary since then, you do not need any treatment. If you need to know for sure, an eye exam to check for the levator function and a funduscopy to look at the retina for any old damage can be done.