How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr.S Riaz Your Own Question

Dr.S Riaz
Dr.S Riaz, Ophthalmologist
Category: Eye
Satisfied Customers: 2822
Experience:  MS OPHTHALMOLOGY (KING GEORGES' MEDICAL UNIVERSITY, LUCKNOW, INDIA), FELLOWSHIP TRAINED
14102772
Type Your Eye Question Here...
Dr.S Riaz is online now
A new question is answered every 9 seconds

2.5 years ago I have started to develop scotomas in both eyes

Customer Question

Good day,

I am a 33 year old, healthy male, with no history of (afaik) related diseases.
Since approx. 2.5 years ago I have started to develop scotoma's in both eyes. There is a clear loss of vision in the affected areas. Some are merely less light sensitive whilst others no longer 'see' anything anymore. The shape and size vary also. Some are quite round whilst others are elongated. They are most certainly not 'floaters', as I have these also and am not concerned about them.

I've consulted two eye-specialist about a year ago, but they could see no irregularities of the retina. They used lamp examination, an automated perimetry exam, and fluorescein angiography to come to this conclusion.
Meanwhile, the condition is still progressively getting worse, with yet another new deep scotoma since yesterday, and I now have a real fear of going slowly blind over the coming years.

What would be your advise at this stage?

Thank you for you time.

Sincerely,
CV, The Netherlands
Submitted: 4 years ago.
Category: Eye
Expert:  Dr.S Riaz replied 4 years ago.

Hello Customer,

 

Did the ophthalmologists you saw said that the eyes were normal?

 

Were the scotomas confirmed by the perimetry test?

 

Are you having flashes of light as well?

Customer: replied 4 years ago.
Hello Dr. Shariq Riaz,

The ophthalmologists could find no defects during their examinations, so yes, they concluded a normal situation.

At the time of the test, the scotoma's were fewer than they are now and did not show up on the test.
This may be because the test is too coarse?
The largest scotoma is about the size of my indexfinger's nail at arms-length.

By now there are several of these scotoma and more various in size and shape.
Also, when I look at a bright area and then immediately at a dark area, the scotoma's appear to remain bright for a brief period.
Like an after image. The same happens when I blink at the sky.
Much like the afterimages when someone takes a picture with flash.

I don't experience flashes of light outside of the 'afterimages' I descibe above.
Those would be indicative of retinal tearing or detachment, correct?
That doesn't seem to be the case in my laymans opinion..
Expert:  Dr.S Riaz replied 4 years ago.

You need to see a retina specialist. Flashes of ligh may be seen in retinal tear or detachment but can be seen in other conditions like posterior vitreous detachment which is a normal ageing change in which the vitreous gel in the back part of the liquifies and may cause floaters and sometimes flashes of light. That is one possibility. Other possibilities include asteroid hyalosis, synchysis scintillans etc. Your ophthalmologists may have missed it since it was an early stage. If this is the diagnosis, it is likely to be picked up at this time. If perimetry test failed to identify any scotomas then you do not have them. You are probably having floaters only. However, a fundus examination by a retina specialist is important. Thanks and best wishes.

 

 

 

Customer: replied 4 years ago.
Thank you for your educated opinion, I'll try to get hold of a retinal specialist (you wouldn't know of any in Holland I suppose, haha).

One more thing I forgot to mention that I do not know is of relevance; sometimes the edges of my blind-spot (the normal blind spot) seem to pulsate. This is predominantly the case in my left eye. It doesn't seem related to strenuous activity (which I believed to be the case the first time it happened).
Also, the blind spot seems larger that it used to be, but I could be mistaken as I have no reliable way of measuring it. If it's worth anything: at it's widest, it appears about 7/8 cm wide (or 4 fingers) at arms length.

Again thank you for your advice.
Expert:  Dr.S Riaz replied 4 years ago.

You're most welcome. You can find a retina specialist in Holland on any search engine like google. It's important to get a dilated eye examination to find the cause for these symptoms. Pre-senile cataract (lenticular opacities)is another possibility but in this case the floaters would be fixed and not mobile. The floater could grow in this case as the opacity enlarges. Seeing a retina specialist should help. Thanks and best wishes.

 

 

Expert:  Dr.S Riaz replied 4 years ago.

Do you have any more questions?

Dr.S Riaz, Ophthalmologist
Category: Eye
Satisfied Customers: 2822
Experience: MS OPHTHALMOLOGY (KING GEORGES' MEDICAL UNIVERSITY, LUCKNOW, INDIA), FELLOWSHIP TRAINED
Dr.S Riaz and other Eye Specialists are ready to help you
Customer: replied 4 years ago.
No more questions, thank you.
I'll arange for a new dilated examination to see if this time any more can be seen.

Good Day!
Chris Vendel
Expert:  Dr.S Riaz replied 4 years ago.
You're most welcome.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr.S Riaz
Dr.S Riaz
Eye Doctor
2822 Satisfied Customers
MS OPHTHALMOLOGY (KING GEORGES' MEDICAL UNIVERSITY, LUCKNOW, INDIA), FELLOWSHIP TRAINED