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Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7750
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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centre of my vision in my left eye that takes a while to adjust

Resolved Question:

I have an area in the centre of my vision in my left eye that takes a while to adjust to light changes. It looks a bit like when a flash has gone off. I have had this for 6 days now. The area was circular on the first day but on the second day grew a little larger and was more egg shaped. It has remained the same since then.

I have been on an intensive course, which has been very stressful. Would this have anything to do with it?
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Customer:

Hello?

Dr. Rick :

Hi

Customer:

Have you seen my question?

Dr. Rick :

By a flash going off, do you mean to say you have been seeing flashes of light?

Customer:

No like the after effects of a flash going off. with an area lighter than the rest.

Dr. Rick :

Does this area that take time to adjust to light changes seem like you are looking through a curtain/shade? Has it caused your vision to decrease?

Dr. Rick :

Ok

Customer:

My vision isn't quite as defined in this area but not changed much.

Customer:

If I am outside. I hardly notice it.

Dr. Rick :

does this area move around when you move your eye, or does it stay in the same spot, as if you were looking through a rifle scope?

Customer:

It moves with my eye. It's as if that portion of my vision is taking longer to adapt to changing light intensities.

Dr. Rick :

Do you have any medical problems, like diabetes etc?

Dr. Rick :

Also, I don't believe that being on an intensive course is the cause of this issue.

Customer:

No. None. I had a head injury back in 2004. but with no after effects at all.

Customer:

I have been using my laptop a lot?

Dr. Rick :

nope, laptop use wouldn't do that .......

Customer:

I thought so as it's only one eye

Dr. Rick :

I believe that the problem is going to be found in your retina. I know in the UK it is hard to get in to see an ophthalmologist but I believe you need a complete eye exam with particular attention paid to an area of your retina called the macula.

Customer:

Could this be permanent? I am a commercial helicopter pilot. So am very worried about this?

Dr. Rick :

I've worked with pilots in the USA........do not tell anyone involved in your licensing about this until you have had a complete eye exam.....it's a can of worms you don't want to open unless you have to.

Customer:

For sure.

Dr. Rick :

It is hard to tell if it will be permanent until the pathology can be found. It could be something called central serious chorioretinopathy.......which goes away with time.....

Dr. Rick :

Or it could be other things......as a retina specialist myself I think you would, as a pilot, be best served by seeing a retina doc if at all possible.

Customer:

Will I make it worse by leaving it another week before I get it checked out?

Dr. Rick :

And, in my opinion, you are the best judge of whether you are safe to fly right now....depth perception is kinda important in your line of work :)

Customer:

I've been flying and haven't noticed the blob at all.

Dr. Rick :

That question makes me nervous.......I'd feel better if you had it checked out sooner rather then later.

Customer:

It's more apparent indoors

Dr. Rick :

That is good. Maybe it will just turn out to be something simple

Dr. Rick :

Don't fly indoors then ;o)

Customer:

So would I but I have a flying course and test until Thursday.

Customer:

I'll do my best not to enter any buildingS!

Dr. Rick :

OK, but start the process of getting an appointment now, just make it for after your test.

Dr. Rick :

I've never been in a helicopter....looks like a lot of fun

Customer:

Okay. Do you have any other ideas of what it could be or are you fairly certain that this is what it is?

Customer:

Helicopters are 10 times more fun than planes. 10 times harder to control too!

Dr. Rick :

No, that was just one thought in what is a large list of my differential diagnosis. Without actually looking at you it is hard to practice ophthalmology, but it is definitely something that should be checked out by an eye doc

Dr. Rick :

That's what I've been heard.....and they fly like a rock when they loose power....

Customer:

Okay I'll book an appointment pronto!

Customer:

They don't fly like a rock. They glide like a sycamore seed.

Dr. Rick :

ok. Good luck on your test. Mum is the word until you see the eye doc. Tell no one!

Dr. Rick :

oh......

Customer:

A steep glide sure but under control you can still land in a tennis court without an engine!

Customer:

Okay thanks. For the help.

Dr. Rick :

The folks at Wimbulton wouldn't much care for that lol!

Dr. Rick :

My pleasure.

Dr. Rick :

And, now, the obligatory word from our sponsors: :o)


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Customer:

Might make a mess of the grass.

Dr. Rick :

aim for the clay courts

Customer:

Wilco

Dr. Rick :

Have a great day and let me know how things turn out if you have a chance.

Expert:  Dr. Rick replied 3 years ago.
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Expert:  Dr. Rick replied 3 years ago.
Bye
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7750
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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