are u there
Yes, I'm here. Sorry, the chat feature is a little buggy and I couldn't see your responses until now.
What you have experienced (with respect to the pupil) is called a traumatic mydriasis. You have sustained damage to the muscles that cause the pupil to react normally. I wish I could tell you that this absolutely will return to normal. For some people it does, but for just as many, it doesn't return to a normal shape.
Does that make sense?
Do you have any other concerns about this topic that I haven't addressed?
As for as he vision is concerned what do you think, will i be able to see better ( return to normal or something else) and if the pupil stay dialated how would that effect my eyes
If this vision changes are entirely due to bleeding, I would expect the vision to return to normal, but given that the retina is involved (not entirely sure what is meant by 'scratching' of the retina, this may have been a bruise as well) it's difficult to say if it will return to normal. Most bruises of the retina, however, do resolve with a return to normal vision. If the pupil stays dilated, it would cause that eye to be more sensitive to light.
are there any surgical or other procedures that I should consider. The doctor said that i hd a lot of blood in my eye which is resolving and due to that my vision is coming back. he said that retina injury will heal with a scar, he mentioned no retina tearing and they also mentioned that I am developing a cataract in the lense.
If there is a cataract and that begins to hamper the vision, then surgery can be done for this to remove it and replace it with an artificial lens implant. The retina is a different issue, though. There isn't any surgery that can be done to repair the trauma to the retina, unless there is a detachment or hole in it. If that is the case, surgery can be done to repair a detachment or hole, but it sounds like they expect just scarring to result from this. If the scar is in the crucial center part of the retina (called the macula) it could affect the overall vision, ultimately. But if not, then it is likely of little consequence.
So, basically there is nothing that a doctor can do right now until the trauma heals itself and then another assessment will be done. I am concerned that if there is anything that can be done right now so that end result of the trauma is more predictable?
are u there doc
I think your assessment is correct. The trauma just needs some time to heal itself and once that happens, another assessment can be done to determine if anything else is significantly affecting the vision. In the meantime, I would just recommend to take it easy, avoiding significant straining and eye rubbing; other than that, I think the body just has to work its magic.
how long do you think the blood clears from the eye. I am seeing but everything is fuzzy and objects at distance are not recoganizable.
I also went to the doctor yesterday and when i came back i felt like i was seeing less than that morning. I am thinking it could be because of the drops that they put it, should that be cause of concern
It depends on the extent of the blood, unfortunately. If it was a lot, it can take a few weeks to disappear. If it was mild, I would expect it to resolve within a few days. However, if you take medicines like aspirin, ibuprofen, motrin, or coumadin that could make it a longer haul. Yes, I think it is likely because of the drops you received that your vision is slightly worse after the doctor's visit.
Do you have any other questions about this that we haven't discussed?
can u add anything to my situation from your experience
Most people that I treat with blood in their eyes do very well and ultimately don't have significant visual problems henceforth, but knowing that a cataract is forming and that there was significant trauma to the retina as well, I would say to be prepared for a lifetime of dealing with possible problems from this eye. I would hope that wouldn't be the case, but it is certainly a possibility.
ok thank you docor
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i am due to see my optometrist next tuesday and my retina specialist in two weeks. Can I ask you questions about my progress? And can you point out some key questions to ask the doctor and should i get an opthomologis also?
Your retina specialist is an ophthalmologist, but I think it would be best to be dealing with a comprehensive ophthalmologist as your point man, rather than an optometrist. I would ask whether the scarring in the retina will affect the vision or not. I think that is the only question that I think needs answering that can be answered at this point. And y es, you can come back and ask questions about progress.