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. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7815
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
48069651
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

Hi: I have SLE, CREST, Pul Hypertension, Sjogrens and other

Customer Question

Hi: I have SLE, CREST, Pul Hypertension, Sjogren's and other immune disorders. I am very sensitive to a sudden bright light. When my eyes see a strong bright light I see these exploding dark blobs. I used to see just one but now I am seeing many. In general my vision is getting worse. Both less close up and distance vision. I do have some Placequinal (sorry bad spelling) damage from 20 years ago and stopped taking this med at that time. On your website it says that vision distrubances can be cause by Lupus and Sjorgren's. I know that Sjorgren's causes dry eyes, which I have. But I am very conserned about these exploding black blobs that seem to be getting worse and my increasing loss of vision. Can you tell me how Lupus can affect my vision and if these blobs could be related to my Lupus?
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Rick replied 2 years ago.

Dr. Rick :

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

Dr. Rick :

Do these blobs occur at any other time then when you go into bright light? Are both eyes affected (test one eye at a time)? What medicines do you take and what other medical issues do you have other then the ones listed?

Dr. Rick :

I see that you are offline. I'll switch over to the Q&A system. This system works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)


 

Expert:  Dr. Rick replied 2 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.
Expert:  Dr. Rick replied 2 years ago.
I look forward to your response so that we can continue to work on your question.
Customer: replied 2 years ago.
Sorry, had to leave my computer for the day. Tomorrow I will do the test you suggested, send you a list of my many medications and list all of my conditions. Looking forward to your ideas. I've seen my opthalmologist regarding these blobs but perhaps I didn't describe them clearly. He didn't have an answer for me. Perhaps if I can go back with more of an idea of what may be happening, we can get somewhere. Will write back tomorrow. Thanks, Sharon
Expert:  Dr. Rick replied 2 years ago.
sounds like a good plan. I'll look forward to hearing from you tomorrow.

Good night.
Customer: replied 2 years ago.
Hi Dr Rick: Also should mention that I saw the black blobs before I was diagnosed w/ the small retina tear. I've seen one blob for at least 10 years. They used to be one, now I see at least 5 at times in bright light. Thanks, Sharon
Expert:  Dr. Rick replied 2 years ago.
Ok. That makes sense. I think that the blobs you are seeing are caused by a vitreous detachment and clumps of "gunk" in floating around in your vitreous.

The can be associated with a retinal tear, as you have noted, but since your tear was so long ago I would think that by now your vitreous has fully moved away from your retina and your risk for an additional tear or a retinal detachment is low. At this point, I don't think you have anything to worry about when it comes to these floaters/blobs.

Now, you are probably wondering what can you do about the floaters? Well, floaters don't go away, and they don't really get worse. Over time they tend to "sink" out of your central vision and you brain "filters" them out so you don't notice them so much anymore. They almost never cause significant visual problems except, of course, if they cause a secondary retinal detachment as discussed above. The only way to decrease or remove the floaters is with a major surgery called a vitrectomy. As a retinal specialist for almost 2 decades I've only done this procedure to remove floaters in a handful of cases.

Does this make sense to you?


It was a pleasure to assist you with your question. Please let me know if I can do anything else to help you in the future. Positive Feedback and/or Bonus is welcomed and appreciated.

Let me know if there is anything else you would like to discuss pertaining to this issue.
Customer: replied 2 years ago.

Hi: Thanks for the reasurrance re the blobs. But part of my question was how Lupus can affect your eyes. Since Lupus can attack any part of your body, can it affect or damage your eyes? Perhaps something to do w/ the vascular system in your eyes.

Thanks again, Sharon

Expert:  Dr. Rick replied 2 years ago.
Oops..sorry, I missed that part of your question.

Yes, it sure can. As a retina specialist I see a number of patients with ocular manifestations of SLE such as cotton wool spots, retinal vascular occlusions (with their secondary problems) and infarction, exudation and neovascularization of the choroid.

It can also involve the eyelids and periorbital tissues, but as a retina surgeon I deal mostly with the posterior segment problems.

It's safe for you to press the accept/positive feedback button now if you so desire. And, never fear, even after you press that button I don't go up in a puff of smoke -- I'll still be right here to continue helping you at no additional charge :-)
Customer: replied 2 years ago.
Thanks again, one more question then I'll push Accept. You mentioned eyelids and periorbital tissues. My eyelids are very puffy in the morning. Goes away in a couple of hours. I read on Lupus Foundation that puffy eyelids may be because my Lupus is flaring. Is puffy eyelids what you referring to when you mentioned eyelid and periorbital tissues. If so, why would Lupus make your eyelids puffy in the morning. I'm kind of afraid to hit the Accept button, that your website will go away and I may not be able to get back to this message chain.
Expert:  Dr. Rick replied 2 years ago.
Yes. But, puffiness that goes away in a couple of hours is most likely not from lupus. Why does lupus cause puffiness? I must admit I don't know the physiology behind it...

Do not be afraid of the (very pretty) accept button. It is a very nice button and does not bite. It likes to be pushed..... lol!

It's safe for you to press the accept/positive feedback button now if you so desire. And, never fear, even after you press that button I don't go up in a puff of smoke -- I'll still be right here to continue helping you at no additional charge :-)

You will still be able to come back to this thread, read it, print it, post to it and talk with me should you so desire :-)

Trust me. I'm a doctor.
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7815
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and 2 other Eye Specialists are ready to help you
Customer: replied 2 years ago.
Thanks Dr Rick. I'll now push the Accept button and move on to more fun things for the day. But I will try to keep this link open in case I have additional questions for you. And I'm thinking it may be a good idea to see a retinal specialist in addition to my regular opthalmologist. If anything different results from that visit, I'll pass it along to you. Thanks again, Sharon
Expert:  Dr. Rick replied 2 years ago.
My pleasure and, should you have any other questions, I will be right here and waiting to help ;)

Have a good day.
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7815
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and 2 other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 2 years ago.
That has happened to me too.....It is my personal belief that there are Gremlins living in the computer that eat some of the posts ;-)

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