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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3176
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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Ive had a sudden vision change. No headache, no vertigo,

Resolved Question:

I've had a sudden vision change. No headache, no vertigo, no nausea, no other symptoms. Optho says eyes are OK and thinks it might be a migraine without a headache. Primary MD says no obvious sign of crisis. Labs and vital signs within normal limits. But the visual changes are exhausting me. Its been 5 days. How much longer should I wait before I ask to be evaluated again?
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 2 years ago.

Doctor DanB : Hello and thanks for your question. Can our describe the vision change? One eye or both?
Customer:

Both eyes. During the visual aquity test,when I covered my right eye, I lose the edges of the line on the left side. When I cover the left eye, the opposite occurred. I've been testing this daily on a fixed object at home. It is still happening. No worse, but no better. When I say "lose the edges", they seem to disappear.

Doctor DanB : So are you saying that you have lost vision in one-half of your visual field, the same side (right or left) of each eye?
Customer:

Probably less than half. Maybe the outer most quarter from each eye. As I said, cover the left eye, right eye sees less. Cover the right, left eye sees less. Weird, huh?

Doctor DanB : Definitely weird, though not unheard of. Do you have a history of migraines?
Customer:

Even with my glasses on, my vision is blurry. Like when your glasses have a film on them and really dirty or when you first wake up and feel like you need to rub your eyes...

Customer:

No history of migraines. Had a couple when I was pregnant, but not since. (14 years ago)

Doctor DanB : Can you describe the migraines you had when you were pregnant?
Customer:

Sensitivity to light and noise with nausea. Frontal headache with some neck stiffness. I could "sleep them off" with a nap a few hours long. Never needed to medicate more than OTC pain reliever.

Customer:

Headaches came on quick, but never lasted more than a day.

Doctor DanB : Have you had any weakness, numbness, difficulty holding your bowel or bladder?
Customer:

ha ha ha...I have 3 kids. Bladder issues come with the territory! But no, otherwise no such issues.

Customer:

Occasionally when I am at my desk my hands get tingly. Just figured I was not sitting correctly at my desk.

Doctor DanB : Lol! Got ya there, but I guess nothing out of the ordinary then. Des the vision worsen when you get hot (such as aerobic exercise or a hot shower)?
Customer:

Not that I noticed. My eyes are tired at the end of the day. I'm having trouble now reading the little print in the conversation we are typing. I've stayed off the computer all day, trying to get some eye rest

Customer:

And I've tried to clean my glasses 3 times since I sat down.... just feels like my glasses are REALLY dirty.

Doctor DanB : Has your primary care MD or ophthalmologist mentioned doing an MRI?
Customer:

Opthalmologist said to let him know if I still have symptoms after a week but he is convinced it isn't my eyes. He pulled out all the cool toys in the office last week during my initial work up. He thinks it is medical. PMD doesn't seem worried at all and did not ask me to follow up. She ruled out the obvious crisis...Blood Sugars are normal, blood pressure better than its ever been...

Customer:

Without new symptoms or any associated pain, should I be pushing for additional testing?

Doctor DanB : Well at this point I tend to agree with the ophthalmologist. This looks and sounds like it could be a complicated migraine, which is a migraines process causing an abnormal neurological problem--in this case, a visual field defect. Alternatively, it's possible that this could represent a demyelination process such as multiple sclerosis. Either way, I think an MRI is likely what needs to be done to evaluate for both of those. I think this should be the next step. Does that make sense?
Customer:

yep, sure does. Thank you. Just needed to hear it from an expert.

Doctor DanB : You're welcome. Do you have any other questions about this?
Customer:

I don't think so. Thank you again for your time. I will follow up with a phone call to both my eye doctor and my PMD.

Doctor DanB : My pleasure. Good luck. Your feedback is important to me and will help me improve my encounter with future customers.  If at any time you feel this process has been helpful, please rate your encounter with me by providing feedback; any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. This does not end our conversation, however-we can continue to discuss any of your concerns without further charges until you are satisfied.     My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.  Thanks for your inquiry! 
Customer:

tomorrow...not tonight...tomorrow!

Customer:

Feeback tonight, follow up tomorrow!

Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3176
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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