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Dr. PG
Dr. PG, Ophthalmologist
Category: Eye
Satisfied Customers: 2337
Experience:  MBBS, MD (Ophthalomology)
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I keep getting headaches after my eyes get sore, im also

Customer Question

i keep getting headaches after my eyes get sore, im also seeing little flickers of light everywere an streaks of light which mucks up my vision i have been to optometrist an apparently i dont need glasses, my pupils tend to be more on one side more to the inside of the coloured part of my eye, can you please give me an idea whats goin on as im worried i might be going blind
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. Rick replied 6 years ago.
Dr. Rick :

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

Dr. Rick :

You are experiencing ocular migraines

Dr. Rick :

A typical migraine headache starts with shimmering lights, often times they surround a blurry area or have dots or jaggedly lines associated with them. They tend to progressively increase in intensity and sometimes march across the visual field causing difficulty with reading. Many times this is then accompanied by nausea, irritability, sensitivity to bright lights and/or loud noises. After the onset of the lights (called scintillating scotomas), the headache typically starts and the light show tends to progressively go away.

Many people can have this migraine phenomenon without the headache; it is called an acephalgic migraine. Some people even start having these late in life, or may have had a few much earlier in life that behaved differently and haven't had any for decades and then begin to have them; this is not uncommon. A family history of migraines is often present as well.

This is nothing to worry about. It is not a sign of a more serious underlying condition, brain tumor or anything like that. If the episodes become so frequent that they are bothersome there are medicines that can be used to decrease their frequency or stop an episode once it has started.

Dr. Rick :

Does this make sense to you?

Dr. Rick :

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Expert:  Dr. Rick replied 6 years ago.
Let me know if there are there any other concerns or issues you would like to discuss on this topic.
Customer: replied 6 years ago.

it happens all the time with the inability to see things clearly, also my eyes itch an burn most times, can that have something to do with my pupils being offset,

Expert:  Dr. Rick replied 6 years ago.
This can cause your pupils to be different at times.
The itch and burning is a separate issue, perhaps blepharitis and mild dry eyes. Try this:
Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk. You may not be able to see this “gunk” yourself, unless it is really bad, but it shows up clearly on slit lamp examination.
The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.
It is now safe to press that Pretty Green Button so that my poor, starving, barefoot, daughters can buy new shoes and, once again, feel safe from the mean, nasty snakes, as they walk through the tall grass.
Customer: replied 6 years ago.
i would like to get another answer from a diffrent expert thanks
Customer: replied 6 years ago.
Relist: Inaccurate answer.
Expert:  Dr. PG replied 6 years ago.
The burning and itching in your eyes can be due to an allergy. The treatment for this is to take anti-allergy eye drops like naphcon-A and zaditor. These eye drops are available over the counter. Using a lubricating eye drop like systane/genteal/refresh tears also helps in relieving eye irritation. Also, you can apply cold compresses on eyes with ice to relieve the itching.
As far as the flashes of light are concerned that can be due to ocular migraine (as described my Dr. Rick) or other eye problems like posterior uveitis, glaucoma, posterior vitreous detachment. But since you have been evaluated by an Ophthalmologist, the eye problems can be ruled out. I would recommend you to consult a Neurologist for a detailed evaluation to see whether you have ocular migraine and treat accordingly.