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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11273
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I am a healthy 30 year old female. I was at my Ophthalmologist

Customer Question

I am a healthy 30 year old female. I was at my Ophthalmologist about a month ago and had a full work up. 20/15 vision, all was well. About a week ago I noticed that my vision seemed a bit off. After a few days I realized it was only in my right eye and my vision seemed blurred a bit. Especially while looked at lighted objects. Ex. When I look at the moon with my left eye it's clear and crisp. With my right eye it has a blurry ring around it.

Now, this is very mild. It doesn't affect my reading at all. I do have a probelm with health anxiety so I tend to over think symptoms, but this blurred vision is there, though minor.

I'm concerned if I should not worry about it or if I should go back to my doctor? Obviously Dr. Google isn't helping me and anythign with blurred vision says seek medical attention right away. This seems very mild to be anything major. I would imagine when they speak of blurred vision they mean really blurred?

Any suggestions would be helpful.

None to little pain. There may be slight pain, but probably from me rubbing my eye and messing with it.
No Discharge or itchyness like an infection. I don't feel a scratch or anything like that. No fever.
Submitted: 4 years ago.
Category: Eye
Expert:  Dr. Rick replied 4 years ago.

Dr. Rick :

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

Dr. Rick :

We have been experiencing problems with the chat system for the last few days. Our engineers are working on it. However, 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..... :)


Customer: replied 4 years ago.
Expert:  Dr. Rick replied 4 years ago.
actually, even though this is only causing your problems in one eye I believe that I know what is going on....

It sounds like you are suffering from an anterior segment/tear film issue. Many times, for all sorts of reasons, the anterior surface of the eye starts to have difficulties. What can cause this? Well, there are a number of conditions but the most common are dry eyes, allergies and blepharitis....many times all three conditions act together to make you miserable. In order to solve your problem you need to address all of these issues at the same time.

When it comes to allergies it is almost impossible to pin down the offending agent(s) and, therefore, treatment needs to focus on controlling the symptoms. Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated, surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose.

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.

Baby shampoo lid scrubs will also help to wash away allergens and stimulate tear production, thereby addressing all three of your issues. Remember, this is not an instant fix. While you are waiting for the lid scrubs to have affect you can use over the counter allergy pills such as Travist, dimetapp or Zyrtec.

Should your symptoms get worse, your vision become significantly affected or things just not get better in 3 weeks or so you should have a complete eye examination by your local ophthalmologist to look for other, less common, causes of your symptoms.

Does this make sense to you?

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Let me know if you have further questions.
Customer: replied 4 years ago.
My last check up, a month ago, was very in depth. They dialted my eyes, checked tear production and a bunch of other tests I'm not even sure what they were for.

Is it still likely that one of the things you mentions above would suddenly manifest? It does "feel" like it's more on the "outside" of my eye rather than something internal. Can I suddenly get dry eye when I've never had a problem with that in the past?

I think I'm just looking for reassurance that this is very unlikely to be anything serious since the blurring is so minor. The internet tends to make one think they have a fatal disease with a little minor blurring. :)
Expert:  Dr. Rick replied 4 years ago.
Actually, I think your problem is most likely more of an allergy/blepharitis issue, not dry eyes.....but the treatment is the same...

It very common and very easy to miss blepharitis, even on a in depth exam.

I'd give the home therapy a try...I bet it will work :)
Dr. Rick and other Eye Specialists are ready to help you
Customer: replied 4 years ago.
Thanks very much, Doc. You've eased my mind.
Expert:  Dr. Rick replied 4 years ago.
My pleasure. Have a good evening.