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: 11316
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

I went to the opthomologist for a little double vision and

Customer Question

so i went to the opthomologist for a little double vision and he doesnt think its a neurological problem. i saw what he wrote on my file and it said "glacoma suspect" he made me do a perreferal test and it came out good.. im freaking out because he suspects i have glaucoma.. now i feel like my vision is blurry and when i wake up in the morning its blurry like when i blink its a little cloudy then i rub my eyes and its fine... idk if its eye boogers? what does this mean?

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 :

This means that something in your examination, your eye pressure, the morphology of your optic nerve, etc looked to the doctor like it might have changes from glaucoma.

Dr. Rick :

I am glad to hear that your visual field turned out to be normal. At this point I do not think you need to freak out. The doctor will want to check you again in a few months just to make sure nothing is changing but there is no need to worry at this point.

Dr. Rick :

As to your blurry vision in the morning. This is not a sign of glaucoma.

Dr. Rick :

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

Dr. Rick :

Does this make sense to you?

Dr. Rick :

Please remember the top 3 ratings are positives and Excellent service is my goal. Your positive feedback is how we are compensated. If you aren't 100% satisfied, just click "reply." I will be happy to discuss your issue in more depth and do everything I can to provide you with the information you require.

Otherwise, a high positive rating is very much appreciated, bonuses are great, and find me anytime for follow up.

Let me know if you have further questions.

Customer: replied 4 years ago.
hello again doctor..
so i finally got the results from the opthomologist about my periferal vision test and it came out normal.. he thought i was a glaucoma suspect but he says everything is ok. to go back in 6 months to get checked up again.. the first time i went he showed me picture he took with a camera of my optic nerve.. around it was a white circle.. he said everyone has that white circle just that mine was a little bigger than normal.. so thats why he thought i was a glacoma suspect.. the test came back fine...
he a sked if my double vision was still there and i told him yes and he said its probably because of my astigmatism.. he recommended prism glasses..
recently ive been looking at lights and all the time i look at lights i see starbursts... with certain lights at night i look close and i see a colorful halo. i saw today the closer i get to the light (sidewalk lights mostly) the more i see a halo... and sometimes i dont see it...
im scared.. idk if i should go get a second opinion to another doctor or what you recommend...
Expert:  Dr. Rick replied 4 years ago.
Good to hear from you again. I'm glad that the peripheral vision test came out normal and you have nothing to worry about.
I would not be scared of the halo's that you see around lights. Those could very well be from the anterior segment/dry eye issues we discussed above. I would just continue with the home therapy as I recommended before.
Does this make you feel better?
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles.
Thanks in advance,
Dr. Rick
I noted that is has been almost three weeks since we first chatted and you have not yet given me positive feedback. It's safe for you to press the 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 :-)