Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Thank you for asking on HCM!

I understand your concern and would explain that this pattern of blurred vision is usually related to an ocular problem, like glaukoma or uveitis, etc.

I recommend consulting with the ophtalmologist and measure the pressure in your eye and perform a Fundus oculi.

From the other hand, your blood pressure is above the normal range, although this can be only one isolated value.

A high blood pressure could cause blurred vision, too.

You should know that ibuprofen can raise your blood pressure, too.

I would advise you to closely monitor your blood pressure different times during the day (in sitting position, after 15 minutes of total relax) and refer these values to your GP.

If your blood pressure values are mainly above 130/90 mm Hg (which are the normal limits), it is necessary to perform a careful physical exam, a resting ECG, a chest x ray study and some blood lab tests :

-complete blood count
-fasting glucose
-kidney and liver function tests
-blood electrolytes
-thyroid hormone levels
-cortisol and aldosteron plasma levels (adrenal gland function), etc, to exclude a possible secondary cause of high blood pressure.

You should also consider the possibility of stopping ibuprofen intake and consider other drugs which are effective in chronic back pain ( gabapentine, pregabaline or antidepressants).

You should discuss with your doctor on the above issues, and consider the possibility of starting and antihypertesive therapy (possibly a diuretic or ACEI/ARB class).

Some modifications to your lifestyle will help reduce your blood pressure :

- reduce salt and caffeine intake
- perform a lot of physical activity
- reduce weight

Physiotherapy would be effective for your chronic back pain.

Hope to have been helpful!

Feel free to ask any other questions, whenever you need!

Best regards,

Dr. Iliri

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