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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Blurred Vision, Pain And Redness In Eyes Despite Taking Medications?

Dear Dr In the year 2010 blood came to my Right Eye ratina..due to which i lost my vision. I was able to count only my fingures though my vision prior to this problm was 6/6P. I consulted local dr who recomended Flur as a main medicine.. After 6-8 months may vision improved to 6/9P. Again in May 2014 in the same eye it started very very severe pain and eye became RED..From May 2014 to June 2015 it repeated 4 times at a interval of 3-4 months.. presently my Dr have recomended Predmet (2hourly), Homide 3 times & flurisone eye ointment....My BP/blood sugar/TLC/DLC/ESR?HB/Montoux Tat/ Qualifaraon Gold tat /HLAB27 etc is within normal limits...Presently my eye sight is blur and i m not able to read new paper etc...long distance is also a problem.. Kindly suggest and prabable cause of problem/recurrance. ( i hv met an accident in 1998, i hv little high calstrol problm also..) Pls suggest
Fri, 29 Jan 2021
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Anesthesiologist 's  Response
Hello,

Various differential diagnoses of your symptoms are the following:
1) Vitreous hemorrhage
2) Retinal artery or vein occlusion
3) Intra ocular tumors
4) Diabetic retinopathy
5) Retinopathy of prematurity
6) Leukemia
7) Iris or ciliary body melanoma
8) Acute congestive glaucoma

The following is a brief list of causes of red and painful eye with loss of vision:
1 ) Leading cause in young patients is trauma
2) Retinal tear, detachment
3) Terson syndrome due to increase in pressure in brain, it gets transmitted to eye
4) Macro-aneurysms

The following work up is necessary to trace out the cause and prevent recurrence:
1) Entire eye examination including with dilator drops, slit lamp examination, ultrasound B scan
2) MRI or CT eye and brain to evaluate for tumors and any circulation disturbances

In 2-7.6% of cases, the cause is non specific. I would suggest you to see a retina specialist.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes Blurred Vision, Pain And Redness In Eyes Despite Taking Medications?

Hello, Various differential diagnoses of your symptoms are the following: 1) Vitreous hemorrhage 2) Retinal artery or vein occlusion 3) Intra ocular tumors 4) Diabetic retinopathy 5) Retinopathy of prematurity 6) Leukemia 7) Iris or ciliary body melanoma 8) Acute congestive glaucoma The following is a brief list of causes of red and painful eye with loss of vision: 1 ) Leading cause in young patients is trauma 2) Retinal tear, detachment 3) Terson syndrome due to increase in pressure in brain, it gets transmitted to eye 4) Macro-aneurysms The following work up is necessary to trace out the cause and prevent recurrence: 1) Entire eye examination including with dilator drops, slit lamp examination, ultrasound B scan 2) MRI or CT eye and brain to evaluate for tumors and any circulation disturbances In 2-7.6% of cases, the cause is non specific. I would suggest you to see a retina specialist. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist