Ask a Doctor Online Now
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I am a 41-year-old male with congenital blindness, cortical vision impairment, and nystagmus in the left eye. The right eye has no light perception but does have awareness of extremely bright light. There is no known history of lens subluxation or dislocation. I use Ventolin for asthma and Exlazone, a corticosteroid, for mild asthma.
Approximately two months ago, I bumped into a branch, experiencing some discomfort at the time. Although there is no pain now, I have noticed a change in the appearance. While I understand that a slit lamp is the appropriate diagnostic tool, I wonder if there is anything you can discern from this photo regarding potential conditions, such as a cataract or subluxated lens? I am not overly concerned due to the absence of pain, and I am mindful of the possibility of secondary glaucoma. However, I would greatly appreciate any brief insights you could offer based on this external image.
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
Given your history of impaired vision since childhood, the visual prognosis may be poor. The picture (attachments removed to protect the patient's identity) indicates the presence of cataract formation, and the history of steroid intake could be a contributing factor. However, surgery for cataracts may not restore vision due to cortical impairment.
If you are experiencing pain, it could be associated with secondary glaucoma resulting from increased pressure due to a swollen lens. To address this, you may consider using an antihypertensive eyedrop like Brimonidine 0.2 % twice a day and using lubricant eyedrops frequently.
On a positive note, there is no evidence of lens dislocation or other significant problems. Therefore, there is no need to worry excessively. If you have further concerns or if the situation changes, I would suggest you consult with an eye care professional for a more detailed evaluation.
I hope this information helps you.
Thank you.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Ophthalmology (Eye Care)
Related Questions
Microspherophakia - Causes, Pathophysiology, Symptoms, Diagnosis, and Treatment
Global Prevalence of Diabetic Retinopathy: The Worldwide Impact
Familial Exudative Vitreoretinopathy - Causes, Symptoms, and Treatment
Bee Sting Ocular Injuries - Symptoms, First Aid, and Treatment
Malignant Glaucoma: Addressing Vision Amidst Pressure
Normotension Glaucoma - a Disease on the Rise
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy