Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / Vision / January 2005

Tip: Looking for answers? Try searching our database.

Epiretinal membrane and pinpoint blue flashes

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
Harrison Rigby - 14 Jan 2005 04:23 GMT
Dear fellow eyeball fans:

I'm a 54 y/o male in South Carolina. I'm quite myopic, as in -8. Last  
April I had a posterior vitreous detachment in the left eye that resulted  
in 2 retinal holes at the 10 o'clock and 1 o'clock positions  
(non-inverted, physical locations from the perspective of looking out).  
The holes were at the sites of lattice generation and were sealed with  
cryopexy.

In September I had a retinal detachment at the 7 o'clock position  
(non-inverted, looking out) that was treated with cryopexy and a scleral  
buckle. Soon after the scleral buckle procedure I began noticing visual  
distortions (the famous wavy lines) and returned to the surgeon for a  
followup examination. He did an OCT exam and told me that I did have some  
scar tissue growing across the macula but that the macula looked healthy  
overall. He also pronounced me in good condition and gave me a new  
prescription for my glasses.

In the last few weeks I have begun seeing brilliant pinpoint flashes of  
blue light around the macula. They are usually scattered around the macula  
but occasionally occur right at the center of the macula, and when they do  
they are very intense and appear as a small circle of blue with a round  
central region that is black. These flashes occur regularly during the  
day, as in several per minute, and seem to be more frequent when I am  
active, as in the moments after climbing the stairs at work.

There's another thing that I'm curious about. In the mornings, immediately  
after awakening, I see something in the left that must be the result of  
the detached vitreous contacting the retina. I see an opaque region of  
bright red, to the immediate right of the macula, that is generally  
circular in shape but has an irregular edge. This area grows in size from  
a small spot to a large region and then diminishes to a spot again before  
disappearing. This happens in a period of about one minute. Around the  
edge of this region of opaque red there is a thin band of brilliant  
yellow. My naieve assumption is that while sleeping some portion of the  
vitreous is shifting and pressing against the retina. When I get up the  
vitreous reverses its direction - the bright yellow ring is the region  
where the vitreous is pushing against and then peeling away from the  
retina - the area of greatest mechanical stimulation.

I wonder if any of you have experienced these things or can suggest what  
they might be?

Thanks,

Harrison
Mike Tyner - 14 Jan 2005 08:00 GMT
> I see an opaque region of  bright red, to the immediate right of the
> macula, that is generally  circular in shape but has an irregular edge.
[quoted text clipped - 4 lines]
> sleeping some portion of the  vitreous is shifting and pressing against
> the retina.

Maybe the vitreous is shifting but some of this sounds remarkably like
migraine.

If so, the colors would stop exactly at the midline and you might discover
it's actually in both eyes. If that's true, it isn't likely vitreous.

-MT, OD
g.gatti@agora.it - 14 Jan 2005 10:48 GMT
Hello, Mr. Tyner,
it seems you doctors have not great succes in curing eye problems.

Do you think your branch of medicine and medical business has the same
rate of success of other branches?

What is your opinion about your own practice?

Are you satisfied with your clients?

Now take this poor patient.

He had been distressed by long years of wearing great -8 comensative
glasses, which have produced, if logic is logic, such great damages in
the retina, that the poor man now feels worried by these sparks, and
you suspect migraine...

Please, if you were in his own shoes, what would you have done?
Thank you for your always kind replies.
Lewis - 14 Jan 2005 22:12 GMT
Harrison,
I'm  a fellow scleral buckle wearer and have no experience with the
strange color effects you describe. I hope they go away and that
someone can offer a useful explanation of them.
My retinal detachment follow up exam also revealed scar tissue across
the macula.  Probably you are already well-informed on this, but do
watch carefully the "wavy line" effects and overall vision quality for
any further changes (murkiness, fuzziness) and vision loss. My
post-surgery macular scarring was severe enough to cause "retinal
pucker" and significant vision loss. It required more surgery: a
retinal peel with vitrectomy.  More details with a great explanation of
some retinal physiology by MR in a previous thread here (Jan. 7 I
think), titled "Retinal Surgeries."
Lewis
Dr. Leukoma - 15 Jan 2005 02:09 GMT
I would seem to me that these events could be caused by vitreous
traction on the macula, and may be early signs of an impending macular
hole.  I think you should discuss this with your retinal specialist on
Monday.  Most patient I have seen with epiretinal or pre-retinal
membranes do not have photopsia.

DrG
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.