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Medical Forum / General / Vision / October 2003

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Dizzy being both Nearsighted & Farsighted

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Jay - 21 Sep 2003 16:21 GMT
I am looking for opinions on this one or if anyone else has seen this
problem. Thanks in Advance.

I've been dizzy for the last 4 months, in my 40s and I am nearsighted
in one eye and farsighted in the other. I have been wearing glasses
for 20 years. Ophthalmologist says my vision has not changed in years.

Reading, computer work, driving all seem to make me dizzy. To clarify,
the dizziness can be best described similar to how your brain feels
when you put on someone's glasses with a way different perscription
and go "Whoa". It's like a brain jolt if that makes any sense. This
feeling happens sometimes when I shift or change focus of my eyes
whether I am wearing glasses or not.

Being outside seem to make the problem get better. Closing one eye
seems to make the problem better. Oddly when closing my eyes at night
lately I still have the "Whoa" feeling when my eyes move sometimes.

I have gone through a number of tests (CT scan, MRI, EEG, etc.) all of
which have come back normal. The only thing that was found so far was
by my ophthalmologist which was high eye pressure (20 something) and
has scheduled a field vision test. Both my ophthalmologist and
neurologist recommended seeing a neuro-ophthalmologist which I have
scheduled next month.
Dr. Leukoma - 22 Sep 2003 03:11 GMT
> I am looking for opinions on this one or if anyone else has seen this
> problem. Thanks in Advance.
[quoted text clipped - 20 lines]
> neurologist recommended seeing a neuro-ophthalmologist which I have
> scheduled next month.

Try some contacts.

DrG
drfrank21 - 22 Sep 2003 04:04 GMT
> I am looking for opinions on this one or if anyone else has seen this
> problem. Thanks in Advance.
[quoted text clipped - 20 lines]
> neurologist recommended seeing a neuro-ophthalmologist which I have
> scheduled next month.

Speaking from personal experience (my own dizziness and dysequilibrium
resulted from a failed middle ear surgery causing catastropic damage to
the acoustic cranial nerve) dizziness is commonly a central brain
(arteriosclerosis) or peripheral (inner ear) such as labyrinthitis.
It could possibly be ocular but you stated that you still get the feeling
when you close your eyes. So an eye muscle imbalance or similar is poss-
ible but not all that likely. Intraocular pressure that you stated (20
something) would not, at least in my experience, cause dizziness,

You're doing everything right though with whom you're seeing. My only
recommendation is to consider a visit with an neuro-otologist (or ENT if
an neuro-otologist is not available) as well
as the neuro-opthalmologist to rule out any problems with the inner ear.
Best of luck.

frank
Jay - 25 Sep 2003 01:34 GMT
Thanks for the the info. I will run the contact idea past my doctor
and also consider the neuro-otologist. I do have pressure in one ear,
but I am fairly certain eye movement causes my dizziness. My eyes seem
to move quite bit before I go to sleep at night. I have the same
feeling then that I do during the day when I am dizzy. Could be just a
carryover from the daytime stress on my eyes.

> I am looking for opinions on this one or if anyone else has seen this
> problem. Thanks in Advance.
[quoted text clipped - 20 lines]
> neurologist recommended seeing a neuro-ophthalmologist which I have
> scheduled next month.
Dr. Leukoma - 25 Sep 2003 03:56 GMT
> Thanks for the the info. I will run the contact idea past my doctor
> and also consider the neuro-otologist. I do have pressure in one ear,
[quoted text clipped - 28 lines]
>> neurologist recommended seeing a neuro-ophthalmologist which I have
>> scheduled next month.

Yes, well it could be the inner ear, because the vestibular system has
connections to eye movements.  Patients with labyrinthitis or Meniere's
disease often have vertigo in bed.

DrG
Jay - 25 Sep 2003 13:27 GMT
DrG - That is very good to know. I have been brushing aside my ear
problem as something minor. Started a 1.5 years ago after being on a
very long and loud conference call with a headset. I've had my hearing
and ear pressure checked since then. My only symptom from the ear is
like the feeling someone has their finger in my ear. My hearing is
fine, just feel the pressure. Since the dizziness started a year
later, I didn't think the two were related. Thanks for your advice.

> Yes, well it could be the inner ear, because the vestibular system has
> connections to eye movements.  Patients with labyrinthitis or Meniere's
> disease often have vertigo in bed.
>
> DrG
Jay - 21 Oct 2003 12:48 GMT
Well, you guys were right. Went to the neuro-ophthalmologist who
seemed certain it was some kind of ear trouble and wasn't sure why
both my neurologist and ophthalmologist recommended I see him. He
recommended I see a neuro-otologist.

He checked my eye pressure and gave me a visual field test - both were
fine.

> DrG - That is very good to know. I have been brushing aside my ear
> problem as something minor. Started a 1.5 years ago after being on a
[quoted text clipped - 9 lines]
> >
> > DrG
drfrank21 - 21 Oct 2003 18:27 GMT
> Well, you guys were right. Went to the neuro-ophthalmologist who
> seemed certain it was some kind of ear trouble and wasn't sure why
[quoted text clipped - 3 lines]
> He checked my eye pressure and gave me a visual field test - both were
> fine.

Let us know what the neuro-otologist finds. Your initial description
of your symptoms did not really fit a visual/ocular etiology and I'm not
sure why this avenue wasn't suggested early on.

frank
 
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