blurring vising both eyes 1 yr plz tell me treatment n diagnosis



Dear @Sunil Singh Bidawat , For achieving the exact cause of blurred vision for one year, in this case....... OPHTHALMOLOGIST IS THE RIGHT PERSON to diagnose the cause by taking THROUGH HISTORY, CLINICAL EXAMINATIONS AND NECESSARY INVESTIGATIONS ARE TO BE DONE to find out the cause of blurred vision in this case and then MANAGEMENT WILL BE ACCORDINGLY....... SOME CAUSES OF BLURRED VISION (WILL BE HELPFUL TO KEEP IN MIND AS UG) :- THERE ARE MANY CAUSES OF BLURRED VISION: 1. PRESBYOPIA —Difficulty focusing on objects that are close. Common in the elderly. (Accommodation tends to decrease with age.) 2. CATARACTS —Cloudiness over the eye's lens, causing poor night-time vision, halos around lights, and sensitivity to glare. Daytime vision is eventually affected. Common in the elderly. 3. GLAUCOMA —Increased pressure in the eye, causing poor night vision, blind spots, and loss of vision to either side. A major cause of blindness. Glaucoma can happen gradually or suddenly—if sudden, it is a medical emergency. 4. Use of ATROPINE or OTHER ANTICHOLINERGICS. 5. DIABETES —Poorly controlled blood sugar can lead to temporary swelling of the lens of the eye, resulting in blurred vision. While it resolves if blood sugar control is reestablished, it is believed repeated occurrences promote the formation of cataracts (which are not temporary)....... 6. DIABETIC RETINOPATHY —This complication of diabetes can lead to bleeding into the retina. Another common cause of blindness. 7. HYPERVITAMINOSIS A—Excess consumption of vitamin A can cause blurred vision....... 8. MACULAR DEGENERATION —Loss of central vision, blurred vision (especially while reading), distorted vision (like seeing wavy lines), and colors appearing faded. The most common cause of blindness in people over age 60....... 9. EYE INFECTION, INFLAMMATION, or INJURY....... 10. SJOGREN'S SYNDROME, a chronic autoimmuneinflammatory disease that destroys moisture producing glands, including lacrimal (tear)....... 11. FLOATERS —Tiny particles drifting across the eye. Although often brief and harmless, they may be a sign of retinal detachment....... 12. RETINAL DETACHMENT —Symptoms include floaters, flashes of light across visual field, or a sensation of a shade or curtain hanging on one side of visual field....... 13. OPTIC NEURITIS —Inflammation of the optic nerve from INFECTION or MULTIPLE SCLEROSIS. He may have pain when he move his eye or touch it through the eyelid....... 14. STROKE or TRANSIENT ISCHAEMIC ATTACK (TIA)....... 15. BRAIN TUMOR....... 16. TOXOCARA SP (VLM) —A parasitic roundworm that can cause blurred vision....... 17. BLEEDING INTO THE EYE/S....... 18 TEMPORAL ARTERITIS —Inflammation of an artery in the brain that supplies blood to the optic nerve....... 19. MIGRAINE HEADACHES —Spots of light, halos, or zigzag patterns are common symptoms prior to the start of the headache. A retinal migraine is when he has only visual symptoms without a headache....... 20. MYOPIA —Blurred vision may be a systemic sign of local anaesthetic toxicity....... 21. REDUCED BLINKING —Lid closure that occurs too infrequently often leads to irregularities of the tear film due to prolonged evaporation, thus resulting in disruptions in visual perception....... 22. CARBON MONOXIDE POISONING —Reduced oxygen delivery can effect many areas of the body INCLUDING VISION. Other symptoms caused by CO include vertigo, hallucination and sensitivity to light.......Etc etc....... ** Hope, now you can realise that, only seeing two images, with this much of history, how much benefit can you provide to this patient ? Dear @Dr. Bhaskar Pawar , it's better to refer the patient to Eye specialist.


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Cataract, macular pathology csr cme do the IOP complete examination fundus diabetic status BP

Looks cataract Adv- Visual Acuity & Refraction Slit Lamp examination

Optic neuritis Diabetic retinopathy Dacryocystitis

Refer to eye specialist

Early cataract

Refer to eye specialist Both eye or single eye Diabetic??? Probable diagnosis Glaucoma Hypertension Treatment :aczetasolamide Antihypertensive most preferable betablockers

In this case, please refer to ophthalmologist. For examination to find out the cause of blurred vision in this case then management will accordingly

Chronic dacryocystitis Tt DCR

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