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* Link the the vision images/records/pdf in case you just want to jump to it.
Vision records click here
Hi,
To be brief, I am 32 yrs old, and have had perfect vision all my life, until about age 27. I have starbursts, halo's, ghosting, multiple images, glare, photophobia, and generally all that goes with it. It really makes my acuity which is 20/20 to 20/15 not all that special because the vision is not 'functionally' that great. I didn't know there was a difference till It started to go bad.
Now, I saw an ophthalmologist who I requested run the Oculus pentacam topography on me just to see if I had kerataconus at the time (because the symptoms matched up).. But apparently by the thickness values I am far from being KC material.
I have never had any eye surgery, or any corrective lenses.
Here is a link to my eye records with the images from the pentacam/oculus and notation.
Vision records click here
Now I have a great deal of knowledge and research over the years on ocular disease, some HOA's, and everything in between -- But this is fairly greek to me, with the acronyms everywhere,.. and no real way to determine what they mean. (This stuff isn't readily available on wikipedia for example
) --
But I thought maybe there was an expert or two here that either was a doctor, or had researched this enough to understand these things well... so I'm giving it a shot.
Everything was deemed just fine and dandy of course at the exam -- which is on the report.
But, I noticed a few things -- one the ABR is 13 on one reading (which is flagged in red.. and I *think* anything >1 is abnormal?) -- I can only guess this is Aberration? Maybe HOA? If so, 13 would be significant, no? Though the other eye shows zero.. and every eye has some HOA -- and both of mine are constantly problematic so that doesn't make much sense.
The other readings, I really don't know -- aside from corneal thickness on the front.. it all looks very thick.. which is better than thin I know.
Now, the rear (Elevation Back) -- views I think are the topography if you were to flip your cornea around. Hence the 'back' -- these look fairly abnormal. Though maybe the back of the cornea is supposed to be so randomly shallow and deep. I thought it would correspond with the front .. ie: The front being shallow, would show peak on the back.. and vice versa.. the front showing a peak, would result in a shallowness on the back. Sort of matching up. But I'm likely wrong, and would very much appreciate what it means.. necessarily.
Take a look at the numbers -- see if anything at all looks abnormal to you. Even if border line.
I do believe I have a tear film problem -- but I don't want to see a specialist about it until I have some firm evidence of it. (My eyes do hurt when I wake up, are often stuck together.) -- When I wake up in the middle of the night or the morning.. my eyes are bone dry.. I blink and nothing.. it literally feels like my tears all drain out when I am in the supine (laying down) position. I'm not joking.. sounds nuts,.. but that is what happens. If I lay down for an hour, my eyes will be bone dry and things are really really hazy as a result. If I sit up for a bit, it clears up a good bit (but not back to normal completely) -- I know that sounds crazy , but I've tested it.. I've slept on my stomach and my eyes don't feel that painful zero tears in them dry when I get up from that position. The eyes are always very bloodshot/red when i wake up.
I think there is a tear film issue, or draining, etc -- Either my film has too much mucous, oil, or not enough water or something.. causing some sort of smearing effect which distorts vision.
Or, because the eyes dry out so much during sleep.. they get like mini abrasions or erosions that leave the surface uneven, causing the aberrations I see. Which would resolve if my eyes could ever have the right tears for long enough to 'heal'. Make sense? Just a working theory,but makes sense in my head.
Also on the notes -- you will notice I have -.25 Spher astig undilated,.. and then +.50 astigmatism dilated. I don't think the Oculus lies .. it is objective instead of relying on the patient to be subjective. Would .50D of astigmatism be enough to bother my vision (maybe I'm just super sensitive to it?) Problem is, I "kick" it out when they use the phoropter (sp?). This doesn't mean it goes away, I don't know what it means other than they can't correct it with the refraction machine (or at least I don't like it).
If dry eye, for some reason isn't the problem.. can a half a diopter of astigmatism that is shown in the records above cause ghosting, and starbursts, and such stuff if not corrected? If so, is it possible that I may just need a proper pair of glasses for my level and angle of astigmatism and I will need to get 'used' to them? Cause it feels like my lens is constantly focusing in and out trying to maintain focus during the day.. which could be a constant strain because I have this astigmatism? Shrug, I'm just guessing though.
Well, I think I've loaded this post well enough by now. So I really hope some experts which most of you really seem like ,.. understand this and can give some pointers if anything looks somewhat suspicious.
Again, no surgery, and no glasses ever. Just as an aside.. I do notice that if I drink, the next day (slightly hungover) my ghosting and blur is considerably worse. (This is when I'm completely sober,.. but thought it may have some merit on the tear film or something.) -- And, I only drink about twice a year at most.. not a big fan.
Again, thank you for reading this if you got this far. I appreciate anything you can offer in advance.
Jared
Vision records click here
Hi,
To be brief, I am 32 yrs old, and have had perfect vision all my life, until about age 27. I have starbursts, halo's, ghosting, multiple images, glare, photophobia, and generally all that goes with it. It really makes my acuity which is 20/20 to 20/15 not all that special because the vision is not 'functionally' that great. I didn't know there was a difference till It started to go bad.
Now, I saw an ophthalmologist who I requested run the Oculus pentacam topography on me just to see if I had kerataconus at the time (because the symptoms matched up).. But apparently by the thickness values I am far from being KC material.
I have never had any eye surgery, or any corrective lenses.
Here is a link to my eye records with the images from the pentacam/oculus and notation.
Vision records click here
Now I have a great deal of knowledge and research over the years on ocular disease, some HOA's, and everything in between -- But this is fairly greek to me, with the acronyms everywhere,.. and no real way to determine what they mean. (This stuff isn't readily available on wikipedia for example
) --But I thought maybe there was an expert or two here that either was a doctor, or had researched this enough to understand these things well... so I'm giving it a shot.
Everything was deemed just fine and dandy of course at the exam -- which is on the report.
But, I noticed a few things -- one the ABR is 13 on one reading (which is flagged in red.. and I *think* anything >1 is abnormal?) -- I can only guess this is Aberration? Maybe HOA? If so, 13 would be significant, no? Though the other eye shows zero.. and every eye has some HOA -- and both of mine are constantly problematic so that doesn't make much sense.
The other readings, I really don't know -- aside from corneal thickness on the front.. it all looks very thick.. which is better than thin I know.
Now, the rear (Elevation Back) -- views I think are the topography if you were to flip your cornea around. Hence the 'back' -- these look fairly abnormal. Though maybe the back of the cornea is supposed to be so randomly shallow and deep. I thought it would correspond with the front .. ie: The front being shallow, would show peak on the back.. and vice versa.. the front showing a peak, would result in a shallowness on the back. Sort of matching up. But I'm likely wrong, and would very much appreciate what it means.. necessarily.
Take a look at the numbers -- see if anything at all looks abnormal to you. Even if border line.
I do believe I have a tear film problem -- but I don't want to see a specialist about it until I have some firm evidence of it. (My eyes do hurt when I wake up, are often stuck together.) -- When I wake up in the middle of the night or the morning.. my eyes are bone dry.. I blink and nothing.. it literally feels like my tears all drain out when I am in the supine (laying down) position. I'm not joking.. sounds nuts,.. but that is what happens. If I lay down for an hour, my eyes will be bone dry and things are really really hazy as a result. If I sit up for a bit, it clears up a good bit (but not back to normal completely) -- I know that sounds crazy , but I've tested it.. I've slept on my stomach and my eyes don't feel that painful zero tears in them dry when I get up from that position. The eyes are always very bloodshot/red when i wake up.
I think there is a tear film issue, or draining, etc -- Either my film has too much mucous, oil, or not enough water or something.. causing some sort of smearing effect which distorts vision.
Or, because the eyes dry out so much during sleep.. they get like mini abrasions or erosions that leave the surface uneven, causing the aberrations I see. Which would resolve if my eyes could ever have the right tears for long enough to 'heal'. Make sense? Just a working theory,but makes sense in my head.
Also on the notes -- you will notice I have -.25 Spher astig undilated,.. and then +.50 astigmatism dilated. I don't think the Oculus lies .. it is objective instead of relying on the patient to be subjective. Would .50D of astigmatism be enough to bother my vision (maybe I'm just super sensitive to it?) Problem is, I "kick" it out when they use the phoropter (sp?). This doesn't mean it goes away, I don't know what it means other than they can't correct it with the refraction machine (or at least I don't like it).
If dry eye, for some reason isn't the problem.. can a half a diopter of astigmatism that is shown in the records above cause ghosting, and starbursts, and such stuff if not corrected? If so, is it possible that I may just need a proper pair of glasses for my level and angle of astigmatism and I will need to get 'used' to them? Cause it feels like my lens is constantly focusing in and out trying to maintain focus during the day.. which could be a constant strain because I have this astigmatism? Shrug, I'm just guessing though.
Well, I think I've loaded this post well enough by now. So I really hope some experts which most of you really seem like ,.. understand this and can give some pointers if anything looks somewhat suspicious.
Again, no surgery, and no glasses ever. Just as an aside.. I do notice that if I drink, the next day (slightly hungover) my ghosting and blur is considerably worse. (This is when I'm completely sober,.. but thought it may have some merit on the tear film or something.) -- And, I only drink about twice a year at most.. not a big fan.
Again, thank you for reading this if you got this far. I appreciate anything you can offer in advance.
Jared