[18M] With persistent visual disturbances and tinnitus

Patient Description

An 18-year-old male reports lifelong visual disturbances that have worsened over the past year. Symptoms include seeing static, graininess, flashes of light, closed eye visuals, negative afterimages, and tracers. These occur all day, every day. Additionally, the patient experiences tinnitus described as buzzing, static, and loud screeching, occurring in short bursts. The tinnitus is rated as moderate in severity. The patient also reports sensitivity to light and changes in vision at night or in low light conditions. Occasional headaches are noted, but there is no difficulty with balance or coordination, and no nausea or vomiting. The patient started taking Auvelity in the past year but has not noticed any changes in symptoms since starting the medication. There is a family history of migraines on the mother's side. The patient has a history of mental illness.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Visual Snow Syndrome: This condition is characterized by seeing static or graininess in your vision, along with other symptoms like afterimages and light sensitivity. It can be associated with tinnitus and is often persistent.

    • Treatment typically involves managing symptoms, as there is no definitive cure. Some medications and lifestyle changes may help.
  • Migraine with Aura: Given your family history, migraines could be a factor. Visual disturbances like flashes of light and sensitivity to light are common.

    • Treatment includes medications to prevent migraines and relieve symptoms when they occur.
  • Medication Side Effects: Some medications, including those for mental health, can cause visual disturbances and tinnitus.

    • Discussing with your doctor about potential side effects and alternative treatments might be helpful.

What you can do

  • Consult a Healthcare Provider: It's important to see a doctor for a formal diagnosis and to discuss your symptoms and any potential medication side effects.
  • Track Symptoms: Use MDandMe to journal your symptoms, noting any patterns or triggers. This can be valuable information for your healthcare provider.
  • Lifestyle Adjustments: Reducing screen time, managing stress, and ensuring good sleep hygiene may help alleviate some symptoms.

What you should look out for

  • Seek Immediate Care: If you experience sudden vision loss, severe headaches, or any new neurological symptoms, seek medical attention promptly.
  • Monitor Changes: Keep an eye on any changes in your symptoms or if they worsen, and report these to your healthcare provider.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation.

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6 mo ago

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People Also Ask


What is Visual Snow Syndrome and what are its symptoms?

Visual Snow Syndrome is a neurological condition characterized by seeing static or graininess in the visual field, along with other symptoms like afterimages, light sensitivity, and sometimes tinnitus. It is persistent and can affect daily life.


Can migraines cause visual disturbances and tinnitus?

Yes, migraines, especially those with aura, can cause visual disturbances such as flashes of light and sensitivity to light. Tinnitus can also be associated with migraines.


Could my medication be causing these visual and auditory symptoms?

Yes, some medications, particularly those used for mental health conditions, can have side effects that include visual disturbances and tinnitus. It's important to discuss these symptoms with your doctor to explore potential side effects and alternative treatments.


What lifestyle changes can help manage symptoms of visual disturbances and tinnitus?

Lifestyle changes that may help manage symptoms include reducing screen time, managing stress, ensuring good sleep hygiene, and possibly making dietary adjustments. Keeping a symptom journal can also help identify triggers and patterns.


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