[25F] With sudden onset of right eye blurriness and weakness

Patient Description

A 25-year-old female reports experiencing blurriness and a feeling of weakness in her right eye since yesterday morning. The symptoms have been constant, with no improvement. She describes a sensation as if she is not looking out of her right eye when both eyes are open, although she can see, albeit blurry, when the right eye is open alone. The patient also notes some discomfort in the right eye and a little bit of discharge in the morning, which she attributes to having fallen asleep with her contacts in. There is no associated pain, redness, or history of similar vision changes. The patient denies any recent head or eye trauma. She has no pre-existing conditions or chronic illnesses and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Contact Lens-Related Issues: Since you mentioned falling asleep with your contacts in, it's possible that your symptoms are related to contact lens overuse or improper hygiene. This can lead to discomfort, blurriness, and discharge.

    • Treatment: Removing your contacts and giving your eyes a break can help. Use lubricating eye drops to relieve discomfort. If symptoms persist, see an eye care professional.
  • Dry Eye Syndrome: This condition occurs when your eyes don't produce enough tears or the right quality of tears, leading to discomfort and blurry vision.

    • Treatment: Over-the-counter artificial tears can help. Avoiding dry environments and taking breaks from screen time can also be beneficial.
  • Conjunctivitis (Pink Eye): This is an inflammation or infection of the outer membrane of the eyeball and the inner eyelid. It can cause discharge, discomfort, and blurry vision.

    • Treatment: If it's bacterial, antibiotic eye drops may be needed. For viral conjunctivitis, it usually resolves on its own, but lubricating eye drops can help with symptoms.
  • Refractive Errors: Sometimes, changes in vision can be due to refractive errors like myopia (nearsightedness) or astigmatism.

    • Treatment: An eye exam can determine if you need a new prescription for glasses or contacts.

What you can do

While it's important to consult an eye care professional for a formal diagnosis and treatment, here are some steps you can take in the meantime:

  1. Remove Your Contacts: Give your eyes a break from contact lenses. Use glasses if you have them.
  2. Use Lubricating Eye Drops: These can help relieve discomfort and improve blurriness.
  3. Maintain Good Eye Hygiene: Wash your hands before touching your eyes or applying eye drops.
  4. Avoid Eye Strain: Take regular breaks from screens and ensure you have good lighting when reading or working.
  5. Stay Hydrated: Drink plenty of water to help maintain eye moisture.
  6. Journal Your Symptoms: Use MDandMe to track your symptoms, note any changes, and share this information with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

  • Severe Eye Pain: This could indicate a more serious issue that needs immediate attention.
  • Sudden Vision Loss: Any sudden changes in vision should be evaluated by a professional.
  • Increased Redness or Discharge: This could be a sign of an infection that requires treatment.
  • Sensitivity to Light: This can be a symptom of various eye conditions that need medical evaluation.

Remember, while these tips can help manage your symptoms, it's crucial to consult with an eye care professional to get a proper diagnosis and treatment plan.

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5 mo ago


People Also Ask


Can wearing contact lenses overnight cause eye problems?

Yes, wearing contact lenses overnight can lead to discomfort, blurriness, and discharge due to reduced oxygen supply to the cornea and potential bacterial growth. It's important to follow proper contact lens hygiene and give your eyes a break.


What are the symptoms of dry eye syndrome?

Symptoms of dry eye syndrome include a stinging or burning sensation in the eyes, blurred vision, eye fatigue, and a feeling of having something in your eyes. Over-the-counter artificial tears can help alleviate these symptoms.


How can I tell if I have conjunctivitis (pink eye)?

Conjunctivitis, or pink eye, often presents with redness, swelling, itching, and discharge from the eye. It can be caused by bacteria, viruses, or allergens. If you suspect conjunctivitis, consult a healthcare provider for appropriate treatment.


What should I do if I experience sudden vision changes?

If you experience sudden vision changes, such as severe blurriness or vision loss, it's important to seek medical attention immediately. These symptoms could indicate a serious condition that requires prompt evaluation by an eye care professional.


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