What is an Optical Migraine?
Ocular or Ophthalmic Migraine occurs when the visual phenomenon of migraine occurs without the headache. Visual disturbances include zigzag lines, which start small, then enlarge to the periphery over the next 10 to 20 minutes, and then disappear. In addition, patients may experience a “ripples on the water” effect or “heat waves” in their vision.
Can I have Lasik if I have dry eyes?
Lasik can make dry eyes worse. When the Lasik flap is made, corneal nerves are cut which reduces the reflex production of tears. Even normal eyes may experience dryness over a 3 to 4 month period as the corneal nerves regenerate. Mild dry eyes may be helped pre-operatively with non-persevered artificial tears, Restasis® and even punctal plugs, which block the drainage of the tear layer.
I have Lupus; can it affect my vision because I have noticed a change since I was diagnosed?
Lupus normally does not affect vision, but it can. The effect can be on the surface of the eye as dry eye. Lupus may cause a some inflammatory condition known as iritis. Lupus may also affect the retina blood vessels. In addition, medications used for Lupus can lead to glaucoma and cataracts. Lupus patients should generally not have Lasik or Photorefractive Keratectomy as a corneal “melt” might occur.
Stanley Rous, M.D.
Board Certified Ophthalmologist
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