Hi. Sorry for the length of my message but it is difficult for me to quickly summarize my situation and my symptoms. I changed jobs two years ago in which I spend all my time in front of a screen. I very quickly encountered multiple problems which began with eye fatigue along with dry eyes followed by visual disturbances mainly on one eye (dominated eye) and finally chronic headaches. All my symptoms have generally worsened over time. I have already seen a multitude of health professionals (Ophthalmologists / Opticians / Orthoptist / Optometrists / Neurologist / Osteopaths etc). I have already been prescribed several pairs of corrective lenses (each with different corrections) that have never contributed to an improvement of my symptoms. I was told to wear my corrective lenses as much as possible and later that I do not need any glasses. The reality is that today, having to concentrate on something (especially up close) automatically brings a strong visual stress accompanied by eye pain, visual disturbances, headaches, loss of concentration and sometimes even of a balance and a great general fatigue. When I wake up in the morning I usually have a white blur in my vision with very dry eyes and it takes a good ten minutes for things to clear up. Last year, I did 12 orthoptic sessions to correct a lack of convergence and today I am told that I am more of an excess of convergence with an esophoria of 10D and eyes that can not relax. I followed a specific visual training guided by a functional optometrist to improve the coordination of my two eyes but without positive results.
I am convinced that in the various exams that I have been able to pass over the past two years, something has been missed and that focusing solely on central vision and eye health is not enough in my case to fix my problem. I would like to know if the cause of my problems would not be due to other things and in particular to a misalignment. I really feel that I have disparities of fixations between my two eyes including vertical (by performing the cover test). I have the feeling that the vast majority of the time, my right eye sees slightly higher than my left eye. What I'm sure of is that by hiding one eye, my eyes force a lot less than the two together. The specialists I have seen so far believe that I do have disparities but they are inconsistent and too small and my visual system should be able to compensate.
My prescription after a cycloplegic is: +0.50 for both eyes with a stigmatism of -0.5 165° in the right eye. This precription didnt help none the cyl correction is really hard for me to get used to it. I ended up recently to try wearing + 0.50 on both eyes to release the accomodative spasms and correct eventual latent hyperopia but that doesn't help me much and it is hard to stick with the lenses since I can't see clearly far away with it.
Here is a description of my symptoms.
§ Reduced visual acuity on OD with monocular diplopia (double ghost image)
§ Headache in the form of hemicrania; pain that migrates from the posterior region of the eye to the sub-occipital region on the right side corresponding to the eye with visual disturbance. The pain is created or / and accented with a visual effort of concentration. This results in eye pain, visual disturbances, headaches, loss of concentration and sometimes even of balance; increased general fatigue.
§ pronounced eye strain (redness in the eyes and signs of irritation or inflammation.) Dry eye. Blepharitis. Dysfunction of the meibomian glands (according to an ophthalmologist). Slight drought confirmed on the Epithelium map but Tear Break Up Time normal. No relief with tears, gel, eyedrops, compresses etc.
§ High sensitivity to light (especially car headlights), eyes that burn and avoid reflex or hide an eye. Inability to drive at night if a lot of traffic. Sensitivity to sunlight in the middle of the day even with sunglasses causing headaches.
§ Insufficiency of convergence (For information I realized 12 orthoptic sessions which did not change anything).
§ Excess convergence later! Esophoria of 10D.
§ Spasms of accommodations (affirmed by an ophthalmologist after refraction test under cycloplegic). It gets worse and worse with time. When I look at something up close for a moment and then at the distance it takes a really long time to come into focus again or don’t come into focus at all if low light.
§ No improvements following the prescription of corrective lenses.
Thank you very much for taking the time to read my message. I hope somebody can help me.