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Question regarding Tear Film/Cornea

For over 6 months now I've been experiencing photophobia. I went to go see an opthamologist in January and he diagnosed it as Blepharitis and told me to do warm compresses multiple times a day, which I have done so religiously, however 4 months later, still no change in vision.

A description as to what I'm seeing:
I've been having very bad glare, halo's starbursts. When I blink (day or night) I get what looks like a slight double vision and large streaks of light reflected downward. This can be mid-day when my pupil's are constricted or at night when they aren't. My eyes are much more sensitive now to bright lights and glare and any direct light causes me to look away or intefere's with my vision.

I also notice that when I look at light sources from the corner of my eye (in any direct, left right, top and bottom even diagonals etc) I see a blue light next to the light source, The "whiter" the light sources, the more intense the blue light. The light always appears to be on the direction of my pupil no matter where the light is entering from (for example: if the light is above my eye level, the blue light is emitted downwards, if the light source is below my eye level, the blue light is emitted upward etc). The doctor has never heard of this blue light that I see.

In brief; I see glares on lights, starburst effect, downward streaking effect when I blink in the slightest from all light sources, and the blue light emitted from light sources and a ghosting effect where lights are never in focus.

What could this possibly be? If it were blepharitis, 4 months of warm compresses would have to have had some effect whereas there has been none.

I dont know what to do anymore, the doctor told me to get a second opinion which I have and they found my eyes to be normal.

Can this be a neurological issue?

ps: Ive been using preservative free eye drops to lubricate my eyes several times a day, however this makes no difference to the starburst/glare/streak effect.

Thanks in advance. Any help would be immensely appreciated. I'm 26 years old and I can't imagine having to live the rest of my life like this. I have completely lost the joy of going out at night.
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177275 tn?1511755244
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Avatar universal
I also have Blepharitis.  My understanding is that there can be several causes. Mine is caused by Demodex mites. I’m using a warm compress twice a day but it does not kill the mites. Apparently only tea tree oil will kill them and after the compress I use Optase tea tree oil wipes. It has improved significantly over about 2 weeks.
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Avatar universal
Have you gotten any answers or another diagnosis? Or possibly discovered corrective solution?
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1 Comments
177275 tn?1511755244
I would start out by seeing an ophthalmologist, highly regarded that specializes in cornea/refractive surgery. I would have some extra tests to determine if you have dry eyes: Schirmer Test, tear osmolality, tear film meniscus.  Also cornea topography to rule out irregular astimatism,  macular OCT to rule out macular disorders.  Have your eyelids "flipped' to look at the back surface to see if problem there.  Only if all of these were negative would I consult a Neuro-ophthalmologist.
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177275 tn?1511755244
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