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The Doctors Lounge - Primary Care Answers

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Forum Name: Eye diseases (Ophthalmology)

Question: Eye Pupil

Paul68 - Tue Apr 12, 2005 2:55 am

1. Over the last few months I have found my eyes to be easily irritated. People often commenting to me that.."you eyes are very red". I put this done to small cists at the corner of my eyes whites becoming irritated, these have developed over the years and I think were due to the corection of a squint when I was younger. Is there anything I can do to stop my eyes becoming irritated and Itchy.

2. Yesterday I looked in the mirror and have noticed that my right eye pupil is more dialated than my right. It is not causing any kind sensation in the eye although I feel a slight strain in the right. My vision in my left eye has never been very good. Over the past 2 years I have been using a computer on a daily basis.

Your advice and comments appreciated
Dr. Anthony Solomon - Tue Apr 12, 2005 3:35 am

Your complaints and the chronicity of symptoms are indications for evaluation by an ophthalmologist.

While medications can relieve itchiness and redness of the eyes, this would only treat the symptoms, not the cause.

I recommend that you consult the eye specialist as soon as possible, so that any ocular problem may be treated in time.

Dr Anthony Solomon
Consultant Physician, Tropical & Genitourinary Medicine
alifran - Mon Nov 07, 2005 4:19 am

My dad suddenly had one pupil dilated much more than the other. The following day, it was a bit less noticible.

He is 78 and has high blood pressure for which he takes medication. I did some research on the web and was concerned to read that this could be a possible symptom of anyrism, Stroke or brain tumor. Also, glaucoma was mentioned.

He says that he sometimes notices blurriness, and he has had dry eyes for years, for which he uses drops. He will see his opthamologist. My question is could this be an indication that his BP medication may need adjusting?

Thanks in advance,
Dr. Anthony Solomon - Mon Nov 07, 2005 10:59 am

Your father's arterial blood pressure and his intraocular pressure readings are required for a suitable response to your question.
His blood pressure medication will require an adjustment in current dosage or a change of drug if the blood pressure is not adequately controlled.
He must see an ophthalmologist for an evaluation of his eyes and a physician for blood pressure monitoring. Hypertension may cause complications in various organs of the body, including the eyes, and untreated glaucoma may cause progressive loss of vision.

Dr Anthony Solomon
Consultant Physician, Tropical & Genitourinary Medicine

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