Ophthalmologist Questions

“Eye question”

I saw my optometrist today and it was an annual exam. They were testing my field of vision and when they had me cover up one eye and look at them straight ahead to read the number on their fingers, I couldn’t see the fingers on the peripheral side. When they had me look with both eyes I can see fine. There is no vision loss. I was dilated and had a visual field test done. My optometrist said that it could be something new, it could be that I’ve had it all my life and didn’t know it, or I could’ve developed it from being premature at 23 weeks. He wants to see me in 4 weeks to do another visual field test. He said something about binasal peripheral vision loss. He said it is rare and after my second visual field test we would go from there. I was kinda left in the the dark and I have an extensive eye history.

Is there a treatment for this if I do have it?
Will it worsen overtime and work its way from the corner of my eye to the side of my head?
What would the next steps be after a second visual field exam?
When I look with both eyes I can see everything and there isn’t a loss of vision but when one of my eyes are covered up there is a vision loss I think.

Female | 24 years old
Complaint duration: 1 day
Medications: Metoprolol, Breztri. Albuterol, vitamin d, Wellbutrin, trazadone, protonix,
Conditions: Inappropriate sinus tachycardia, asthma, vocal cord dysfunction, hypertension, hypothyroidism, cataracts,

4 Answers

Ophthalmologist
Being premature, this could be related to the eye development, in the retina or in the optic nerve. Nasal vision loss can also occur with glaucoma as well but if your eye pressures are good and no other risk factors this would be very unlikely. It is possible that the retina may not have developed fully, called "retinopathy of prematurity". It does not sound as though your optometrist is too worried. However you could also ask for a consultation with an Ophthalmologist if you feel that you need more information or another opinion.
I need to see the visual fields binasal is unusual. Usually hav a bi temploral loss is a pituitary neoplasm. In which case you should get a cat scan. Send me a copy of the visual field Sent from my iPhone. Dr. LMJ
With your history what on earth are you doing by trusting your eyecare to a non physician. Start by seeing an ophthalmologist and getting his input. It may further be deemed necessary to see a neuro-ophthalmologist. But start first with a comprehensive ophthalmologist. .
I would recommend seeing a neuroophthalmologist as you may need CT or MRI to rule out neurological or brain problems causing these defects  Sent from the all new AOL app for iOS