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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stress, Blurred Vision, Loss In Peripheral Vision, Headache, Sneezing, Nasal Congestion. Vision Perfect When Previously Tested. Advise?

Hi, my son is a healthy 15 year old (16 next month) - very active in all sports, plays high level hockey, is a soccer referee, happy, great at school, but he does say he's feeling overwhelmed (stressed) lately with school and has been working really hard on math. A few times over the course of several weeks he has complained of blurred vision and change/loss in peripheral vision in both eyes. He describes his vision as "weird." No floaters or eye pain - blurriness is overall - not just short or long distance. Today it started right after phys ed class where he exerted himself to his maximum (but that's not unusual). It's been about 1/2 hour and his eyes have improved but now he has a headache which could be related to the eye strain of trying to focus his blurred vision. I am a med complex paeds nurse. The first thing I did was check his blood glucose - normal. He has no other neurological symptoms - no dizziness, numbness, no weakness anywhere, no abnormality in eye movement, etc. Last visit to the optometrist (approx. 1 year ago) - vision was better than perfect.
Is it possible for the season ++ pollen to cause his vision to go blurry? (Gym class was NOT outside). He is not diagnosed with allergies however I have noted a bit of sneezing and a little sinus congestion (blowing nose) with him (but he hasn't complained at all). Have you ever heard of this with over exertion? If so, why would this happen? Please advise - I don't want to over react but need your thoughts. Last physical was approx 1.5 years ago - all normal including bloodwork.
Tue, 21 May 2013
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General & Family Physician 's  Response
Hello,
Your son healthy 16 yrs old. So far he was playing all games. Recently he complaints of blurred vision and loss of peripheral vision in both eyes. Because of this he gets headache, he exerts more in class. Your suspicion of pollen allergy, sneezing and sinus congestion are for the time being ruled out.Compared to animals humans are weaker in peripheral vision, because in human receptor cells of the retina are greater at the center. This is just like glass wearing people will have little less peripheral vision than the non glass wearing people. When the peripheral is lost, central vision is retained resulting in a constricted circular tunnel called as tunnel Vision. The etiology may be in the retina and the reasons are many and depends according to the age.
Only an ophthalmologist can diagnose the exact cause and treat it.
Instead of wondering what should be the cause, consult an eye specialist without delay.
My best wishes for your son
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Stress, Blurred Vision, Loss In Peripheral Vision, Headache, Sneezing, Nasal Congestion. Vision Perfect When Previously Tested. Advise?

Hello, Your son healthy 16 yrs old. So far he was playing all games. Recently he complaints of blurred vision and loss of peripheral vision in both eyes. Because of this he gets headache, he exerts more in class. Your suspicion of pollen allergy, sneezing and sinus congestion are for the time being ruled out.Compared to animals humans are weaker in peripheral vision, because in human receptor cells of the retina are greater at the center. This is just like glass wearing people will have little less peripheral vision than the non glass wearing people. When the peripheral is lost, central vision is retained resulting in a constricted circular tunnel called as tunnel Vision. The etiology may be in the retina and the reasons are many and depends according to the age. Only an ophthalmologist can diagnose the exact cause and treat it. Instead of wondering what should be the cause, consult an eye specialist without delay. My best wishes for your son