headache and eye strain

[rswamin]

i experience a very severe headache and forehead pain at a cinema theatre. it got better few minutes after coming outside. what may caused this the vision was perfect during that time

[JohnHaganMD]

This is your 4th posting. This one has some interesting information. I mentioned that there is a rare type of glaucoma called angle closure glaucoma that type of glaucoma is divided up into 1. acute glaucoma which I have described and you don't have as it has severe pain and terrible vision  2. chronic angle closure glaucoma which may not cause symptoms but elevates the pressure and you said yours was normal  then 3. intermittent angle closure glaucoma which can occur at certain times and not others. One of the things that can cause it is being in the dark for a long time (which causes the pupils to dilate) then when going back into dilating the pupils constrict and the pressure goes down.

This virtually always happens in farsighted people (hyperopes) and not in near-sighted (myopes).  What is your glasses prescription? If you are hyperopic you would need to see an eye MD ophthalmologist and before any drops put in your eye the Eye MD would need to do a test called gonioscopy to see if your eye is shaped such as this might be a cause. POST YOUR GLASSES PRESCRIPTION.

[rswamin]

doctor
i have no  glass prescription as of now my vision is 20/20
(you told halos could be due to glasses what could be the relation with this
so i am going in a week or two)
but i am going to vision therapy for focusing problems

[rswamin]

moreover  my angles are normal

[JohnHaganMD]

To know that your angles are normal your previous "eye doctor" would have had to done a test called a "gonioscopy"  Given your symptoms that test would need to be done, it is not part of a regular exam. If it was done by a competent ophthalmologist then you can cross that off the list of possibilities. If not it should be done.

[rswamin]

doctor
i saw my last eye report(i dont see that often).the following tests were done  
field measurement, pachymeatry,gonioscopy.
they viewed my eyes with a prism or lens shaped instument which was hand held is this gonioscopy because my report clearly mentions it.ALL THE TESTS came normal but they it couldnt answer my halo vision as to why it is causing that?

[JohnHaganMD]

So a gonioscopy was done. Your best course would probably be to see a different eye MD ophthalmologist for a second opinion. Your symptoms are unusual with all the tests being normal that you describe.

[rswamin]

is it glaucoma which is what you have described unusual

[rswamin]

i am now confused should i go immediately or wait for some time. can you explain what may be the causes and future course of action

[JohnHaganMD]

No it is not an emergency since you have had an exam and no emergency was found.  Since the doctor you saw could not give you a cause then I would seek out a different eye physicians for what in the USA we call a "second opinion"

[rswamin]

i saw an another opthomalogist  as advised by you all came normal again he said the nerve was excellent
the doctor said that you are getting afraid by reading google.  he said halos could be to due to neurological problem it has nothing to do with your eyes is this true or should i go to another different one

[rswamin]

do we see glare  after pupil dilation how long does it last

[JohnHaganMD]

yes, lasts until the drops wear off which is anywhere between several hours and several days depending on what dropped used and your sensitivity to them.

[rswamin]

doctor
can halos be due to neurological symptoms because 3 eye doctors said my are healthy what should i do now

[JohnHaganMD]

It depends on what the halos look like, sometimes people with migraines describe their "auras" as halos. Go to Google Images and type in migraine aura or migraine scotoma and see if your halos look anything like that.  Also if halos are eye induced they should disappear when you close both eyes.