Stars in one eye & pupil larger. Doppler shows elevated peak systolic velocity.
I occasionally see bright spots, kind of like little sparks or dots that appear in my right vision mostly outside of the centre of the visual field. They appear and travel a short distance and disappear and new ones appear. I know they are only in my right vision because last time this happened I covered my right eye and they were gone, I then uncovered and they were back. These 'episodes' last about 15 to 30 seconds and are mostly brought on if I turn my head over my right shoulder, for example to try to look at my back. When my head turns back the 'episode' begins.
My right eye also frequently feels somewhat puffy or swollen.
An opthalamologist couldn't find anything wrong in either my eyes.
Other's have noticed my pupil being larger than the other and mentioned it to me (that's when I first noticed). It does not seem to be constant as the GP and opthalomoligst did not notice it.
I had a carotid doppler ultrasound earlier this month. The report in its entirety says:
"CAROTID DOPPLER ULTRASOUND
Clinical details: Patient reports bright spots in the visual field on and off for a number of months as well as seeing right pupil larger than left but not observed by GP.
No atheroma could be identified in the carotid bulbs or proximal internal carotid arteries.
Although the peak systolic velocity in the right ICA is slightly elevated to 130cm per second, there is normal ICA/CCA ratio measuring 0.95. Normal doppler spectrum. On the left, there is no elevation of peak systolic velocity with a normal ICA/CCA ratio of 0.84.
No external carotid artery stenosis is demonstrated.
There is normal antegrade flow in both vertebral arteries.
Slight elevation of peak systolic velocity in the right ICA is most likely physiological with a normal ICA/CCA ratio. No haemodynamically siginificant internal carotid artery stenosis could be identified by dopper ultrasound criteria. Normal antegrade flow in both vertebral arteries."
***What does all of this mean?
***Why is the PSV in my right internal carotid artery elevated or what are the possible reasons?
***What happens now, do I need to get follow up tests or treatment?
***Do I have a brain tumour or is is possible or likely?
-This is essentially a normal carotid Doppler study.
-Slight elevation in PSA is unlikely to be of clinical significance.
-I would suggest a review with your treating ophthalmologist or seeking a second opinion with another ophthalmologist for a detailed evaluation. If a specific cause is identified, it can be managed accordingly.
-Neither the symptoms nor any of the tests are particularly suggestive of a brain tumour.
Hope this is helpful.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.