Is this set of symptoms anything I should be panicking about?

[Fanghur_Rahl]

This is going to need a little background context. I am a 28 year old male with myopia. Back around Late August I began to notice that I was getting a large number of floaters, mainly in my left eye at the time, and at least one 'large' one in my right. The ones in my left eye were so distracting that they were literally making my life a torment. After seeing my optometrist, my family doctor, and two ophthalmologists, all of whom concluded that they were benign, but saying that I'd just have to live with them, I eventually found an ophthalmologist who was trained in laser vitreolysis, Dr. Salyani, and he was able to make my left eye a fair bit better, though still not perfect unfortunately. But regardless, the procedure went without complication.

Now, ever since this first started, I've essentially become hyper-aware of my eyes and as such I may just be noticing normal things that my brain just used to tune out, but I'd rather not just assume that only to later come to regret it. But just keep that fact in mind. And also, one of the ways I've been trying to cope with the floaters is to habitually keep my eyes as stationary as I can to keep them out of my field of view. Again, keep that fact in mind for what I'm about to say.

Lately, my eyes have been feeling a mildly to moderately sore, especially when I move them quickly to either side, often accompanied by a brief field of pinpoint flashes, which up until now I've assumed is probably just because they're stiff from not being moved much (which has become something of a vicious cycle if that IS the cause of the pain). But taken in conjunction with the other new 'symptoms' I'm noticing, I'm not so sure anymore, and quite frankly am starting to freak out. I keep getting the nagging feeling that something has changed within my visual field. Like everything in my peripheral vision isn’t quite as clear as it should be, or my eyes are having trouble staying focussed. Whether that’s true or not I don’t know, but I have seen my optometrist and both of them assured me that my intraocular pressure was not high; in fact, if anything they said it’s marginally lower than average, and I passed a flicker test with no red flags.

Also, in bright light, I'm noticing that all throughout my field of view, though more so in my right eye, I'm noticing countless small bright pinpricks/streaks of light that move in seemingly random directions. I’m pretty sure they aren’t flashes, as they aren’t visible in the dark and they are by far the most noticeable in sunlit areas. I’m pretty sure they correspond to where my veins are though. I’ve been noticing them since at least last August. They may just be blue entoptic phenomenon, though it seems way too noticeable for that. But I don’t know.

And really, I just want to know whether any of this sounds serious. Because taken in conjunction, it is seriously freaking me out.

P.S. my visual acuity directly in the centre of my visual field is seemingly unchanged, and staring straight ahead with my hands and arms extended in either direction, I’m still able to see both of my hands, so it definitely isn’t tunnel vision.

[John C Hagan III, MD, FACS, FAAO]

I am not a fan of floater vitreolysis and a case can be made that your hyperawareness is due to the procedure as opposed to the standard methodology of just 'moving on and ignoring them. I would suggest you discuss with  the floater "surgeon" and likely you need to see a psychologist or psychiatrist to deal with your anxiety and OCD behaviors.

[Fanghur_Rahl]

With all due respect, sir, I am well aware that the means by which I’ve been trying to cope with the floaters isn’t exactly rational, and also that most eye doctors don’t recommend LV; trust me, it wasn’t something I undertook lightly, not least of which being the exorbitant cost. It was not even possible for me to ‘ignore’ them, especially when using a computer. But at this point the floaters aren’t my primary concern, the fact that my eyes hurt when I move them and the other possible symptoms are. And unfortunately unless I go to a hospital, there aren’t any ophthalmologists (including the one who did my procedure, who by the way is a respected retinal expert and eye surgeon; I wouldn’t have gone to him otherwise) I can get a prompt appointment with.

[John C Hagan III, MD, FACS, FAAO]

Okay I'll leave it at this.  You should start working on the promptest appointment you can get ideally with the surgeon.

[Fanghur_Rahl]

One thing I would like to add is that the eye muscle pain and BFEP (or whatever it is) did not begin following the laser procedure; I had both of them prior to it. And the surgeon did check the eye that he did the YAG on back in the end of January, and he didn’t see any problems. Nor did my optometrist last week other than dry eyes, which again is nothing new.

In your opinion, do you think it’s possible that the sore eye muscles could just be a result of my under using them for so long?

[John C Hagan III, MD, FACS, FAAO]

I'm not practicing medicine here and making diagnosis. That is against MedHelp.org rules and I've taken this discussion as far as I can.  

[Fanghur_Rahl]

One other thing, the sore eyes are also frequently accompanied by mild headaches, especially in brightly lit areas, and very mild nausea. Though it hasn’t been enough to actually make me throw up.my optometrist also said I have dry eyes.