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20895749 tn?1585677291

Vertical ghosting after performing handstand for 5+ minutes. No improvement 6 weeks.

I am very worried about my vision. After attempting a handstand for approximately 5 minutes on February 25th, 2020, I noticed that I was struggling to read small text that usually posed no problem.

It's not coming up to six weeks since I attempted that inversion exercise and my vision has not improved at all.

Symptoms:

- I see multiple ghost images of LEDs and LED displays, as well as streetlights at night. Basically, anything with a high contrast, where a bright object is against a dark background.

- White text on a black screen can be almost impossible to read due to the ghosting. It looks like this: https://imgur.com/IHWBflS but the ghost image gets brighter the darker the background

- The further I am from a pinpoint of light, the further the ghost images (stronger below, but also faintly visible above) move away from the real image.

- If I look through a pinhole, the ghost images DISAPPEAR and my vision becomes 100% clear again (so I'm pretty sure the problem is with my corneal topography in both eyes, as this seems to confirm a refractory problem at the front of my eye, and extreme IOP seems more likely to affect the cornea than the lens, as it could push the cornea forwards and outwards - perhaps permanently stretching it?

- if I look through a pinhole even during daylight, I notice that the image suddenly becomes much sharper and that I was seeing a fuzzy layer mostly below, but also slightly above objects

- when looking at a single LED in a dark room, I see a ghost image at 6'o'clock in my left eye, but the ghost image of the LED at about 5:30 in my right eye, but the ghost image in my right eye ALSO trails off to the right after a short distance, which makes me think that if it is astigmatism, it must surely be irregular.

Just 5 weeks ago, my vision was crystal clear and I could read extremely small font text in low light conditions with no problems. I now struggle to read the LCD display on my microwave and oven when the lights are turned off in the kitchen, due to the high contrast situation (basically it gets worse any time my pupil dilates - which leads me to think it's either my lenses, or more likely my corneas).

I haven't had an eye check up since I was a child but will now get this done annually and will refrain from doing any more exercises which cause extremely high IOP, as this was the only change in my routine right before my vision suddenly changed for the worse.

After weeks of searching online, I found a forum full of people with the same unusual symptoms that I have been experiencing: https://patient.info/forums/discuss/seeing-ghost-images-double-vision-in-both-eyes-629965?page=1

I would REALLY appreciate any help. I'm going to be getting my eyes checked at an optometrist as soon as they open again, and will almost certainly be seeing an ophthalmologist after that.

I've got rosacea (my cheeks are always quite rosy) and I now suspect that I could be particularly vulnerable to unusually high IOP when performing inversion exercises (which of course I will not do again).

-> Have you ever heard of anyone suddenly getting permanently blurry vision (in particularly VERTICAL blurryness) after a period of extremely high IOP?

-> I've read cases of people seeing even two different ophthalmologists and neither of them being able to find the cause of this particular set of symptoms. Do you think LASIK might be the best option or could RGP lenses help me?

Is there any hope that this can be corrected? Everything I've read so far is from people who have suffered these symptoms for years, where no one has been able to detect any problem with their cornea that might explain what's happening.

"This sort of monocular diplopia is almost always due to corneal surface irregularities. "My eyes are completely fine" doesn't rule it out because it's essentially a property of normal eyes.

If you look at your topography you will see your corneal surface organizes itself into hills and valleys, on a microscopic level. The thing is, two hills may have the same dioptric curvature but not focus in precisely the same place. We say they are parfocal without being exactly coaxial.

You eliminate this by squinting or looking through a pinhole or entering daylight because the smaller the aperture, the more homogeneous the curvatures you're sampling.

You will not find a better answer for this question. If you were older, we might say it's optical irregularities in the crystalline lens but if we assume you're too young for that then this is the only reasonable answer." - what do you think of this diagnosis?

Have you ever successfully treated a patient with these symptoms?

Sorry for the length of my post. This change in my vision is making me very unhappy.

Thank you in advance Doctor!
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177275 tn?1511755244
There is no reason why an attempted handstand would cause this unless one in a million that you have subluxated your natural lens and that almost never happens except after trauma to the eye or Marfan's Syndrome. The other complaints are extremely common and have been discussed many times.  You eye might have a need for glasses especially astigmatism which brings light to focus in two places and causes ghost images.  Or the eye might have disease of the tear film, cornea, lens, vitreous or macula. Because there are so many possible causes one the pandemic is over you will need to see an Eye MD ophthalmologist.  So NOT likely at all that the handstand caused this but one of the other causes.
Helpful - 0
20895749 tn?1585677291
Edit:

What I'm seeing looks like this:

https://drive.google.com/file/d/0B-3GS4KRSG0WVXY0WTdhQUpTVW8/view

What do you think of this description of the problem?

"This is caused by higher order aberrations and has little to do with the fit of the lens. Yes, you can manipulate them somewhat by changing this or tweaking that, but the best way to reduce or eliminate them is through aspheric or wavefront-guided optics."

Thanks!
Helpful - 0
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