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dilation drops still not worn off after more than 48 hours

I am not sure if anyone else has ever heard of this or if they known what might be going on.  I appreciate any suggestions!
I went to the Opthamologist at the Adult Strabismus Eye Clinic the other day to have a regular eye exam PLUS to check for strabismus because I noticed my left eye wasn't always matching the right eye in its movements.  After dropping in the dilation drops, the technician told me to wait in the waiting room for 40 minutes.  I asked why so long since in all of my other eye exams I've never had to wait that long.  She said it was because they used stronger dilation drops.

I waited, and when I saw the doctor he shined the light in my eyes and performed other non-invasive tests (ie. had me look at things and count them).  He also had another resident (very young) in the room with him, and said the resident was going to look at my eye.  The resident performed the same procedure of shining the light in my eye, but because he was standing on my left side (as opposed to the Dr. who was sitting on my right), somehow when he shined the bright light in my left eye, it felt uncomfortable (it hadn't when the doctor did it).  It seemed like he was shining the light in there forever.

When I left the clinic, they didn't offer sunglasses and I forgot to bring my own, so I barely made it across the street with the blinding white snow (super sunny day with lots of white snow up here in the North).  By that evening (my eye appointment was at 8am), my eyes were STILL dilated, and all day I had felt like there was some sort of "spot" in my left eye, right where the resident had shined a light.  It's not like a dark or colored spot per se, but more like an absence of normal vision that I am able to notice when looking straight ahead, but something bright is off-center toward the left at about an 75 degree angle.  This is the exact location the resident had shined the bright light from.  Also worth mentioning is after the exam that day it felt like I had burst a blood vessel in that exact spot on my eye.  I'm not sure if that is the correct way to describe the sensation, but I mean it felt like when I've looked at the computer too long and then I feel something suddenly hurt, and then I can see a red veiny spot that hurts for a day or two.

Last night I also noticed when walking outside that, although it was more comfortable for my eyes to be out at night than during the day, they weren't working quite right.  I would look at street lamps and notice a sort of "halo" that was brighter than normal.  I also noticed any other bright light I looked at would make it difficult to see a dark figure next to it.  For example, I couldn't make out the figure of a man very well because he was next to the bright street lamp.

Now, it has been over 48 hours since the exam, and my pupils are still rather dilated.  They got better yesterday (the 2nd day), but today is not that different from yesterday size-wise (of my dilated pupils).  I also still have that weird spot noticeable when bright light comes from that specific angle, and I still feel a pain like a blood vessel has burst; albeit less pain than yesterday.  I still can't focus very well up-close, and working on my computer doesn't feel very nice either.

What should I do?  I already called the doctor yesterday when my pupils were still dilated after 24 hours, and they said they use extra-strength dilation drops on children (hah hah, I'm 27), and that they can take 48-72 hours to wear off.  I had to miss a full day of work yesterday because of this, as well as class, and now I don't feel up for the hundreds of pages of reading I need to do for school.  I am worried about my vision coming back, but I don't trust this doctor to help me as my eyes did not have this problem before I went in to see him.  Any suggestions, anyone?
13 Responses
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Avatar universal
Oh no.  So does that mean it might not go away?   I do suffer from blood pressure and it has been high but I have been taking meds.  Do you think it had anything to do with my tooth extraction?  
Helpful - 0
1 Comments
No it would not be related to blood pressure or tooth extraction. Small chance the nerves that control the pupil could have been damaged by the needle used for injection.
Avatar universal
Dr. John Hagan, today is 1-1-18 and my eye continues to be dialated.   I am worried.  I did go see my eye doctor this past Friday 12-29-17 and he said that everything looked good that my dilation will go away.     He told me that by this Friday (1-5-18) my eye should be back to normal.  That's  3 weeks from when my eye was dilated.  I am just worried and I do not see the eye returning to normal.  The dilation diminishes when there is more light and then the pupil gets bigger in the dark.  However. It still does not look like my left eye (which is the eye that was NOT dialated).   Do you think I had a negative reaction to the shot?   I have had it before.  It was an Avastin shot.   Could you please ler me know your thoughts?  Will it go away?  I am so worried.  
Helpful - 0
1 Comments
Assuming they used regular drops usually 2.5 % neosynephrine or 1% tropicamide these should have worn off by now. However an unusual complication of intravitreal injections of VEGF inhibitors is permanent dilation of the pupil. Sometimes this is due to high pressure in the eye following injection. Only time will tell.
Avatar universal
I can't seem to create a question on line;  here is my question:  My right eye was dilated the morning of Friday 12/15 and it is now Sunday 12/17 and it is not back to normal. The eye was dilated bcause I had an injection. My right eye has not come back to normal & it is now over 48 hrs. I called the dr office & he said not to freak out & give it 2 more days.  This has never happened to me before I go back to normal after 5-6 hours.  I M concerned. Is there something I could do?  Will my eye go back to normal again soon?
Helpful - 0
5 Comments
No there is nothing you can do; no there is nothing you need to do.  Did you have a VEGF injection (Avastin, Lucentis, Eyelia) for 'wet" ARMD?  Dilation drops last much long is light colored eyes (blue, gray, green) than in light and dark brown.
My eyes are dark brown.  I had the injection to help with swelling.  I've had injections in the past to help stop bleeding and everything goes well.  I asked them what type of injection I was getting and they told me the same one that I have received in the past.  I am not sure what the injection called.  My right eye still had not reduced like my right eye.  Will it eventually return to normal.  I am really worried overhere

The only other item is that I had to have my tooth extracted on Monday 12/11 due to an infection and the dentist said it needed to be removed.  I am on antibiotics (7 day supply) and pain medicine (to take as needed).  Does that matter?  The "on call" EyeDoctor told me that it did not.
I meant the right eye still has not reduced like my left eye.  Anyway my main concern is, will it eventually go back to normal.  Thank you.  
Almost always yes and due to more drops getting in one eye than the other.
99.99% of the time it will return to normal size and reaction.
Avatar universal
I can't seem to create a question on line;  here is my question:  My right eye was dilated the morning of Friday 12/15 and it is now Sunday 12/17 and it is not back to normal. The eye was dilated bcause I had an injection. My right eye has not come back to normal & it is now over 48 hrs. I called the dr office & he said not to freak out & give it 2 more days.  This has never happened to me before I go back to normal after 5-6 hours.  I M concerned. Is there something I could do?  Will my eye go back to normal again soon?
Helpful - 0
Avatar universal
I had manual cateract surgery 72 hrs ago and I have very cloudy vision I can only see blurry objects is this normal ?
Helpful - 0
1 Comments
No and you should report it now to your surgeon.
177275 tn?1511755244
The above statement is totally wrong. After cataract/IOL surgery an eye will not get angle closure glaucoma and cataract/IOL surgery is also a treatment for angle closure glaucoma.
Helpful - 0
177275 tn?1511755244
Modern cataract surgery has a complication rate of about 1-2%.  You clearly are in that small number of people that have major problems. I would suggest you consider a second opinion to learn what your options are.

JCH MD
Helpful - 0
Avatar universal
i had a cataract surgery 4 weeks ago. After my follow up exam and my inability to see the dr. said my lens had slipped and he needed to reposition, back in to surgery. I went for follow up next - again lens slipped.  another surgery planned - this one he did an implant - that was 12/8/15 - it is now 12/13 5 days later, my vision is still very cloudy and my eye is still totally dialated.  I will do a followup with him tomorrow - but would like to know what your opinion is. Should I seek other medical attention. Linda
Helpful - 0
177275 tn?1511755244
Yes by all means ask the doctor and record what they were. the most common drops are 2.5% neosynephrine, 1% tropicymide  and 1% cyclogyl

JCH MD
Helpful - 0
Avatar universal
My eyes were dilated on Thursday afternoon. It is now Sunday morning and drops finally wearing off for close vision. I have brown eyes and I read brown absorbs drops more thoroughly. I know there are different drops and different strengths...I am thinking I should call doc tomorrow and find out what was used. Want to avoid that particular drop in the future. Would like your opinion,
Helpful - 0
233488 tn?1310693103
MEDICAL PROFESSIONAL
I think the best thing is to call the Eye MDs office on Monday and ask about the problem. That is what I would want one of my patients to do.

JCH III MD
Helpful - 0
Avatar universal
Thanks, Doc.  It is Day 4, and my eyes are still somewhat dilated, but not as bad as before.  The one thing that concerns me is this "spot" I keep seeing (more like "sensing) in my left eye.  Could the light have shone too brightly on one spot for too long?  What could have caused it?  How long will it take before it goes away?  Unlike the dilation, the spot is not gradually getting better.
Helpful - 0
233488 tn?1310693103
MEDICAL PROFESSIONAL
Relax. Nothing they did will damage you eye and it was necessary to evaluate your problem. If you go to another Eye MD with the problems you have they will do the same thing. If they have residents there then they're involved in medical education and that is a definite plus.

JCH III MD
Helpful - 0
1 Comments
This is an ill-advised comment.  The doctor is ignoring the possibility of a reaction to the dilation drops resulting in acute angle closure.  
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177275 tn?1511755244
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