tight eye muscles/pressure phosphene?

[melinda68]

Dr Hagen, can tight eye muscles from bruxism cause a pressure phosphene in one eye? I have had my eyes dilated, and no retinal tears

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

If you look to the left or right as far as you can and strain the eye muscles especially in dark adaptation you could causes an entoptic sensation. As a generalization bruxism is not going to affect any of the eye muscles (6 on each eye) nor the muscles of the eyelids.

[melinda68]

Thanks, Dr. I'm stumped then. Positive visual disturbance, but healthy retina. Weird

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

Well you've had this for a long time, you started posting years ago and it has not lead to anything serious, you've had multiple eye exams. You might just learn to live with it unless something new or different develops. There are other people that have similiar complaints that have gone decades without problems developing.

[melinda68]

This is a new (very large) scotoma, which is why I'm alarmed, but I take your point. Lots of exams, nothing sinister ever found. I do have high pressures now (as well as asymmetric ONs), so I am anxious and hypervigilant about my vision again. Maybe that's why I noticed it

[melinda68]

I was surprised to find you still here! You do an amazing job. Thank you

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

Sure, wish I had an answer for every problem but such is not the nature of medicine.

[melinda68]

So patients can have symptoms for which there is no medical explanation?

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

Absolutely. Look at the discussion going on for years with over 1200 postings about seeing a bright spot in your vision.

[melinda68]

Ah, yes. That's my original (and ongoing) issue. I have posted on that thread ...

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

to whit

[dori76]

Until Dr. Hagen can answer, I don't see how bruxism (clenching  your jaw or grinding your teeth) would have anything whatsoever to do with your eye muscles.