Patient's question:
In the past four years, my vision has severely declined, and my eyes hurt. Moreover, because I can't see clearly, my head also aches. A throbbing, numb kind of pain. My memory has significantly deteriorated. I feel that the headache is also caused by the decline in my eyesight. At the end of the day, I believe it's all due to my eye problems. My poor eyesight has led to irritability, and I even don't have the desire to live. I've also been to the hospital for check-ups, had my refractive error tested, and undergone a CT scan. The doctor said there is mild cortical brain atrophy and a slight issue with the vestibular nerve. It's nothing serious. Due to my age, the hospital won't perform a femtosecond laser surgery on me. Could it be that something in my head is pressing on the optic nerve? I don't know whether the cause lies in my eyes or my head. I consulted an ophthalmologist online, who recommended checking my intraocular pressure and anterior chamber angle, saying it might be chronic angle-closure glaucoma. I also consulted a neurology doctor, who said it could be involvement of the surrounding nerves of the brainstem and the visual radiation pathway, commonly seen in demyelinating leukoencephalopathy or multifocal leukoencephalopathy. Alternatively, it could be opticospinal encephalomyelitis.I would like to ask, should I go to an ophthalmology hospital or a neurology hospital?
Doctor's answer:
Hello, regarding the situation you mentioned, where there is an increase in eye discharge, it is primarily important to consider conjunctivitis and dacryocystitis. Conjunctivitis is a common clinical condition, so I recommend you visit a hospital for examination. For your specific case, I suggest you have an ophthalmological check-up at the hospital to assess the conjunctiva and check if there is any purulent discharge from the lacrimal points. The two conditions I mentioned should be treated actively, and generally, the prognosis is good.