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Post of the Week: Changes in the Eye in Parkinson's Disease


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34 replies to this topic

#21 mickie

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Posted 02 June 2014 - 08:52 AM

Can Clonazepam cause one's vision to see things as a very bright light? I just started taking .25 mg at night for insomnia. While I am finally getting sleep, I have extremely bright vision in the mornings. This began when I started taking this med.
May each day bring joy!

#22 Dr. Okun

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Posted 03 June 2014 - 12:35 PM

That is a really interesting potential side effect of clonazepam, but I have never heard seeing bright lights in the morning from any of my patients.  I would suggest you discuss with your doctor.  Good luck.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#23 Derwin88

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Posted 02 May 2015 - 08:48 AM

I'm having trouble being fitted for new glasses, I have Dystonia mainly on my left side. It seems my left eye draws in and down mot lining up with my other eye is this common ?

#24 Dr. Okun

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Posted 03 May 2015 - 07:58 AM

This is not usually a feature of dystonia.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#25 PhilSinTX

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Posted 25 May 2015 - 02:57 PM

Just a quick shout out for Dr. Okun, and an idea for keeping your prism glasses organized with you regular glasses..... I saw Dr. Okun about two years ago, and mentioned my double vision to him. And after a 20 second "follow the finger test", he diagnosed me with convergence insufficiency. He suggested I see a Neuro-Opthalmologist when I got home to Dallas, which I did. The diagnosis was confirmed. I am now writing this winkle wearing my prism glasses and can read every word. Thank you Dr. O!

Note to Readers: for me at least, the convergence insufficiency only occurs when I try to read or work on something up close. If I tried to walk with these glasses I have no doubt I wold take a tumble! My recommendation is to buy yourself a fat eyeglass case (WalMart, $5), then cut a thin sheet of plastic (Walmart, blank Stencil Sheet , 3 sheets for $3) and attach it to the center hinge area with duct tape. Keep your readers on one side and your regular glasses on the other. That way, you will always have both pairs with you!😉

#26 Dr. Okun

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Posted 26 May 2015 - 11:06 PM

Thank you!


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#27 grunt85

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Posted 03 June 2015 - 11:39 PM

Dr. Okun,
I have been recently diagnosed with PD but have been having the symtoms for about 10 years. I have trouble with double vision in each eye so I see three of everything. I will go to the eye doctor and explain what I see and I get a new pair of glasses that I can't use. The new glasses will give me clear vision but of all three images. Lights are the worse with the LED type used as tail lights now days each light has 20 small LEDs so I see 60 of them. This makes driving at night impossible.
I did hemorrhage both of my retinas during a heart attack in 05 plus a brain bleed due to the TPA but it was 6 months later when I started seeing this way. Could this be due to the PD? I did see a neuro-opt. And was told that the part of the brain that interpids was some how jot getting the nutritiates needed.
Diagnosed Feb 2015
Have right side tremor and left hand tremor stooped over with short gait and right foot drags. Can't get up from a chair and fight super low blood pressure which causes seizures during sleep. Have masking In the face and speak softly. My cardiologist was the first to diagnosis and he referred me to a neurologist. I am 53 years old. Have had three heart attacks one stroke both shoulders repaired then replaced.
Carbadopa/levadopa 1 25/100 six times a day
Sinemit cr 1 nightly
Selegilini HCL 5mg x 2
Plavix 75mg
Crestor 10mg
Tricor 48mg
Fentanyl patch 50mcg every 2 days
Boston scientific 32 electrode spinal stimulator
Epi pen

#28 Dr. Okun

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Posted 05 June 2015 - 07:20 AM

This may or may not be PD related.

 

If you cover one eye and the double/triple vision resolves then it is likely neurological.

 

We recommend seeing a neuro-opthalmologist.  Sometimes it is a problem how the eyes are working together (convergence insufficiency).

 

Your hemorrhages in the eyes and stroke could make this multifactorial (PD contributes some; and the other issues contribute some).


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#29 grunt85

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Posted 05 June 2015 - 01:46 PM

This may or may not be PD related.
 
If you cover one eye and the double/triple vision resolves then it is likely neurological.
 
We recommend seeing a neuro-opthalmologist.  Sometimes it is a problem how the eyes are working together (convergence insufficiency).
 
Your hemorrhages in the eyes and stroke could make this multifactorial (PD contributes some; and the other issues contribute some).

If I place a hand over one eye I see double so with both eyes uncover I see three. The neuro- ophthalmologist said the part of the brain that interpids sight was not nutritrends it needed .
Diagnosed Feb 2015
Have right side tremor and left hand tremor stooped over with short gait and right foot drags. Can't get up from a chair and fight super low blood pressure which causes seizures during sleep. Have masking In the face and speak softly. My cardiologist was the first to diagnosis and he referred me to a neurologist. I am 53 years old. Have had three heart attacks one stroke both shoulders repaired then replaced.
Carbadopa/levadopa 1 25/100 six times a day
Sinemit cr 1 nightly
Selegilini HCL 5mg x 2
Plavix 75mg
Crestor 10mg
Tricor 48mg
Fentanyl patch 50mcg every 2 days
Boston scientific 32 electrode spinal stimulator
Epi pen

#30 Dr. Okun

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Posted 07 June 2015 - 07:21 PM

If you place one hand over one eye and you still see double, then this is not the Parkinson's disease and this is not convergence insufficiency.  You and your docs should search for other causes.


  • grunt85 likes this

Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#31 momof2

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Posted 29 September 2015 - 11:24 AM

I appreciate this insight.  I have lazy eye and night vision impairment.  When I close one eye I read fine, other than eye strain.



#32 grunt85

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Posted 07 January 2016 - 06:01 PM

[quote name="Dr. Okun" post="52880" timestamp="1352733565"]This can be tricky and I always recommend a visit to a trained neuro-opthalmologist. The eyes have trouble working together (convergence insufficiency) particularly when looking at objects close by. Also blinking and seeing contrasts in colors as well as dry eyes. It is always best to be seen and evaluated and treated, rather than to guess if PD related or not. Nancy Newman at Emory has written some review papers on PD and the eyes, but I would hate to confuse the population by looking too hard at these.[/quote
I have had vision problems way before my PD DX. The problem I have is I see three of everything (double in each eye) I have been to the neuro-ophthalmologist and she said it seemed to be something in the part of the brain that interpids sight. I need glasses but can't wear them because it makes all three imagines clear which makes things worse then seeing three blurry images. Lights are the worst the purer the light (LEDs) the worse it is. With the tail lights having multiple LEDs say 12 I see thirty six lights and this makes night driving very difficult. My eyes don't blink any longer so I us the jelly thick eye drops. I started having this problem about the same time I started having problems with my smell.
  • Waywrd1 likes this
Diagnosed Feb 2015
Have right side tremor and left hand tremor stooped over with short gait and right foot drags. Can't get up from a chair and fight super low blood pressure which causes seizures during sleep. Have masking In the face and speak softly. My cardiologist was the first to diagnosis and he referred me to a neurologist. I am 53 years old. Have had three heart attacks one stroke both shoulders repaired then replaced.
Carbadopa/levadopa 1 25/100 six times a day
Sinemit cr 1 nightly
Selegilini HCL 5mg x 2
Plavix 75mg
Crestor 10mg
Tricor 48mg
Fentanyl patch 50mcg every 2 days
Boston scientific 32 electrode spinal stimulator
Epi pen

#33 Dr. Okun

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Posted 12 January 2016 - 07:22 AM

I would definitely seek a neuro-ophthalmologist as this does not sound like a Parkinson symptom.  Parkinson can lead to double and blurry vision.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips


#34 Lonnise

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Posted 14 July 2016 - 02:04 PM

Hi Dr. Okun:

 

Last Friday, 7/8/16, my 56 year old husband was diagnosed by a Neurologist with "mild PD".  10 years ago, he was diagnosed with birdshot chorioretinitis - autoimmune disease affecting the retina - and we have "successfully managed the symptoms of that disease and hopefully arrested its progress with help from Dr. Jennifer Thorne at the Wilmer Eye Institute (JHU).

 

My question is this, we're trying to decide on an MDS as our PD specialist and our first inclination is to work with one at the JHU Parkinson's and Movement Disorders Center but appointments there are not available until July 2017.  Having read some of the posts on this forum (and scanned all of them), I wonder if it is now even more valuable to work with the JHU PD experts incase a neuro-opthamalogist is ultimately needed.  While I know all PD journeys are unique and eye issues associated with PD have nothing to do with the Autoimmune system, I can't help wonder what unique correlations and/or connections we will experience now having both diseases as our "companions" and it just seems logical to try to stay with a group that can "treat the whole patient".

 

Thoughts?

 

Thanks in advance.

 

Lonnise

wife of PWP and primary "research and information gatherer" for our journey.


LHG

wife of PWP

dx July 2016
DatScan Oct. 2016 - consistent with PD
5 mg sertraline 1/day
1 mg Azilect 1/day
Appt. with MDS set for Feb. 2017
 
LHG also now on 5 mg Escitalopram 1/day
 
Exercise and LOTS of laughing a must
 
 

#35 Dr. Okun

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Posted 16 July 2016 - 07:24 AM

We do not know if there is a relationship between this eye issue and Parkinson but there is nothing currently in the literature.  Our 18004PDINFO can help you find a specialist.


Michael S. Okun, M.D.

Author of Amazon Kindle, Paperback and Audio of 10 Breakthrough Therapies for Parkinson's Disease
Author of the Amazon Bestseller Parkinson's Treatment: 10 Secrets to a Happier Life
National Medical Director | NPF
UF Center for Movement Disorders & Neurorestoration
Read More about Dr. Okun at: http://movementdisor...hael-s-okun-md/
or Visit Parkinson's Disease treatment and research blogs at:
NPF's What's Hot in Parkinson's disease
or his parkinsonsecrets.com blog for treatment tips





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