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Dr. Okun

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

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grunt85    84

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.

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Dr. Okun    409

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).

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grunt85    84

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 .

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Dr. Okun    409

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.

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grunt85    84
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.

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Dr. Okun    409

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

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Lonnise    60

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.

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Dr. Okun    409

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.

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