Signs of Eye Problems – Part 2

Resident Consultant Ophthalmologist, Hospital Fatimah Ipoh
Dr S.S. Gill

Eye Health

Ipoh Echo’s EYE HEALTH series continues with Consultant Eye Surgeon Dr S.S. GILL talking to us about THE WARNING SIGNS OF EYE PROBLEMS – PART 2.

Our eyes are not isolated from medical problems like diabetes and hypertension, and also other factors like the effects of aging, the harmful rays of the sun, smoke and dust around us.

Warning Signs

There are some symptoms and signs that may indicate prompt treatment  be required. In most cases, you should see your eye doctor immediately if you experience some of the following:


See fingersDouble vision or ‘ghost’ images

Double vision is also called diplopia. This symptom may be caused from eye conditions ranging from minor to serious. In most cases, any sudden onset of double vision cannot be taken lightly. This is because it may be a signal of an underlying condition such as a stroke.

The other conditions that may cause double vision are brain tumours, nerve paralysis, brain swelling and abnormal brain vessels impinging on some part of the brain. Sometimes a person may need to be referred to neurologist or neurosurgeon depending on the kind of stroke that occurs.

Remember that if you have a sudden onset of double vision, see your eye doctor or general practitioner immediately. Quick treatment is invaluable in these cases.

Irritated eyes with redness and a scratchy feeling

Often this is as a result of dry eyes. It is not really an eye emergency but if left untreated may affect the eyesight of the individual affected. The symptoms of dry eyes may at times be very  severe, Dry Eye Syndrome is also known as keratoconjunctivitis sicca (quite a mouthful). It is a condition due to the changes in the quantity or quality of the tears. Dry eye normally occurs as irritated eyes.

Dry eyes may affect vision because it disturbs the tear film layer on the cornea that is  essential for good vision. Our tears help bend the light on its way to the back of your eye (the retina) so that you can see nice and sharp images. Consult your eye general practitioner for advice about remedies, which may include over-the-counter or prescription eye drops.

Blurred Vision with Eye Pain, Nausea and/or Vomiting:

These vision changes may be due to an acute glaucoma. Since there may be associated symptoms like vomiting and nausea, the glaucoma may sometimes be missed and passed on as gastroenteritis. The patient may end up seeing their Physician only to be picked up as a glaucoma suspect to be sent to the ophthalmologist. Keep a lookout for this if you have a family history of glaucoma.

Sudden Brief Loss of Vision

You may be experiencing a condition called Amaurosis Fugax. The name  is derived from the Greek word amaurosis meaning ‘dark’, and the Latin word fugax meaning ‘fleeting’ – referring to a transient loss of vision in one or both eyes. It may be a symptom of Central and Branch Retinal Artery occlusion and must not be taken lightly.

These are only some of the warning signs. Never hesitate to seek professional help if you experience any unusual eye symptoms that you are unsure of.

For more information, call Gill Eye Specialist Centre at Hospital Fatimah (05-545 5582) or email