Hi doctor,Five days ago, when I woke up, I felt dizzy, and my vision was off. I was sluggish all day and had a headache upon waking. I figured I was coming down with something and laid around all day on the couch. When I woke up the next, I had no headache and was no longer lethargic, but my vision was still off. I noticed that I was having double vision when I looked at objects both close and far away. I closed one eye, then the other, and my vision was perfect (binocular double vision). I also noticed that if I looked at something with my head and eyes straight, it was there and got worse if I looked down. But, when I look up with my eyes, it went away. Keeping my head pointed slightly down and looking up at something made it go away. I also noticed that it seems to be my right eye because if I gently pull the corner of my eye outward towards my ear, my vision goes back to normal.I went to the eye doctor, and she said it is because I am 44 and I need readers. I bought a pair from the local pharmacy, and it does help with my reading on the phone, computer, etc. Even though it is blurry looking at a distance, there is no double vision. Granted, maybe I do need them at my age, but that does not explain the double vision or how I can get it to go away by looking up or pulling the corner of my eye. My vision was tested along with all of the other standard tests, and it was all fine. I have 20/20 vision still after having Lasik to correct nearsightedness 13 years ago. I am not nauseous and no longer have a headache, but the problem persists. And, it is 15 days since starting the Keto diet, and I thought that maybe that could be causing this. So today I carb-loaded to replenish my glycogen stores, yet the problem persists. I flew back from a trip and read that maybe something could have happened with the pressure. I am not diabetic and do not have high blood pressure. I have no idea of what is going on and if it is severe or not. I do have an appointment with an Ophthalmologist coming week, but I am getting worried. Do you have any idea on what could it be? What should I do?
Hello. The fact that your vision becomes better upon changing the position of the head or pulling your eyelid towards your ear proves that this is only related to your newly acquired age-related refraction. By reducing the area of the eye slit (changing the position of the head leads to the being covered more by the upper eyelid and reducing it manually by pulling your eyelid to the side), you reduce the refractive changes in your eye. The fact that the specs provide you with better vision while reading and relieves you of your main symptom is enough to make you feel calm towards this newly acquired physiological (it always starts after 40) change in vision. However, please refrain from using that correction to see distant objects because it is not designated for that distance, taking into consideration that you do not need it for distant objects, and might lead to headaches if you do. Otherwise, you should be good to go and start adapting to this newly acquired condition because from now on, every five years it is going to change and you will need more correction to correct that age-related deficit. Some additional recommendations would be to increase the size of the fonts on your devices to evade the necessity of using the specs every time you need to visualize your devices at a near distance. Also, lubrication of the eyes with artificial tears can also help maintain an absolute clarity during visual activities.