Double vision one eyes getting blurry
hi - I was stage 3c (1 node in neck lit up but was not biopsies so olio?) -er positive her2-. Very aggressive breast cancer. Had chemo, Masectomy and radiation, Currently on the last month of my two year Verzenio. I’ve had one instance of double vision in one eye 6 weeks ago on a plane. Then I noticed I’m having more blurry vision, floaters and tired dry eyes. I texted my MDA doctor and she said go get an mri. I’m actually out of the country right now and my local oncologist who knows details better - and not thru a my chart text message inquiring about my situation - thinks I just need an eye exam. He thinks all I probably have is dry eyes from aromatase inhibitors and zoladex - basically lack of estrogen. Should I go get an MRI? Assuming it’s nothing, I am not sure if I should keep getting all these big gun tests every time I see a symptom. Any advice on what I should do here and in general?
thanks.
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Hi @luck2468, Dry eyes can cause double vision and one side effect of AIs is dry eyes. Since an appointment with an eye doctor is much easier to do I would try that first. They can check the oil glands on the eyelids and prescribe drops if they are not working correctly. If that doesn't solve your problem you can always have the MRI later. I hope there is an easy fix for this.
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I've had dry eyes with Letrozole and now Fulvestrant. I get floaters, blurry vision, eye strain/tiredness, etc., but so far no double vision. As Maggie noted, it can be a side effect of low estrogen. My symptoms come and go and vary a bit. They just got a little worse over the last few days after I had my Zometa infusion. I would see the eye doctor first. If it's more than dry eye, low estrogen related, or even "just" computer strain, the eye doctor could more often than not see that and then suggest that you go for the MRI or whatever if necessary, but personally, I would definitely start with the eye doctor first. These side effects are so difficult to discern and every time we get a new or somewhat different one, we always have to consider that it could be the cancer progressing. I've freaked out so much over these various and varying side effects (more than eyes) that for me at least, I've learned to always start with the "lesser" possibility/treatment. The people who see you for that can let you know that your situation is beyond them and you need more. Just my two cents. So sorry this is happening to you, especially when you are out of the country. Wishing you all the best.
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thanks. Your recommendations sound sensible.
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So just to close this concern out properly, I went to the eye doctor as well as a retina eye specialist. Very thorough tests completed. I was honestly v impressed and that is a tall order with me. It seemed that the retina eye specialist went though every scratch/ imperfection in my retinas - which was probably unnecessary but welcoming in this situation. Both doctors noted that dry eyes cause blurry vision. If it is once or twice and disappears, you should be fine. Use eye drops, especially on planes and traveling. Other than that, I have macular RPE changes. If anyone needs a general eye doctor or retina eye specialist in Austin, ping me. I highly recommend both docs. Thanks.
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