What is the black line in eye obstructing the vision?

Question

Hello doctor,

My left eye developed a black wavy line that moves around every time I try to focus, at times obstructing my vision. After consulting a doctor and after an eye dilution test, she confirmed that bleeding had occurred in my eye around two weeks ago and the black line I could see was the blood that had spilled. She sent me to a retina doctor who said he had to inject me in the eye. He did not explain the reason why and was a bit unwelcoming to the point that he did not give me a chance to inquire. He prescribed two drugs (Maxidex sterile ophthalmic ointment) and Ceprolen-D eye, ear drops). I have been using these medications since I did not have money for the injection. I can see little improvement but I am afraid it is not cleared yet. All I want to inquire is, what could be wrong with me? I underwent many blood tests and passed them all. I have never been in accident. All I have had is little sensitivity to light. Also I had been working long hours in front of the computer without anti-glare glasses before my problem started. Do I need the injection or is there a medicine that is more appropriate? I am 21 years old..Please help me out. Thanks

Answer 1

Hi,

Welcome to icliniq.com.

You seem to have vasculitis which is inflammation of blood vessels in your eye which makes your blood vessels leaky. Injections of an anti-VEGF compound are indicated in this but before this, you need laser therapy in your eye along with a course of steroids. You need to undergo fundus fluorescein angiography to locate the area of leaky vessels and we have to laser it. You also need to get a blood investigation to rule out infections like tuberculosis. After that is ruled out, we have to start steroids. Anti-VEGF injections come after that. Kindly do not delay it if this process continues. The visual prognosis becomes poorer if not done in time. You may need surgery which would be more costly.