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Patient Resources - Eye Health & Care Blog

Vision and Eye Changes with Epilepsy | National Epilepsy Month

11/1/2019

23 Comments

 
Picture
November is National Epilepsy Month. It is a time to bring awareness to this disorder, which affects 50 million people worldwide, according to the World Health Organization.

Epilepsy can lead to muscle jerking and altered levels of consciousness. It can also cause ophthalmologic signs. Continue reading below to learn more about this disorder. 
​

​What is Epilepsy? 

Epilepsy is a neurological condition that involves recurrent seizures. It occurs due to abnormal brain activity. It’s thought that chemical changes in the brain cause a sudden surge in electrical activity, which leads to seizures. The condition can affect both children and adults.

Usually, seizures are categorized by whether one or both cerebral hemispheres are affected. Seizures also originate from different parts of the brain. They range in severity and frequency.

Seizures can manifest themselves in different ways. When we think of a seizure, we picture jerking muscle movements. But other types of seizures can also occur that can cause a variety of symptoms, such as:
  • Confusion
  • Fear
  • Staring
  • Loss of awareness
The cause of epilepsy is not always known. Genetics may play a role since some forms of epilepsy appear to run in families. Epilepsy can also develop after a disruption to the brain from a tumor, head injury, or a stroke. According to the Mayo Clinic, in about half the people with epilepsy, there is not a clear cause. 
​

​Possible Eye and Vision Changes

Seizures due to epilepsy do not usually lead to permanent vision issues. But epilepsy may involve several vision and eye changes during a seizure.

Epilepsy affects various lobes of the brain that control different movements and behaviors. Depending on the area of the brain involved, ophthalmologic signs may include:
  • Rapid eye blinking
  • Staring
  • Eye deviation
  • Visual field loss
  • Visual hallucinations
Occipital seizures are likely to cause visual disturbances.  According to research in the peer-reviewed journal Brain, occipital epilepsy is considered uncommon, although it might be under-recognized. It is estimated to affect up to 2.6 percent of people with epilepsy.

This type of epilepsy originates from the occipital lobe. Some of the possible external eye manifestations include forced closure of the eyelids, a rapid flickering of the eyes, and jerks of the eyelids. 
​

​How is Epilepsy Treated? 


There is currently no cure for epilepsy, but treatment options are available that can control seizures and improve quality of life. Typically, there is not a one size fits all treatment for epilepsy. Different strategies may work for some and not for others. Below are epilepsy treatment options.

Medication: Medication is often the first-line therapy in treating epilepsy. Certain types of seizures tend to respond better to medication than others. There are also many kinds of drugs used to treat different types of seizures. Since there are so many medication options, it might take a little trial and error before the right treatment is found.

Dietary therapy: Dietary changes are effective for some people with certain types of seizures, such as refractory seizures. Nutritional therapy is often used in combination with medication. Although there are different types of dietary changes, the ketogenic diet is one of the most common diets used. The diet is low-carbohydrate and high in fat.  

Devices: Different devices are also an option for treating epilepsy. Device therapy involves using a device that sends an electrical signal to the nervous system and prevents seizures. 

Surgery: According to the Epilepsy Foundation, it is estimated that about 30 to 40 percent of people have drug-resistant epilepsy, which means it is not controlled with medication. When medication and other treatment options do not work, surgery may be recommended. There are several types of surgical options depending on the area of the brain involved, including minimally invasive and invasive procedures. For example, a procedure called a focal resection removes a section of the brain that is causing seizures.
​
If you have any questions about eye changes and epilepsy, we are happy to help. Also, if you would like to schedule an appointment, please call our office at 508-746-8600. 

23 Comments
shalini sharma link
8/7/2020 06:43:06 am

WONDERFUL BLOG

Reply
Obed
4/9/2021 11:50:55 pm

Hi,
I'm an occupational Therapy I've a four months old cerebral palsy client who got seizures 1month a go, I'm a bit worried about his vision, he can follow faces but can't follow objects brought near him. Your assistance will of a great help to me and the client.

Kind regards.
Obed.

Reply
David
7/12/2021 10:02:38 pm

Howdy Obed,

I'm epileptic myself, and have been since I was 13. My seizures last around 30 minutes on average and I've had problems like you described with your patient. Vision Therapy should help your patient if you can find a vision therapist in your area. Medications and glasses can not fix eye tracking issues, but, proper therapy can and does for anyone no matter their age.

Alan Thomas
3/28/2021 09:36:30 am

Hannah my wife has seizures and about 3 years after in and out of seizures loss her vision for about 6 hours now today in hospital and they say she was having continuous seizures about 5 hours and it's been 24 hours and vision has not come back could see then this morning said she sees shadows of thing ,is this normal for so long and does it get back to normal or better than shadows

Reply
Krunal Vaghela
9/20/2021 03:38:08 am

HI Alan .. My Brother Had Same Situation but 70% vision was recovered after 2 Days .. but still he have 30% vision problem .. what happened to your case?

Reply
Anthony
4/15/2021 04:52:23 pm

Hey sometimes I dream that I’ve done something before then I actually do it. I get a feeling of deja vu and pass out. Has anyone here every experienced that and if so what can I do to change this?

Reply
Lauren
7/26/2021 08:24:35 am

Hi Anthony... I have had these since I was little...I thought I was crazy but apparently according to my latest Dr., these are a type of seizure themselves.... I can't exactly remember what type they are called, however they are from my understanding more common with cases of the onset of several different types of seizures.... I have two different forms of epilepsy.

Reply
Dhanush Sampath link
9/1/2021 02:19:18 am

Thanks for sharing this informative blog. Actually Seizures or epilepsy is a common neurological disease. It affects about 1-2% of population.. For any further informations on spinal stenosis you may visit this article : https://bit.ly/3yBaVEF

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Reply
Pankaj link
10/11/2021 02:33:23 am

The most interesting fact about the article is the way it covered both neurology and ophthalmology. Vision changes due to epilepsy are briefly explained in the blog. Keep posting content like this for the readers.

Reply
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11/14/2021 11:22:01 pm

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Reply
Mia Evans link
12/2/2021 09:15:59 am

Thanks for helping me understand that epilepsy affects the lobes of the brain that can also affect the vision of the person. I guess people with this condition should regularly see a brain specialist get the right treatment to prevent it from getting worse. With that in mind, I hope that the doctors would also continue on looking for new ways to help the patients have a better life.

Reply
Dhanush Sampath link
12/10/2021 12:33:43 am

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Reply
Electric Water Heaters link
12/20/2021 02:54:50 pm

What you see inspires your emotions. It forms your memories and supplies the raw materials of your imagination.

Reply
Website link
12/22/2021 03:46:05 pm

I’m so thankful for your helpful post! Although there are different types of dietary changes, the ketogenic diet is one of the most common diets used.

Reply
Know more link
12/23/2021 01:28:50 pm

Genetics may play a role since some forms of epilepsy appear to run in families. Epilepsy can also develop after a disruption to the brain from a tumor, head injury, or a stroke. I’m so thankful for your helpful post!

Reply
Dhanush Sampath link
12/24/2021 03:33:07 am

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Dhanush Sampath link
12/30/2021 01:41:21 am

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Reply
Steve waters
2/5/2022 04:27:35 pm

I’ve had epilepsy for over 50 years; controlled for the past 40. Can a recent change to an overly strong eye glass prescription trigger an epileptic spell ( not a shaking seizure).

Reply
Paula Barker
2/23/2022 03:58:17 am

I believe I have epilepsy, the type that only affects the brain. I have an electrical wave feeling in my brain and it affects my eyes. My eyes become sore a d I shut them when I feel this wave. I can cause it to reoccur just by moving my head or eyes back and forth, not up and down. Lately, I've been paying attention when thus happens so I can explain it to my neurologist. I've tried gabapentin, Lyrica and topiramate. These have not worked. I believe gabapentin has caused this. I never had an episode until I took gabapentin. They occur over a few seconds of time and occur once or several times throughout the day. I've gone a week without this activity in the brain also. But they always return. I look back and forth a lot when driving. I notice these occur a lot while driving and as a passenger. Patterns and lights trigger it as well.

Reply
Ivory
3/8/2022 02:44:42 am

I've been diagnosed with epilepsy since I was 7 years old and now that I'm 23 sometimes I'm having trouble in my vision. Sometimes when I'm dehydrated or I came from an air conditioned vehicle and suddenly I came out and temperature changes from cold to hot I felt like I see two things in one. Like I have double vission. Is having glasses a better solution from this? Or another medication?

Reply
Vivian Woods
4/11/2022 05:43:17 am

I want to thank Dr. Oda for helping cure my little sister from CONVULTION & SEIZURE. The embarrassing and scaring attack kept worrying my little sister for years until I heard about doctor Odas’s herbal cure, i gave it a trial hence we having been battling with the ailments and seeking for solution. Behold, it was magic. Both the convulsion and seizure gone after using the medications like it never happened. Quickly reach out to him for help/solution if you have such problem. He is also good at EPILEPSY CURE. Contact: (drodasolution@gmail.com) Tel: (+234 805 761 6299)

Reply
Mia Evans link
5/15/2022 05:21:49 am

Thanks for helping me understand that medications would be the first line of treatment for people with epilepsy, and it would depend on whether their issue would be responding better to the treatment or not. Hopefully, we find the best neurologist in town for my grandfather so that he can be helped with his issues this month. The issue with his health just started this month that is why we are still looking for a professional with the best hsitory.

Reply



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