Have you ever woken up to blurry vision, double vision, or an unexplained ache behind your eyes and wondered, what’s happening to me? There are ways to understand, manage, and even improve these vision issues - read the causes of MS-related vision changes andexplore practical ways to manage it here!
Have you ever woken up to blurry vision, double vision, or an unexplained ache behind your eyes and wondered, what’s happening to me?
For someone living with Multiple Sclerosis (MS), sudden vision changes can feel frightening and isolating. You might be asking yourself: Will this last forever? Will I be able to manage it?
The good news? You’re not alone, and there are ways to understand, manage, and even improve these vision issues. MS-related vision problems are a common symptom, but with the right strategies and support, you can regain confidence and clarity in your daily life.
But first, let me introduce myself! Hi, I’m Dr. Gretchen, a physical therapist and MS-certified specialist. For years, I’ve been helping people with MS manage symptoms like tremors through exercises, education, and an encouraging community. Thousands of people have used these research-backed strategies to improve their daily lives, gaining confidence and a renewed sense of control.
On my podcast – The MSing Link – I had the privilege of sitting down with Dr. Rani Banik, a neuro-ophthalmologist and leading expert in MS vision challenges. Her insights on how MS affects the eyes, paired with practical solutions, deeply resonated with so many listeners. I’m excited to share some of those strategies with you today.
Let’s dive into the causes of MS-related vision changes, explore practical ways to manage them, and remind you that there’s always hope—even on the hard days.
What Causes Vision Problems In MS?
MS vision issues arise from damage to the optic nerve or the parts of the brain that process visual information. This happens because of inflammation and demyelination—the process where the protective covering of nerves (myelin) is damaged, disrupting communication between your brain and your eyes.
Common vision problems linked to MS include:
- Optic Neuritis: Inflammation of the optic nerve, causing blurry vision, eye pain, or loss of color perception.
- Diplopia (Double Vision): Nerve damage or weakened eye muscles leading to misaligned eyes and double vision.
- Nystagmus: Involuntary, jerky eye movements that make focusing on objects challenging.
These symptoms can come on suddenly and vary in severity, making them especially frustrating. But here’s the first step to feeling better: understanding that these changes are not your fault. They are a symptom of MS, not a reflection of who you are or what you’ve done.
Practical Tips For Managing MS Vision Problems
Vision changes can feel overwhelming, but there are simple, actionable steps you can take to alleviate discomfort and adapt to these challenges. Every small adjustment you make can add up to big improvements in how you feel.
Rest Your Eyes: Staring at screens or reading for long periods can strain your eyes. Use the 20-20-20 rule: every 20 minutes, take a 20-second break and focus on something 20 feet away. This gives your eyes a chance to reset.
Modify Your Environment: Brighten your spaces with natural light, use larger text sizes on screens and books, and explore high-contrast settings on devices to reduce eye strain.
Use An Eye Patch For Double Vision: If you’re struggling with double vision, wearing an eye patch over one eye can provide immediate relief while your body works to recover.
Practice Vision Exercises: Guided exercises to strengthen eye muscles and improve coordination can help reduce symptoms like double vision or nystagmus. Start with slow, intentional movements like tracking an object side to side or up and down.
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The Link Between Stress, MS, And Vision
Stress plays a big role in how MS symptoms manifest. When you’re under stress, your body’s ability to cope with inflammation and nerve-related challenges decreases, often leading to more pronounced vision issues.
Taking proactive steps to manage stress can make a significant difference in how you feel. Consider these self-care strategies:
- Mindfulness Or Meditation: Even five minutes of quiet breathing can help lower stress levels.
- Yoga Or Gentle Stretching: Movement combined with relaxation can promote both physical and mental well-being.
- Prioritize Rest: Fatigue can exacerbate MS symptoms, so don’t hesitate to rest when your body calls for it.
- Coloring in a coloring book: It might sound silly, but this is one of my favorite ways to slow down my thoughts and calm my mind.
Pairing these practices with a healthy diet rich in omega-3s, antioxidants, and hydration can further support your nerve health.
Home Remedies And Medical Options
For those who need additional support, there are remedies and treatments to consider:
- Corticosteroids: These are often used for acute optic neuritis to reduce inflammation and speed up recovery.
- Prism Lenses: These specialized glasses can help align double vision, offering relief for daily activities.
- Over-The-Counter Eye Drops: While they won’t address nerve-related issues, lubricating eye drops can soothe dryness or irritation.
- Occupational Therapy: A therapist trained in vision rehabilitation can teach you techniques and recommend tools to help you adapt.
It’s also important to work closely with your healthcare provider to determine the best course of action for your specific symptoms. Don’t be afraid to speak up about how you’re feeling—your comfort and quality of life matter.
When To Seek Professional Help
If your vision problems persist, worsen, or interfere with daily life, it’s essential to seek medical advice. Symptoms like sudden vision loss, intense pain, or prolonged double vision may indicate an MS flare-up requiring treatment. Your neurologist can help determine the best course of action.
Your doctor may recommend:
- Prescription medications like gabapentin or pregabalin to address nerve-related symptoms.
- Referrals to a neuro-ophthalmologist or other specialists.
- Physical or occupational therapy programs to support long-term recovery.
Remember, asking for help isn’t a sign of weakness—it’s an act of self-care and empowerment.
MS Vision Problems Can Feel Scary, But There Are Options To Empower You!
MS vision problems can feel isolating, but you don’t have to navigate them alone. By learning about the causes, finding solutions that work for you, and leaning on your healthcare team and community, you can take control of your symptoms and feel more empowered in your daily life.
Take it one day at a time. Celebrate the small victories—whether it’s finding the perfect lighting for reading or mastering an eye exercise. Progress, no matter how small, is still progress.
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To learn more about how to champion your MS symptoms, my book – The MSing Link – is the only resource you will need! Together, we will work through the steps necessary for living confidently with MS, using simple exercises and tools to help you get there. You’ll feel confident and empowered and like you have a plan to take back control over your MS.
If you have any questions or want to learn more about managing MS vision challenges, feel free to DM me on Instagram @doctor.gretchen. Together, we can face these challenges and find the right tools to help you thrive.