Clear Vision, Bright Style: Welcome to Optic One!
Keeping your vision sharp and your style effortless is what we do best. Locally owned and operating right here in the Inland Northwest since 1993, Optic One Eye Care and Optical Gallery combines top-tier clinical expertise with a welcoming, high-energy boutique experience.
Whether you need a comprehensive eye checkup or a complete wardrobe update for your face, our friendly team is ready to welcome you Monday through Friday. Need to take care of business after hours? Our "digital office" never closes! Simply head over to www.OpticOne.com to book an appointment, reorder your contact lenses, or text or call us from anywhere, anytime.
Why You’ll Love Your Next Visit:
- Spokane's Ultimate Frame Playground - Your glasses say a lot about you, so let's make sure they say something spectacular! Boasting the largest optical in Spokane, our gallery features everything from head-turning celebrity styles (like Gucci, Dior, and Versace) to timeless, conservative classics. No matter what your taste or budget, our talented Optical Specialists will help you find unique, high-quality frames that fit perfectly and boost your confidence.
- High-Tech, Weather-Ready Lenses - We pair our stylish frames with the absolute highest quality optical lens materials. From blazing summer sun to gray winter rain or snow, our precision lenses ensure you see clearly in all light levels and weather conditions.
- Next-Level Contact Lens Fittings - Looking for the latest fashion colors or craving crisp, clear vision at all distances? Our expert doctors specialize in advanced contact lens fittings customized just for you. From comfortable soft lenses and custom astigmatism corrections to cutting-edge multifocal, rigid gas permeable (RGP) designs, and specialized myopia (near-sighted) control, we have you covered. We utilize the absolute latest contact lens technology available to ensure your eyes stay healthy, comfortable, and experiencing the clearest vision possible.
- Empowering Your Sight: Low Vision & Vision Enhancement - For our patients navigating unique visual challenges, we are proud to offer specialized low vision and vision enhancement evaluations. We feature a comprehensive assortment of cutting-edge vision enhancement devices designed to maximize your remaining eyesight. Our ultimate goal is to provide the specialized tools, technology, and support you need to confidently maintain your visual independence and keep doing the things you love.
- All the Extras - Explore our extensive selection of custom frame cases, spectacle accessories, and premium lens care products. We carry high-performance sports eyewear, computer and gaming glasses, sunglasses, and readers to fit every lifestyle. Beyond eyewear, we offer advanced clinical solutions including eyelid warming devices, specialized eye drops, ocular vitamins, and lash or skincare essentials. All to protect your long-term vision and keep you looking and feeling your best.
- Trusted Care You Can See - Behind the fun atmosphere is a foundation of serious clinical excellence. Our exceptional team is continuously trained in the latest eye care developments, and our clinic’s Physicians are proud to be a members in good standing with the Optometric Physicians of Washington and the American Optometric Association.
Stop by our beautiful clinic and optical gallery at 513 E Hastings Rd or visit us online to get started. We can’t wait to help you select eyewear you will absolutely love!
Fashion Frame & Lens Dispensary
Find a look you love with the best technology on the market.
- Fashion Frames: From trendy statement pieces to timeless classics, we feature a style for every face shape, budget, and insurance plan! Proudly offering Spokane’s largest optical selection, our team is here to help you find high-quality frames you will love to wear.
- Next-Gen Lens Upgrades: Discover the perfect blend of clarity, comfort, and style. We offer ultra-strong, lightweight, and UV-resistant materials built for everyday performance. From anti-reflective and polarized filters to Transitions™, vibrant tints, sleek mirrored coatings, and specialized driving and computer lenses, we feature the latest advancements to help support your eyes whatever your visual task.
- Frame Care: Professional in-house frame adjustments and repairs.
Dr. Mel Lindauer, a native of Eastern Washington, attended Washington State University and was awarded his Doctorate of Optometry from Southern California College of Optometry. In 1993, Dr. Lindauer and his wife, Carolyn, opened his eye care practice in Spokane, which has grown from a small family-run office into Optic One Eye Care Centers, a leading provider of full-scope eye care and retail eyewear products in Spokane.
Dr. Lindauer is active in his community. He has served as a Board Member and President of the Lions Low Vision Clinic, and he has participated on Optometric Physicians Eye Care Benefit Committee and on Brentwood Elementary School's Council of Learning Improvement. He maintains professional affiliations with the American Optometric Association as well as Optometric Physicians of Washington.
In his free time Dr Lindauer enjoys outdoor activities and spending time with his two sons.
Comprehensive Eye Care for Every Stage of Life
When you visit Optic One, the first thing you will notice is just how thorough we are. We believe your vision deserves uncompromising attention, which is why our doctors take the time to answer every question, listen to your concerns, and work together with you toward keeping your eyes healthy and vibrant.
From your baby’s first milestones to advanced medical eye care, we provide the highest technology and the personal attention you deserve.
Adult Eye Exams
Your annual comprehensive exam does so much more than just update your prescription. It is a vital checkup for your overall well-being. Many systemic health conditions like high blood pressure, diabetes, and high cholesterol can actually be spotted first during an eye exam. Our expert doctors are also highly trained to monitor how everyday medications might impact your sight, ensuring your vision stays clear and protected.
Pediatric Eye Exams
Did you know babies should have their first eye exam around their first birthday? Children rarely realize when they aren't seeing well, which can quickly lead to learning hurdles in school. Whether your little one is super active or not yet talking, our amazing team knows exactly how to assess their developing visual system. We specialize in making your child’s visit positive, playful, and completely stress-free.
Advanced Medical Eye Care
We manage both front-of-eye and back-of-eye health, seamlessly coordinating care with your primary physician or specialists.
- Infections & Allergies: Quick relief, accurate diagnosis, and treatment for pink eye and irritation.
- Foreign Body Removal: Safe, gentle removal of debris to protect your cornea.
- Dry Eye and Ocular Surface Disease Relief: Advanced evaluations and personalized therapeutic treatments.
- Chronic Disease Management: Precision monitoring and treatment for glaucoma, macular degeneration, and diabetic or hypertensive retinopathy.
- High-Risk Medication Monitoring: While certain systemic medications are essential for your health, they can sometimes carry a risk of ocular side effects. Our doctors provide detailed, proactive eye evaluations to catch any early changes, collaborating closely with your prescribing professionals to safeguard your vision.
Precision Contact Lens Fittings
From standard daily wear to highly complex designs, we fit it all right here.
- Soft & Extended Wear: Perfect for active, everyday lifestyles.
- Colored Contact Lenses: A vibrant selection of fashion-colored contact lenses, perfectly suited for either a stunning cosmetic change or specialized therapeutic care.
- Multifocal, Bifocal & Monovision: Crisp, clear vision at all distances without reading glasses.
- Myopic Control: Contact lenses designed to slow nearsighted progression.
- Rigid Gas Permeable (RGP): Maximum clarity for specialized visual needs.
- Specialty & Specialty Fits: Advanced solutions for Keratoconus, Post-LASIK, Post-RK, Post-PRK, and corneal irregularities.
Low Vision Services & Products
Our compassionate staff is dedicated to helping you maintain your visual independence.
- Comprehensive Low Vision Evaluations: Complete medical and legal low vision assessments.
- Specialized Optics: High-powered telescopes, reading microscopes, magnifiers, and bioptic glasses.
- Tech & Daily Living Aids: Portable and desktop electronic magnification devices, stationary TV viewers, and custom home/office support tools.
- Documentation Support: Prompt, accurate completion of DMV forms, disability paperwork, and specialty reports upon request.
Sports & Specialty Performance
Optimize your vision for work, play, or your favorite hobbies.
- Sports & Athleisure Vision: High-performance evaluations paired with impact-resistant protective eyewear.
- Hunting & Outdoor Vision: Specialized contrast enhancement and custom protective gear for safety and accuracy in the field.
- Fishing: Polarized and Non Polarized lenses for all age groups and needs.
- Specialized and Occupational Eyewear: Your vision is your most important tool. We design tailored eyewear solutions to maximize accuracy and safety on the job. This includes precision aviation lenses for pilots as well as impact-resistant, high contrast protection for occupational professionals like plumbers, electricians, carpenters and more.
Medications as well as ocular supplements have an established profile of side effects, including ones that can affect your eyes and vision.
While ophthalmologic literature usually highlights such discoveries, the general medical journals, and news services don't always pass the message along. As such associated ocular/vision side effects are often unrecognized, overlooked or misdiagnosed. Some of these medications can be sight threatening. This information is informative only and not in any way should be associated with a treatment.
It is essential that you always inform your Optometric Physician of ALL medications, supplements and alternative medicine treatments you are taking or receiving to properly evaluate and analyze your visual/ocular health.
Our doctors will review and assess your medications, supplements, and alternative treatments as they relate to your ocular health and discuss potential issues with you and as necessary with your primary care physician and associated specialist.
The information listed below is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a healthcare professional for diagnosis and treatment.
List of common medications that can affect vision:
The following is a list of medications which are commonly known to have high risk of ocular side effects If you are currently on, or begin taking any of these medications, please contact our office to schedule an appointment.
Accutane:
Accutane is normally used to treat Acne.
Ocular side effects of Accutane (isotretinoin) are common, affecting up to 3.4%–8.9% of patients, and primarily result from the medication's suppression of oil-producing glands. While most effects are temporary and resolve after treatment, some can be serious or permanent.
Common Side Effects
- Dry Eye Disease (DED): The most frequent side effect, reported by 27% to over 80% of users in various studies. It occurs because Accutane shrinks the meibomian glands in the eyelids, which normally produce oil to prevent tear evaporation.
- Blepharoconjunctivitis: Chronic inflammation and crusting of the eyelid margins and eyelashes.
- Blurred Vision: Often a secondary effect of dry eyes, which causes an unstable tear film and an uneven optical surface.
- Contact Lens Intolerance: Dryness makes lenses uncomfortable to wear; many optometrists recommend switching to glasses during treatment.
- Light Sensitivity (Photophobia): Eyes may become uncomfortably sensitive to normal indoor or outdoor light.
Serious or Rare Manifestations
- Decreased Night Vision (Nyctalopia): Reduced ability to see in the dark or adapt to low light; in rare cases, this may be permanent.
- Pseudotumor Cerebri (Papilledema): A rare but serious increase in pressure within the skull that can cause swelling of the optic disc and sudden vision loss.
- Corneal Changes: These include corneal opacities (cloudy spots), keratitis (inflammation), and thinning of the corneal stroma.
- Retinal Toxicity: Rare reports of damage to the retinal nerve fiber layer or color vision disturbances.
- Cataracts: Scattered reports exist of cataracts developing in young patients during or after treatment.
Alcohol, Excessive Use:
Alcohol is currently used recreationally as well as for all forms of pain management. Alcohol’s profile as is many pain medications, can be addictive and unfortunately has a long-standing history of being abused.
Occasional or daily use of alcohol in moderation is under review but is considered generally safe.
Excessive and or binge use can cause blurry vision, double vision, redness, dry eyes, and light sensitivity. Additionally, there are some studies that have documented excessive use of alcohol daily can lead to damaged optic nerves, cataracts, AMD, general retinal damage, glaucoma and general systemic vitamin deficiencies.
Amiodarone (high risk ocular med)
Used as a cardiac medication. Ocular side effects include corneal changes and glare, with optic neuritis or optic neuropathy not clearly established as a side effect. Patients should have yearly eye exams if they take this medication or if any symptoms are noticed.
Amitriptyline
It is used to treat depression.
Amitriptyline, a tricyclic antidepressant with strong anticholinergic properties, commonly causes ocular side effects including dry eyes, blurred vision, pupil dilation (mydriasis), and difficulty with accommodation (focusing). More serious risks include increased intraocular pressure and acute angle-closure glaucoma. Yearly eye exams are recommended.
Common Ocular Side Effects
- Dry Eyes: Due to reduced tear production, often requiring lubricant eye drops.
- Blurred Vision/Accommodation Disorder: Difficulty focusing on near objects.
- Pupil Dilation (Mydriasis): Dilated pupils causing sensitivity to light (photophobia).
Serious Ocular Risks (Require Immediate Medical Attention)
- Acute Angle-Closure Glaucoma: A medical emergency triggered by increased pressure, characterized by eye pain, headache, nausea, redness, and seeing halos/rainbows around lights.
- Increased Intraocular Pressure: Potential to worsen pre-existing narrow-angle glaucoma.
Management and Precautions
- Patients with a history of glaucoma or those at risk should have eye exams before and during treatment.
- Contact a healthcare professional if you experience sudden eye pain, vision changes, or severe headaches.
- Lubricating eye drops can help with dryness, and caution should be taken with contact lens wear.
Antihistamines, OTC
Used for allergies.
OTC oral antihistamines commonly cause ocular side effects by reducing tear production, leading to dry eyes, grittiness, and blurred vision. Topical antihistamines rarely do. Serious, though less common, effects include pupillary dilation, sensitivity to light, and increased risk of acute angle-closure glaucoma. Common medications like diphenhydramine (Benadryl) and cetirizine are frequent culprits.
Common Ocular Side Effects
- Dry Eyes (Keratitis Sicca): Reduced tear secretion causes burning, stinging, and a gritty sensation.
- Blurred Vision/Accommodation Issues: Difficulty focusing on near objects.
- Mydriasis (Pupil Dilation): Larger pupils can cause light sensitivity.
- Increased Eye Pressure/Glaucoma: Risk of acute angle-closure glaucoma, causing severe eye pain, headache, and halos around lights.
Risk Factors and Management
- Combination Drugs: Antihistamines combined with decongestants are more likely to raise eye pressure.
- Rebound Redness: Overuse of OTC anti-redness drops can make eye irritation worse.
- Actionable Advice: If you experience severe eye pain, persistent vision changes, or worsening dryness, discontinue use and consult a doctor.
Antipsychotic medications (Risperdal, Abilify Geodon, and Clozapine)
Used to treat certain schizophrenia and bipolar diseases. An important and many times not properly evaluated ocular side effect is acute angle closure glaucoma which causes eye pain, eye redness, and seeing rainbows around lights with or without vomiting or nausea. Patients should be examined to determine if antipsychotic medications are safe to use.
Aspirin
Used as a blood thinner “anticoagulant”. Ocular side effects can increase bleeding in or around the eye, such as subconjunctival hemorrhage or eyelid bruising. May also increase bleeding if there is a retinal vessel hemorrhage. Patients should have yearly eye exams if they take this medication or if any symptoms are noticed.
Chlorpropamide (high risk ocular med)
Chlorpropamide, an oral diabetes medication, can cause rare but significant ocular side effects, including blurred or dimmed vision and, in severe allergic reactions, burning eyes. It has been associated with the development of toxic optic neuropathies. Additionally, patients may experience yellowing of the eyes as a symptom of liver issues. Patients should be examined prior to using this medication and yearly while taking this medication to monitor optic nerve toxicity.
Documented Ocular and Related Side Effects
- Blurred/Dimmed Vision: Often associated with hypoglycemia (low blood sugar).
- Toxic Optic Neuropathy: A potential, rare, serious side effect.
- Allergic Reactions: Severe skin reactions that may include "burning in your eyes".
- Jaundice: Yellowing of the eyes or skin, indicating potential liver dysfunction.
- Increased Sensitivity to Sunlight: General skin sensitivity.
Chloroquine and Hydroxychloroquine (high risk ocular med)
Chloroquine and hydroxychloroquine (Plaquenil) can cause significant, often irreversible, eye damage, most notably retinal toxicity ("bull's eye maculopathy") that leads to permanent vision loss, especially with long-term use. Other effects include corneal deposits (vortex keratopathy), accommodative dysfunction (blurred vision), and cataracts. Risk increases with higher dosages, longer duration of treatment, and kidney dysfunction. Patients should be examined prior to using the medications and then every 6 months to a year (depending on overall long term accumulated dosage) to monitor for retinal toxicity.
Key Ocular Side Effects:
- Retinopathy (Maculopathy): Damage to the macula (central retina) can lead to irreversible central vision loss, blurry vision, blind spots (scotomas), and poor color vision.
- Corneal Deposits (Vortex Keratopathy): Deposits of the medication in the cornea may cause blurry vision, light sensitivity, and halos around lights. These are typically reversible upon stopping the medication.
- Accommodative Dysfunction: Issues with focusing, often caused by changes in the ciliary body.
- Cataracts: Although more common with chloroquine, they can occur during treatment.
Key Considerations:
- Irreversible Nature: Retinal damage can progress even after stopping the medication due to its long half-life and accumulation in the body.
- Detection & Screening: Regular eye exams (including OCT and field tests) are essential, as early toxicity is asymptomatic.
- Dosage Dependency: Toxicity risk increases significantly after 5–10 years of use, with higher risks for those exceeding recommended daily doses
Chlorpromazine
Used as a psychiatric medication. Ocular side effects include pigmentary changes on the conjunctiva, cornea, eyelids, and in the retina can occur if taken in large dosages. Patients should be examined yearly while on this medication to monitor for any ocular changes.
Cialis
Cialis, which is used for erectile dysfunction and off label to treat female sexual arousal disorder/dysfunction (tadalafil) can cause temporary, usually minor ocular side effects such as blurred vision, light sensitivity (photophobia), and blue-tinted vision due to its action on eye enzymes. Though rare, more serious, permanent vision issues, including NAION (sudden, painless vision loss), retinal detachment, or retinal vein occlusion—have been linked to regular use. While some of the temporary changes noted with use such as blurred vision or blue-green color shifts are resolved NAION can cause permanent vision damage. You should never use this product without proper PCP guidance, and do not take it if you have a history of risk factors such as heart disease or diabetes. All patients on this medication should be seen yearly for a dilated fundus evaluation and promptly if changes in vision are noted.
Common and Temporary Ocular Side Effects
- These effects are typically dose-dependent and subside on their own:
- Color Vision Changes: A "blue-green" tinge to vision or difficulty distinguishing between blue and green colors.
- Light Sensitivity: Increased sensitivity to light, often described as photophobia.
- Blurred Vision: A temporary reduction in visual clarity.
- Ocular Discomfort: Dry, burning, or itching eyes, or increased eye discharge.
- Pupil Dilation: Abnormally dilated pupils.
- Serious and Rare Ocular Side Effects
Research indicates a higher risk for serious, potentially permanent eye conditions in regular users of PDE5 inhibitors:
- Non-arteritic Anterior Ischemic Optic Neuropathy (NAION): This is a serious condition where blood flow to the optic nerve is blocked, causing sudden, painless, and often permanent vision loss.
- Retinal Detachment (SRD): A 2.5 times higher risk has been associated with ED medication users, characterized by light flashes and sudden floaters.
- Retinal Vascular Occlusion (RVO): Blockage of retinal veins.
- Central Serous Chorioretinopathy (CSCR): This condition can cause a blurred gray or brown spot in the center of vision.
Cimetidine
Cimetidine (Tagamet) rarely causes ocular side effects, but they can include transient blurred vision, dry eyes, and in rare cases, optic neuropathy. Serious, immediate-stop symptoms include eye pain, seeing halos/rainbows, or severe vision changes, which may indicate angle-closure glaucoma. Patients should always inform their PCP and eye care professionals when chronically using any cimetidine medications.
Common and Potential Ocular Side Effects
- Blurred Vision: Often described as transient and mild.
- Dry Eyes: Increased dryness reported, similar to other GERD medications.
- Optic Neuropathy: Rare cases of severe visual loss, possibly due to zinc chelation (lowered zinc levels).
- Angle-Closure Glaucoma: Rare but serious; symptoms include eye pain, redness, and halos around lights.
- Vision Changes/Hallucinations: Visual disturbances can occur as part of CNS side effects (confusion/delirium).
Important Safety Information
If you experience sudden, severe vision changes, eye pain, or see halos around lights while taking cimetidine, contact an eye specialist or seek emergency care immediately. Those with a history of narrow-angle glaucoma should exercise caution.
Digitalis
Used as a cardiac medication. Ocular side effects include glare and halos around lights with overdoses leading to yellowish vision. Patients should be monitored yearly while on this medication.
Digoxin
It is used to treat various heart conditions. Ocular side effects include color vision changes, blurred vision, and other visual disturbances. Patients should have yearly eye exams if they take this medication or if any symptoms are noticed.
Enbrel
Used for certain arthritis conditions. Ocular side effects include dry eyes, ocular inflammation, and uveitis. Patients should be examined yearly if taking this medication or immediately if any symptoms are noticed.
Ephedrine
Used for appetite suppressant, stimulant, decongestant, and concentration aid. Ephedrine, a sympathomimetic amine used for congestion and systemic stimulation, can cause significant ocular side effects, primarily due to pupil dilation (mydriasis). Key risks include acute angle-closure glaucoma in predisposed individuals, causing red, painful eyes, blurred vision, and headaches. Other reported effects include eye irritation, reduced vision, and rarely transient blindness. . Patients should be evaluated by their PCP and let their eye care professionals know before beginning treatment to make sure the medication is safe to use or if the above signs or symptoms are noticed.
Common Ocular Side Effects
- Pupil Dilation (Mydriasis): Ephedrine causes the pupil to dilate, which can block fluid drainage in the eye.
- Acute Angle-Closure Glaucoma: In individuals with narrow angles, this rapid increase in eye pressure can lead to severe eye pain, red eyes, and headache.
- Blurred Vision: Difficulty seeing clearly is a common complaint.
- Eye Irritation: Direct contact with the eye can cause discomfort.
Potential Risks and Precautions
- Vision Changes: Sudden changes in vision or pain should be reported to a doctor.
- Pre-existing Conditions: Individuals with narrow-angle glaucoma or far-sightedness are at higher risk for severe reactions.
- Over-the-Counter Usage: Many cold, flu, and decongestant medications contain substances that affect the eyes similarly to ephedrine.
- If you experience sudden, severe eye pain, halos around lights, or decreased vision, seek immediate medical attention.
Ethambutol (high risk ocular med)
Used for Tuberculosis. Ocular side effect can lead to the degeneration of the optic nerve. Patients should have yearly eye exams if taking this medication or if any symptoms are noticed.
5-Fluoro-Uracil
Used for cancer patients as a chemotherapeutic agent. The most common ocular side effect is spontaneous tearing as the medication can lead to scarring and closure of the nasolacrimal opening (the tear drainage system). Patients should have yearly eye exams if taking this medication or if any symptoms are noticed.
Flomax
Used for men to treat enlarged prostate (BPH). Ocular side effects include blurred vision and may cause intraoperative floppy iris syndrome making cataract surgery more difficult. Patients should have yearly eye exams if they take this medication or if any symptoms are noticed.
Flovent
It is used to prevent difficulty breathing, chest tightness, and coughing or wheezing caused by asthma. Ocular side effects include cataracts and glaucoma. Patients should have yearly eye exams if they take this medication or if any symptoms are noticed.
Fosamax
It is used to treat and prevent osteoporosis. Ocular side effects include eye pain, eye redness, ptosis, yellow color disturbances, and double vision. Patients should be evaluated prior to using this medication and then yearly while taking this medication.
Haldol
Used as a sedative medication for psychiatric patients. Ocular side effects include decreased tear production, decreased focusing ability, and pupil dilation which could lead to angle closure glaucoma which causes eye pain, eye redness, and seeing rainbows around lights with or without vomiting or nausea. Patients should be evaluated before beginning treatment to make sure the medication is safe to use or if the above signs or symptoms are noticed.
Humira
Used for Rheumatoid arthritis, Crohn’s disease, or psoriasis. Ocular side effects include blurred vision, pain or tenderness around the eyes, and sunken eyes. Patients should have yearly eye exams if taking this medication or if any symptoms are noticed.
Hydrocortisone
Used for serious eye or ear infections. Ocular side effects include burning, irritation, swelling, itching, redness, pain, or vision changes.
Hydrocortisone ophthalmic, often combined with antibiotics, can cause localized ocular side effects, including burning, stinging, irritation, redness, and swelling. Serious risks with prolonged use include increased intraocular pressure (potential glaucoma), cataracts, delayed wound healing, and, if used with antibiotics, a risk of superinfection. Patients should have yearly eye exams while taking this medication.
Common Side Effects (Ocular)
- Irritation: Burning, stinging, or stinging sensation immediately after application.
- Redness and Swelling: Increased redness, swelling of the eyelids, or itching.
- Blurred Vision: Temporary blurring or changes in vision.
- Discharge: Possible, especially if a secondary infection develops.
Serious Side Effects (Long-Term/High Dose Use)
- Increased Eye Pressure (Glaucoma): Long-term, consistent use may cause increased pressure in the eye, which can lead to vision loss.
- Cataracts: Development of cataracts, which is a clouding of the eye lens.
- Delayed Healing: Slowed healing of eye wounds.
- Infections: Increased susceptibility to infections (e.g., fungal or viral keratitis).
When to Seek Medical Attention
- Contact a doctor immediately if you experience severe eye pain, persistent vision changes (blurred vision, halos), or if the symptoms do not improve after several days of treatment.
Indomethacin
Used as an anti-inflammatory medication. Ocular side effect includes whorl-like changes on the cornea. Patients should have yearly eye exams while taking this medication.
Isoniazid
Used to treat tuberculosis. Ocular side effect includes optic nerve degeneration. Patients should have yearly eye exams while taking this medication.
Levitra
Used for erectile dysfunction. Ocular side effects include optic neuropathy, color vision changes, dry eyes, eye hemorrhage, eye pain, and light sensitivity. Patients should be examined yearly if taking this medication.
Methylprednisolone (high risk ocular med)
Methylprednisolone can cause eye side effects, especially with long-term use, including increased eye pressure (glaucoma risk), cataracts (cloudy vision), and thinning cornea, alongside common issues like blurry vision or eye discomfort, so regular eye exams and reporting vision changes, pain, redness, or halos around lights to a doctor are crucial.
Common & Short-Term Effects (Often with Drops)
- Blurry vision or haziness
- Stinging, burning, or discomfort in the eye
- Feeling like something is in your eye
- Temporary difficulty seeing in low light
Serious & Long-Term Risks (Especially with Systemic Use)
- Glaucoma: Increased pressure inside the eye, potentially damaging the optic nerve and causing vision loss.
- Cataracts: Clouding of the eye's lens (posterior subcapsular cataracts).
- Corneal Thinning: Weakening of the eye's surface.
- Impaired Wound Healing: Can slow healing of eye injuries.
- Increased Infection Risk: Can mask or worsen eye infections, especially viral ones like herpes.
When to See a Doctor Immediately
- Severe eye pain, redness, or discharge.
- Sudden vision loss or significant vision changes, like cloudy or foggy vision.
- Seeing colorful halos or circles around lights.
- Headaches, nausea, or vomiting with eye symptoms.
Regular eye exams are essential during treatment to monitor for these serious complications, as recommended by your PCP and eye care professional.
Minocycline
Used for acne and rosacea. Minocycline, a tetracycline antibiotic, can cause significant, sometimes permanent, ocular side effects. Key risks include increased intracranial pressure causing papilledema (swollen optic discs, headaches, vision loss), scleral/conjunctival hyperpigmentation (blue-gray discoloration), and, rarely, severe acute angle-closure glaucoma. Symptoms usually appear weeks to months after starting treatment.
Key Ocular Side Effects:
- Increased Intracranial Pressure (Idiopathic Intracranial Hypertension): Minocycline can cause headaches, dizziness, and vision changes, including temporary or permanent vision loss. It is characterized by swollen optic nerves (papilledema).
- Hyperpigmentation: Long-term use often causes blue-gray pigment changes to the sclera (white part of the eye), conjunctiva, and sometimes the eyelids, which may be permanent.
- Vision Changes: Blurred vision, diplopia (double vision), and decreased color vision (especially blue/yellow) have been reported.
- Eye Surface/Inflammation: Dry eyes, eye pain, and light sensitivity.
- Acute Angle-Closure Glaucoma: A rare but severe reaction, often characterized by eye pain, redness, and halos around lights.
Management and Risk Factors:
- Risk Group: More common in women of childbearing age, particularly those who are overweight.
- Monitoring: Regular eye exams are recommended for long-term users to check for pigmentation or signs of increased eye pressure.
- Action: Immediate consultation with an eye care professional is required if vision changes, severe headaches, or eye pain occur.
- Most symptoms, except for pigmentation and damage from chronic high pressure, often resolve upon discontinuation of the medication.
Nalidixic Acid
Used to treat urinary tract infections. Nalidixic acid, a quinolone antibiotic, can cause several typically reversible, ocular side effects, most commonly blurred vision, changes in color perception, double vision, and increased sensitivity to light. More serious, though rare, effects include increased intracranial pressure, papilledema (swollen optic nerve), and 6th cranial nerve palsy. Patients should have yearly eye exams while taking this medication or if any of the above symptoms are noted, patients should be evaluated same day.
Key Ocular Side Effects:
- Visual Disturbances: Blurred vision, difficulty focusing, and double vision (diplopia).
- Color Perception Changes: Alterations in color vision, including increased brightness (photophobia).
- Increased Intracranial Pressure: Symptoms like headaches and vision changes may occur due to raised pressure, sometimes leading to pseudotumor cerebri.
- Optic Nerve Issues: Swollen optic nerves (papilledema) and 6th cranial nerve palsy, particularly in children.
- Reversibility: These effects are usually temporary and disappear upon reducing the dosage or discontinuing treatment.
These effects are typically associated with systemic (oral) use, often during the first few days of treatment. If visual changes occur, they should be evaluated promptly.
Niacin
High-dose niacin (typically >1.5"g/day" ) can cause reversible ocular side effects, most notably niacin-induced cystoid maculopathy (retinal swelling), which leads to blurred or reduced vision. Other reported effects include dry eyes, eyelid edema, retinal vascular changes, and rarely decreased vision. Symptoms usually resolve within 4–8 weeks of stopping the medication. Patients should be evaluated soon after beginning the medication and then yearly while taking this medication. Patients should also home monitor using the Amsler grid.
Key Ocular Side Effects of Niacin
- Niacin Maculopathy: A toxic, typically reversible, swelling of the macula (central retina). It often presents as blurry or distorted central vision.
- Blurred/Decreased Vision: Common, sometimes severe, reported with doses as low as 1.5g per day.
- Sicca Syndrome (Dry Eyes): Increased risk of dry eye symptoms.
- Eyelid Edema/Discoloration: Swelling and, in some cases, discoloration of the eyelids.
- Other Rare Effects: Superficial punctate keratitis, proptosis (bulging eyes), and loss of eyelashes or eyebrows.
- Increased Intraocular Pressure: Reports exist of elevated eye pressure in some patients.
Management and Considerations
- Reversibility: Most ocular side effects, including maculopathy, reverse upon discontinuation of niacin.
- Monitoring: While routine screening isn't always necessary for lower doses, patients experiencing vision changes should seek prompt ophthalmologic evaluation.
- Dosage: The risk increases significantly with high-dose, long-term, or over the counter, non-prescription forms.
Oral contraceptives
Used for birth control. Oral contraceptives (OCPs) can cause various ocular side effects due to hormonal changes, most commonly resulting in dry eyes, irritation, and blurry vision. Long-term use (over a year) may be associated with a higher risk of glaucoma, corneal thickening, retinal vascular issues, and, in rare cases, ocular complications. Patients should be seen yearly while taking this medication.
Common Ocular Side Effects:
- Dry Eye and Irritation: Reduced tear production and meibomian gland dysfunction lead to gritty, dry, and irritated eyes.
- Blurred Vision: Caused by changes in the tear film stability and corneal thickness.
- Light Sensitivity: Increased discomfort from bright lights, often secondary to dry eye.
- Contact Lens Intolerance: Dryness may make wearing contact lenses uncomfortable.
Long-Term or Rare Side Effects:
- Increased Glaucoma Risk: Long-term users may have a doubled risk, possibly due to increased eye pressure or changes in eye structure.
- Retinal Changes: Studies have found thinning of the retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and choroid in women taking OCPs for a year or more.
- Retinal Vascular Issues: Rare cases of retinal blood vessel issues or blood clots.
Management and Precautions:
- Lubricating Eye Drops: Artificial tears can relieve dry eye symptoms.
- Routine Eye Exams: Regular eye check-ups are recommended, especially for long-term users.
- Consult a Specialist: Discuss any new vision changes, such as blurring or light sensitivity, with an optometrist or ophthalmologist.
- Consider Alternatives: If severe eye issues arise, consult a doctor about changing the type of contraceptive.
- These side effects are often linked to the estrogen component, which can cause inflammation and alter ocular tissues. While many symptoms are mild, any sudden loss of vision or severe eye pain requires immediate medical attention.
Ozempic
Ozempic (semaglutide) can cause ocular side effects ranging from temporary blurred vision due to rapid blood sugar changes to severe,, potentially permanent conditions like diabetic retinopathy progression and Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) (an eye stroke). Other reported issues include dry, irritated eyes and temporary worsening of vision within the first few months of treatment. If you note any changes in your vision or visual field you should see your eye care specialist promptly.
Key Ocular Side Effects of Ozempic:
- Diabetic Retinopathy Complications: Rapid improvement in blood sugar control can lead to temporary, acute worsening of diabetic retinopathy, including swelling (macular edema).
- NAION (Eye Stroke): A rare but severe, potentially irreversible condition causing sudden, painless, usually unilateral vision loss.
- Temporary Blurred Vision: Changes in glucose levels can cause the lens inside the eye to swell or change shape, often resulting in blurry vision that typically resolves within 3–4 months.
- Dry/Irritated Eyes: Reported as a result of dehydration or systemic fluid changes.
Recommendations and Safety:
- Immediate Action: If sudden vision changes occur, users are advised to stop the medication and contact an eye doctor immediately.
- Screening: Diabetic patients, particularly those with pre-existing retinopathy, should have a dilated eye exam before starting and during treatment with semaglutide.
- Risk Factors: Individuals with existing eye conditions or those experiencing rapid weight loss (>10% in 6 months) may have a higher risk of experiencing these side effects.
Prednisone
Prednisolone topical drops work by decreasing eye inflammation, redness, and swelling. While generally safe for short-term use, especially when monitored by an eye doctor, they can cause temporary side effects and, with prolonged use, more serious complications. Used in many applications such as for low corticosteroid levels, multiple sclerosis, lupus, arthritis, and severe allergic reactions.
Prednisone eye side effects range from common, temporary issues like blurred vision, burning, or irritation (especially with drops) to serious, long-term risks with extended use, including cataracts, glaucoma (increased eye pressure), and increased risk of eye infections due to immune suppression, potentially leading to central serous chorioretinopathy or vision loss, requiring regular eye exams for monitoring.
Common & Short-Term Side Effects (Often with Eye Drops)
- Blurry vision or difficulty focusing
- Feeling like something is in your eye
- Burning, stinging, or irritation
- Eye discomfort or redness
- Excessive tearing or eye discharge
- Sensitivity to light (photophobia)
Serious & Long-Term Risks (Especially with Prolonged Use)
- Cataracts: Clouding of the eye's lens, leading to vision loss.
- Glaucoma (Steroid-Induced): Increased pressure inside the eye (intraocular pressure, IOP) that can damage the optic nerve and cause permanent vision loss.
- Increased Risk of Infection: Immune suppression can make eyes vulnerable to fungal, viral (like herpes simplex), or bacterial infections.
- Central Serous Chorioretinopathy (CSC): Fluid buildup under the retina, potentially causing detachment.
- Delayed Wound Healing: Affects healing after eye injury or surgery.
When to Contact Your Doctor
Contact your healthcare provider immediately if you experience:
Any significant change in vision, including blurriness or difficulty reading.
- Persistent eye pain, redness, or discharge.
- Symptoms of glaucoma, such as halos around lights, or vision loss.
- Any signs of infection or unusual spots on the skin. Regular eye exams with your eye care specialist are crucial for anyone on extended prednisone therapy to catch and manage these serious side effects early.
Pulmicort
Used to help with wheezing, shortness of breath, or trouble breathing due to asthma or lung diseases.
Pulmicort (budesonide), a corticosteroid, can increase the risk of serious eye problems, particularly with long-term use, including cataracts, glaucoma, and increased ocular pressure. Patients may experience blurred vision, cloudy eyesight, eye pain, and seeing halos around lights. Close monitoring is recommended.
Key Ocular Side Effects of Pulmicort
- Glaucoma and Increased Intraocular Pressure: Long-term use can raise pressure inside the eye.
- Cataracts: Development or worsening of cloudy vision.
- Vision Changes: Blurred vision, cloudy vision, or seeing halos around lights.
- Eye Pain and Irritation: General discomfort, redness, or pain.
- Worsening of Pre-existing Conditions: Increased risk for those already suffering from eye diseases.
Management and Precautions
- Monitor Vision: Report any changes in vision or eye pain to a healthcare professional immediately.
- Risk Factors: The risk is higher with long-term, high-dose administration.
- Consultation: If you have a history of cataracts or glaucoma, consult your doctor before using it.
- Infections: In some cases, the drug may cause a return of previous eye infections, such as herpes or TB.
While side effects are more common with systemic steroids, they can still occur with inhaled corticosteroids like Pulmicort. Patients should have yearly eye exams while taking this medication and return to clinic promptly if issues are noted.
Quinine
Used to treat malaria. Ocular side effects include difficulty with night vision, if pregnant can damage the fetus’ optic nerves. Patients should have yearly eye exam while taking this medication.
Remicade
Used for rheumatoid arthritis.
Remicade (infliximab) can cause various ocular side effects, from common issues like conjunctivitis (pink eye) to rare but serious problems like optic neuritis, uveitis, and even sudden vision loss, often linked to the drug's anti-TNF action, sometimes paradoxically triggering inflammation or affecting optic pathways, so any vision changes during or after treatment warrant immediate medical attention. Common Ocular Side Effects Conjunctivitis (inflammation of the eye's membrane) and Periorbital edema (swelling around the eyes).
Less Common & Rare Ocular Side Effects
- Keratitis: Inflammation of the cornea.
- Hordeolum: Stye.
- Uveitis/Panuveitis: Inflammation inside the eye.
- Optic Neuritis: Inflammation of the optic nerve, potentially causing vision loss.
- Endophthalmitis: Severe infection inside the eye.
- Orbital Cellulitis: Infection of the tissues around the eye.
- Diplopia (Double Vision).
- Retinal Vasculitis/Artery Occlusion: Inflammation or blockage of retinal blood vessels.
Infusion-Related Visual Changes (During or Shortly After Infusion)
- Transient (temporary) visual loss.
- Sudden trouble seeing in one or both eyes, dizziness, loss of balance, or confusion (may mimic stroke symptoms).
- Paradoxical Inflammation
- TNF inhibitors like Remicade can sometimes trigger new-onset or recurrence of inflammatory eye conditions, even when used for diseases that don't typically involve the eye.
When to Seek Immediate Medical Help
Contact your doctor or emergency services if you experience any vision changes, eye pain, redness, sensitivity to light, or symptoms like numbness/weakness on one side of your body, confusion, or trouble speaking, as these could signal serious complications like stroke or severe allergic reactions
Rifabutin
Used to treat infections that occur in HIV positive people. Ocular side effects include iritis or uveitis, an inflammation inside the eye causing pain to light, blurred vision, and sometimes redness. Patients should be evaluated immediately if you are experiencing any of these symptoms.
Scopolamine Patch
Used as a patch behind the ear to help with motion sickness
Scopolamine patches commonly cause ocular side effects due to the medication transferring from hands to eyes, leading to temporary dilated pupils (mydriasis), blurry vision, and light sensitivity. Serious, though less common, risks include eye pain, redness, or acute angle-closure glaucoma.
Key Ocular Side Effects:
- Dilated Pupils (Mydriasis): Pupils become enlarged and unresponsive to light, causing light sensitivity.
- Blurred Vision: Difficulty focusing, particularly on near objects.
- Eye Pain and Redness: Potential symptoms of increased eye pressure.
- Acute Angle-Closure Glaucoma: A medical emergency that can occur, especially in predisposed individuals.
Prevention and Management:
- Wash Hands Immediately: The most effective way to prevent ocular side effects is washing hands with soap and water immediately after applying or removing the patch to avoid transferring the medication.
- Safety Measures: Wear sunglasses for light sensitivity.
- When to Seek Care: Remove the patch and contact a doctor if you experience eye pain, severe redness, or vision changes.
Seroquel
Used to treat certain schizophrenia and bipolar diseases, Seroquel (quetiapine) can affect your eyes by causing common issues like blurry vision, dry eyes, and blurred vision, rainbows around lights, but also more serious, less common problems like cataracts, glaucoma, and retinal issues. It is important that you have regular medical eye exams to monitor for these changes, especially cataracts, which can develop over time. These effects stem from the medication's impact on neurotransmitters like dopamine and serotonin, influencing the eye's structures and functions, with some effects reversible and others potentially long-lasting. Patients should be examined by both the prescribing physician as well as ancillary specialists on a routine basis to to determine if antipsychotic medications are safe for initial and or continued use.
Synthroid (levothyroxine)
Used to treat hypothyroidism.
Synthroid (levothyroxine) may rarely cause ocular side effects, including blurred vision, double vision, light sensitivity, eye pain, and lid drooping (ptosis). These symptoms are often linked to improper dosage resulting in high thyroid levels or, in some cases, an underlying, unmanaged thyroid condition.
Common and Serious Ocular Symptoms
- Blurred/Double Vision: Rarely reported, often due to over-dosage or underlying thyroid imbalances.
- Eye Pain and Swelling: Potential allergic reaction or side effects.
- Lid Drooping (Ptosis): A rare, reported symptom associated with thyroid medication use.
- Light Sensitivity: A reported ocular symptom.
- Dry, Gritty Eyes: Often related to thyroid autoimmunity rather than the medication itself, though it can occur.
Important Considerations
- Thyroid Eye Disease (TED): If you are taking Synthroid for Graves' disease or Hashimoto’s, your eye symptoms may be related to TED, not just the medication.
- Medical Advice: Seek immediate medical attention if you experience sudden, severe vision loss, pain, or significant changes in vision.
- Management: Yearly eye exams are recommended while taking this medication.
If eye symptoms arise, consult your doctor, as they may suggest adjusting your dosage to ensure your thyroid levels are properly managed. Patients should be examined yearly while taking this medication or if you experience any of these symptoms. Additionally, If eye symptoms arise, consult your doctor, as they may suggest adjusting your dosage to ensure your thyroid levels are properly managed.
Tobacco
Ocular side effects include cataracts, glaucoma, macular degeneration, and dry eyes. Patients should not use tobacco. Patients should have yearly eye exams if they smoke or have previously smoked.
Tamoxifen (high risk ocular medication)
Tamoxifen, used for breast cancer, can cause rare but significant ocular side effects, including retinopathy (white crystal deposits, macular edema), cataracts, and corneal changes. These issues are usually associated with high doses or long-term use. Symptoms include blurred vision, dry eyes, and reduced vision. Patients should be examined at the beginning of treatment and monitored closely while taking the medications. It is important to discuss vision changes with both an oncologist and an eye specialist.
Key Ocular Side Effects of Tamoxifen:
- Tamoxifen Retinopathy: The most specific side effect, involving white crystalline deposits in the retina (perifoveal area) and, in some cases, cystoid macular edema. This may occur in up to 12% of patients taking standard doses for 2+ years, though vision-threatening cases are less common.
- Cataracts: Increased risk of developing or worsening cataracts.
- Dry Eye Syndrome/Keratopathy: Corneal changes and deposits can lead to dryness, irritation, and discomfort.
- Vision Changes: Blurred vision or decreased visual acuity may occur.
- Optic Neuritis: Rare instances of optic nerve inflammation have been reported.
Management and Considerations:
- Reversibility: Most side effects are reversible upon stopping the medication, but crystalline retinopathy may persist.
- Monitoring: Regular comprehensive, dilated eye exams (including OCT scans) are recommended for patients, particularly after two years of treatment or with higher doses.
- Risk Factors: Higher cumulative doses and longer duration of treatment increase the risk.
Tetracycline
Used as an antibiotic medication to treat pneumonia, respiratory tract infection, acne, and many more. . Patients should be examined right away if they take this medication and notice any unusual symptoms. This drug should not be taken by pregnant women or women trying to get pregnant, children under 8 years old as it may cause permanent teeth discoloration, or if you have an allergy to sulfites minocycline, doxycycline, or tetracycline medications
Tetracycline antibiotics (e.g., doxycycline, minocycline) can cause serious ocular side effects, most notably increased intracranial pressure (pseudotumor cerebri), leading to headaches, blurry vision, double vision, and permanent vision loss. Other effects include corneal staining (topical), conjunctival/scleral discoloration, and light sensitivity.
Key Ocular Side Effects:
- Increased Intracranial Pressure (Pseudotumor Cerebri): A critical, rare, but serious side effect involving swelling of the optic nerve (papilledema), often causing vision loss.
- Visual Disturbances: Blurry vision, double vision (diplopia), or vision loss.
- Ocular Irritation (Topical Use): Burning, stinging, redness, itching, or swelling of the eyelids.
- Pigmentation Changes: Irreversible conjunctival or scleral pigmentation (blue-grey).
- Corneal Edema/Staining: Rare development of corneal edema or discoloration.
When to Seek Immediate Care:
- Sudden flashes of light or increased floaters.
- Sudden, blurry, or double vision.
- Severe headache combined with eye issues.
- It is important to note that while systemic tetracyclines can cause these issues, topical application (ointment) can also cause irritation.
Thioridazine
Used for schizophrenic patients. Ocular side effects include blurred vision, night vision problems, decreased color vision, and retinal changes, which may happen within 2-8 weeks of beginning medication. Patients should be evaluated as soon as they begin the medication and monitored closely for visual changes.
Topamax
Topamax (topiramate) can cause serious, vision-threatening ocular side effects, most notably acute angle-closure glaucoma and secondary myopia (nearsightedness), typically within the first month of treatment. Symptoms include sudden eye pain, redness, blurred vision, and halo vision. Immediate medical attention is required if these symptoms occur. Patients should be evaluated before beginning treatment to make sure the medication is safe to use or if the above signs or symptoms are noticed.
Key Ocular Side Effects of Topamax
- Acute Angle-Closure Glaucoma: A rare but serious condition where fluid drainage in the eye is blocked, leading to rapid increases in eye pressure.
- Secondary Myopia (Sudden Nearsightedness): Caused by swelling of the ciliary body, which pushes the lens forward and increases the eye's refractive power.
- Vision Loss: Sudden decrease in visual acuity, particularly at a distance.
- Other Ocular Symptoms: Eye pain, red eye, halos, hazy cornea, and dilated pupils.
Important Considerations
- Timing: Symptoms often appear within the first month of starting the medication, though they can occur later.
- Risk Factors: These side effects are more common in women.
- Management: If symptoms occur, the medication should be stopped immediately under the guidance of a doctor, as the condition is usually reversible if caught early.
- If you experience any sudden eye pain or changes in vision while taking Topamax, contact your healthcare provider immediately.
Viagra
Retinal problems can occur, especially with high doses or recreational use, requiring immediate medical attention. Common temporary effects usually resolve within hours, but lingering or severe symptoms warrant a doctor's visit to rule out rare but serious conditions like nonarteritic ischemic optic neuropathy (NAION).
Common & Temporary Eye Side Effects:
- Blue Tint: Seeing a blue tinge to your vision or difficulty distinguishing blue from green objects.
- Blurred Vision: Hazy or unclear sight.
- Light Sensitivity (Photophobia): Eyes being more sensitive to light.
- Increased Tearing & Nasal Congestion: Often occurs alongside other mild effects.
Less Common & Serious Eye Side Effects (Seek Immediate Care):
- Sudden Vision Loss: In one or both eyes.
- Sudden Appearance of Floaters or Flashing Lights: Can signal retinal detachment.
- Nonarteritic Ischemic Optic Neuropathy (NAION): A condition where blood flow to the optic nerve is compromised, potentially causing permanent vision loss.
- Retinal Vascular Occlusion (RVO): A blood clot in the retina's blood vessels.
When to See a Doctor:
- Any instance of sudden vision loss or changes.
- If common visual side effects (blue tint, blurriness) are severe or don't go away after a few hours.
- If you experience flashes or floaters.
While temporary visual changes are common and generally harmless, any severe or persistent vision problem after taking Viagra should be treated as a medical emergency. Always use Viagra as prescribed by a healthcare professional and let your eye care professional know if you use this med.
Education
Soft Contact Lens Read More
Rigid Contact Lens Read More
Learning About Prescriptions Read More
Astigmatism Read More
Farsightedness (Hyperopia) Read More
Nearsightedness (Myopia) Read More
Presbyopia Read More
Age-Related Macular Degeneration (AMD) Read More
Amblyopia (Lazy Eye) Read More
Contact Lens Read More
Other Types of Contacts Lens Read More
Blepharitis Read More
Cataracts Read More
Color Blindness Read More
Corneal Conditions Read More
Diabetic Retinopathy Read More
Dry Eye Read More
Floaters Read More
Retinal Detachment Read More
Macular Edema Read More
Glaucoma Read More
Low Vision Read More
Vitreous Detachment Read More
Uveitis Read More
Pink Eye Read More
Refractive Errors Read More
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