Any eye people out there?

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I just need some advice of there are any eye specialists out there...

A month ago I was clawed hard in the right eye by my dog. I went to a&e they said I had a corneal abrasion and gave me antibiotics. I woke the next night and couldn't look at anything without excruciating pain and my eyelid was swollen, I went back to a&e and was diagnosed with cellulitis and sent home with co-amoxiclav. 2 days later I had a normal clinic followup and was diagnosed with mild uveitis (iritis) and put on Maxidex for 3 weeks.

So... its been a month since all of this and I am still totally blurred out of my right eye (and things are ghosting and splitting vertically). The eye consultant said all of their tests were showing nothing was wrong structurally but I had developed a refractive error so he discharged me and told me to see an optometrist for glasses.

I did this and the optometrist said I have developed a severe astigmatism in the right eye, the lenses he put on me did fix this, BUT I feel like it maybe getting slightly worse I just can't tell any sights all over the place.

I had perfect vision before this and there is so little one the internet about traumatic astigmatism and I'm just not getting enough time with any of the doctors/optometrists to explain whats happened they are all flummoxed. They are saying my eye looks super healthy and I have no scarring on the cornea it all looks good.

I don't know if its the trauma itself or the uveitis (it was excruciating) thats caused this. Theres so little about it online. I am totally frosted out of my right eye and it's stupidly put me into a bit of a depression.

Is anyone out there experienced and can work out what an earth this could? If the back of my eye is healthy everyones saying somethings going on in the focusing area of my eye.

Any advice :( Anything...

You need to find an optometrist that has an topographer. Common ones used are these: Orbscan™, the Pentacam™ and the Galilei™.

Topography maps the entirety of the front surface of the eye and can tell the positioning of any regular or irregular astigmatism. They can use it to check for any thinning of the cornea (occasionally you can develop a condition called keratoconus after an injury) and can also be used to monitor and check for deterioration.

Generally opticians who fit ortho-k lenses or who offer consultations for laser surgery will have one. Mr google should be able to help you.

The only other thing I can think that it may be is a subluxated lens. But that's pretty obvious too see and I can't imagine that both the eye consultant and the optometrist missed it.

HTH

Thank you ever so much, yes I read about a subluxated lens (this one is scaring me slightly as things aren't improving and my cornea looks ok), I don't know how subtle these can be or if they can be missed if the lens has just come a little bit loose? I did mention that one to the consultant and he said he couldn't see any evidence of it.

I will find an optometrist with a topographer thank you.

The way things were left is the consultant said there could be nerve damage in which case things wont improve or it could be muscle damage which would take time... thew odd thing is which no one seems interested in but I would've though would be important is I can see perfectly well out of my right eye first thing in the morning for around quarter of an hour and then very suddenly it just goes blurred and everything splits, as though its trying to heal/.relaxing at night and then gives up as soon as I start using it.

OP The better in the morning thing may just be due to corneal swelling - everyone's cornea swells up at night as cornea gets less oxygen when the eye is closed. It may just be that you have a bit of unequal swelling, which is making the eye less astigmatic.
TBH - I'm just guessing at that one.

When you do find someone with a topographer, it may be worthwhile repeating it in the morning and then later in the day to see if you get much variation.