Eye Fatigue: Causes, Risks, and Solutions for High Myopia - Ophthalmology

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Eye fatigue


Hello Doctor:
1.
Recently, my eyes have been very sensitive to light and somewhat fatigued, and sometimes they even hurt.
This has been going on for several months.
Is there any solution?
2.
If I experience long-term eye fatigue, could it lead to any problems?
3.
I have a prescription of -1000 diopters for my myopia, and when I close my eyes, I see a fixed lightning-like flash.
Is there a possibility of retinal detachment?
4.
I have had high myopia since childhood and also experience floaters.
Am I at risk of going blind in the future?
5.
Are there any solutions available in the future?

Mr. Chen, 10~19 year old female. Ask Date: 2016/03/21

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Chen: If you are feeling fatigued, please take more rest.
Eye strain can lead to such conditions.
Remember the "20-20-20" rule: after using the computer for 20 minutes, stand up and move your head, shoulders, neck, and lower back, while also gazing into the distance for 20 seconds to relax your eyes.
Slowly close and open your eyes 20 times to keep them moist.
If you see flashes of light, you should have an eye examination to check for any issues with your retina to prevent retinal detachment.
Floaters themselves do not cause vision deterioration and typically do not require special treatment, but individuals with high myopia should have regular check-ups.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday from 1:00 PM to 4:30 PM.
Online responses are for reference only; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2016/03/21

More Info


Eye fatigue, particularly in individuals with high myopia (nearsightedness), is a growing concern, especially among younger populations. As a 16-year-old with a prescription of -1000 degrees, your symptoms of light sensitivity, fatigue, and occasional pain are not uncommon. Let's address your questions one by one while also providing some insights into the underlying issues.

1. Light Sensitivity and Eye Fatigue: Experiencing light sensitivity (photophobia) and fatigue for an extended period can be quite uncomfortable. This could be due to several factors, including dry eyes, overuse of digital devices, or underlying conditions such as uveitis or corneal issues. To alleviate these symptoms, consider implementing the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. Additionally, using lubricating eye drops can help relieve dryness and discomfort. If symptoms persist, it’s essential to consult an eye care professional for a comprehensive evaluation.

2. Long-term Effects of Eye Fatigue: Chronic eye fatigue can lead to several complications. While it may not directly cause glaucoma or optic nerve issues, it can exacerbate existing conditions, especially in those with high myopia. Prolonged eye strain can also contribute to headaches and may affect your overall quality of life. Therefore, it is crucial to manage eye fatigue proactively through regular eye exams and proper eye care practices.

3. Flashes of Light and Retinal Detachment: Seeing flashes of light, especially if they are persistent and located in a fixed position, can be concerning. In individuals with high myopia, the risk of retinal detachment is indeed higher due to the elongation of the eyeball, which can lead to thinning of the retina. If you experience sudden changes in vision, such as an increase in flashes or floaters, it is vital to seek immediate medical attention. An eye specialist can perform a thorough examination, including an OCT (Optical Coherence Tomography) scan, to assess the health of your retina.

4. Risk of Vision Loss: Having high myopia and experiencing symptoms like floaters does increase the risk of complications such as retinal detachment, macular degeneration, and cataracts later in life. However, this does not mean that you will inevitably lose your vision. Regular check-ups with an ophthalmologist can help monitor your eye health and catch any potential issues early. Maintaining a healthy lifestyle, including a balanced diet rich in antioxidants, can also support eye health.

5. Future Solutions: There are several strategies to manage high myopia and associated symptoms. Regular eye exams are crucial for monitoring your condition. Additionally, consider discussing with your eye care provider about options like orthokeratology (special contact lenses worn overnight to reshape the cornea) or refractive surgery, if appropriate for your age and eye condition. Furthermore, engaging in vision therapy or eye exercises may help alleviate some symptoms of eye strain, although the effectiveness can vary from person to person.

In conclusion, managing eye fatigue and the risks associated with high myopia requires a proactive approach. Regular eye examinations, proper eye care practices, and lifestyle adjustments can significantly contribute to maintaining your eye health. If you have ongoing concerns or symptoms, do not hesitate to reach out to an eye care professional for personalized advice and treatment options. Your vision is invaluable, and taking steps now can help protect it for the future.

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