Blurry Vision: Is It Dry Eyes or High Eye Pressure? - Ophthalmology

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Is your vision blurry?


Hello, doctor.
I usually wear contact lenses for long hours at work and use the computer to input data.
During my breaks, I occasionally use my phone or squint to rest for about 30 minutes.
Recently, I've been working overtime and feeling very fatigued.
Although I immediately remove my contact lenses after work, I've noticed that after squinting and resting, when I continue working, my vision becomes temporarily blurry with some halos for about 15-20 minutes before it improves.
The moisturizing solution for my contact lenses also feels a bit blurry.
I would like to ask, doctor, do I have dry eye syndrome or is it a sign of elevated intraocular pressure?

mi, 20~29 year old female. Ask Date: 2016/05/03

Dr. Gao Pilin reply Ophthalmology


Hello, it is possible that the symptoms are caused by corneal edema.
If it is due to dryness, using eye drops should help improve the condition.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is necessary to visit a medical facility for proper evaluation and treatment.
I hope to have the opportunity to assist you.
Dr.
Gao Pilin

Reply Date: 2016/05/03

More Info


Blurry vision, especially when associated with prolonged use of contact lenses and screens, can often be attributed to dry eyes rather than high eye pressure. Given your situation, where you are frequently using contact lenses for extended periods and working on a computer, it is quite common to experience symptoms of dry eye syndrome. This condition occurs when the eyes do not produce enough tears or when the tears evaporate too quickly, leading to discomfort, blurry vision, and sometimes even light sensitivity or halos around lights.

When you wear contact lenses for long hours, especially while staring at screens, your blink rate decreases significantly. Blinking is essential for spreading tears evenly across the surface of the eye, which keeps it moist and clear. If you are not blinking enough, your eyes can become dry, leading to temporary blurriness and discomfort. The fact that you experience a "foggy" sensation that improves after a short rest suggests that your eyes may be fatigued and not adequately lubricated.

High eye pressure, on the other hand, is often asymptomatic in the early stages and is typically detected during routine eye examinations. While elevated intraocular pressure (IOP) can be a risk factor for glaucoma, it does not usually cause immediate symptoms like blurry vision or halos. If your eye pressure were significantly elevated, you would likely experience other symptoms, such as severe headaches, eye pain, or nausea, especially if it were related to acute glaucoma.

To address your concerns, it is essential to consider the following steps:
1. Hydration and Lubrication: Use preservative-free artificial tears regularly throughout the day to keep your eyes moist. This can help alleviate the symptoms of dry eyes, especially when using contact lenses.

2. Take Breaks: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain and encourages blinking.

3. Adjust Your Environment: Ensure that your workspace is well-lit and that you are not sitting in front of a bright screen for too long. Consider using anti-reflective coatings on your glasses or lenses if you wear them.

4. Consult an Eye Care Professional: If your symptoms persist despite these measures, it would be wise to consult an eye care professional. They can perform a comprehensive eye exam, including checking your tear production and measuring your eye pressure, to rule out any underlying conditions.

5. Consider Contact Lens Type: If you frequently experience dryness, you might want to explore different types of contact lenses designed for dry eyes, such as those with higher moisture content or daily disposables.

In summary, while dry eyes are likely the cause of your blurry vision and halos, it is essential to monitor your symptoms and consult with an eye care professional for a thorough evaluation. They can provide personalized recommendations and ensure that your eye health is maintained, especially given your extensive use of contact lenses and screens.

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