Eye Fatigue: When to Seek an Eye Exam - Ophthalmology

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Eye examination


Hello, I have recently noticed that about one to two hours before bedtime, my eyes start to feel more fatigued, and I find it more difficult to see things, especially on screens.
I also sometimes feel strain when reading, particularly with smaller or more distant text, which seems a bit blurry.
Additionally, the corners of my eyes occasionally feel dry and itchy.
Due to my work, I need to stare at a screen for long periods.
I'm unsure if this is due to an increase in my myopia, eye strain, presbyopia, or some other issue with my eyes.
I would like to know if general ophthalmology clinics offer eye health examinations.
Thank you.

raven, 20~29 year old female. Ask Date: 2016/07/03

Dr. Gao Pilin reply Ophthalmology


Hello Raven: This is a sign of eye fatigue, indicating that you should take a break.
When using the computer, you might consider wearing a pair of glasses with a lower prescription.
You can visit a general clinic for an examination.
In Taiwan, the ophthalmology department at Puzi Hospital 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 essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2016/07/03

More Info


Hello! It sounds like you're experiencing a range of symptoms that are quite common among individuals who spend extended periods of time in front of screens, especially in our digital age. Eye fatigue, also known as asthenopia, can manifest in various ways, including discomfort, dryness, and difficulty focusing, particularly after prolonged screen use. Let's break down your concerns and discuss when it might be appropriate to seek an eye exam.


Understanding Eye Fatigue
Eye fatigue can arise from several factors, particularly when engaging in activities that require intense focus, such as reading or staring at a computer screen. Symptoms like blurred vision, dryness, and discomfort in the eyes are often linked to prolonged screen time, which can lead to digital eye strain. This condition is exacerbated by factors such as poor lighting, glare from screens, and improper viewing distances.


Possible Causes of Your Symptoms
1. Digital Eye Strain: Spending long hours in front of screens can lead to symptoms like blurred vision, dry eyes, and discomfort. This is often due to reduced blinking rates while focusing on screens, which can cause the eyes to dry out.

2. Refractive Errors: If you're experiencing difficulty focusing on small or distant text, it could indicate a change in your vision, such as an increase in nearsightedness (myopia) or the onset of presbyopia (age-related difficulty in focusing on close objects).
3. Dry Eye Syndrome: The sensation of dryness and itchiness in the corners of your eyes may suggest dry eye syndrome, which can be aggravated by screen time, environmental factors, or even certain medications.

4. Inadequate Lighting: Poor lighting conditions can strain your eyes further, making it harder to see clearly and increasing discomfort.


When to Seek an Eye Exam
Given your symptoms, it would be prudent to schedule an eye exam, especially if:
- Your symptoms persist despite taking regular breaks from screens.

- You notice a significant change in your vision, such as increased blurriness or difficulty focusing.

- You experience discomfort that interferes with your daily activities.

- You have a history of eye conditions or if you wear corrective lenses that may need updating.


What to Expect at an Eye Exam
Most eye clinics offer comprehensive eye health checks, which typically include:
- Visual Acuity Test: To assess how well you see at various distances.

- Refraction Assessment: To determine if you need glasses or a change in your prescription.

- Eye Health Examination: Using specialized equipment to check for any underlying conditions affecting your eyes, such as dry eye syndrome or other ocular health issues.

- Discussion of Symptoms: Your eye care professional will want to know about your symptoms, lifestyle, and any specific concerns you have regarding your eye health.


Tips for Managing Eye Fatigue
In the meantime, here are some strategies to help alleviate your symptoms:
1. Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce strain on your eye muscles.

2. Ensure Proper Lighting: Make sure your workspace is well-lit to reduce glare on your screen.

3. Stay Hydrated: Drink plenty of water to help maintain moisture in your eyes.

4. Use Artificial Tears: Over-the-counter lubricating eye drops can help relieve dryness.

5. Adjust Your Screen Settings: Increase text size and contrast to make reading easier, and consider using blue light filters.

6. Blink Regularly: Remind yourself to blink more often to keep your eyes moist.

In conclusion, while your symptoms may be related to eye fatigue or changes in your vision, a comprehensive eye exam is the best way to determine the underlying cause and receive appropriate treatment. Don't hesitate to reach out to an eye care professional to discuss your concerns and get the care you need.

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