Eye Issues: Myopia, Fatigue, and Vision Training Insights - Ophthalmology

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Eye problems and vision training?


Dear Doctor,
I am currently 16 years old and have a high degree of myopia, approximately -950 diopters, due to my allergic constitution.
I also have floaters and would like to ask a few questions.

1.
I have dry eye syndrome.
Will long-term eye fatigue increase the risk of glaucoma or optic nerve issues in the future?
2.
What should I do if long-term eye fatigue does not improve even with rest?
3.
Will high myopia inevitably lead to conditions such as cataracts, macular degeneration, or retinal detachment in the future?
4.
I am currently undergoing non-invasive vision training in Tainan, which has significantly reduced my prescription (and has been maintained for a long time), and my eye fatigue has also improved.
Is it possible for this type of vision training to truly improve my condition? I have been highly myopic since childhood, and I am really worried about many issues now.
Thank you for your response!

Xiao Chen, 10~19 year old female. Ask Date: 2016/10/19

Dr. Cai Wenyuan reply Ophthalmology


Long-term eye fatigue is detrimental to the eyes and should be avoided as much as possible.
If rest does not improve the condition, it is important to seek medical attention promptly.
High myopia increases the risk of developing cataracts, macular degeneration, or retinal detachment.
Addressing myopia should focus on reducing excessive eye strain, and seeking medical examination and treatment is the appropriate course of action.
Thank you.

Reply Date: 2016/10/19

More Info


Hello! Thank you for your questions regarding your eye health, particularly concerning myopia, eye fatigue, and vision training. It's great that you're seeking information to better understand your condition. Let's address your concerns one by one.

1. Long-term Eye Fatigue and Its Effects: Chronic eye fatigue, especially in the context of dry eyes, can indeed lead to various complications over time. While there is no direct evidence linking eye fatigue to an increased risk of glaucoma or optic nerve issues, prolonged strain on the eyes can exacerbate existing conditions. For individuals with high myopia, like yourself, there is a higher risk of developing glaucoma and other optic nerve problems due to structural changes in the eye. Therefore, it's essential to manage your eye fatigue effectively.

2. Managing Persistent Eye Fatigue: If you find that resting your eyes does not alleviate fatigue, it is crucial to consult with an eye care professional. They may recommend a comprehensive eye exam to assess your vision and eye health. In the meantime, consider implementing the 20-20-20 rule: every 20 minutes of screen time, take a 20-second break to look at something 20 feet away. Additionally, ensure that your workspace is well-lit and that you are using appropriate eyewear for your vision needs.

3. Risks Associated with High Myopia: Individuals with high myopia are indeed at a greater risk for developing conditions such as cataracts, macular degeneration, and retinal detachment as they age. This is due to the elongation of the eyeball and changes in the retina that can occur with high myopia. Regular eye examinations are essential to monitor for these conditions, especially as you grow older.

4. Effectiveness of Vision Training: Vision training can sometimes help improve visual function, particularly in cases of convergence insufficiency or other binocular vision issues. However, the effectiveness of such training can vary widely among individuals. If you have experienced a reduction in your prescription and an improvement in eye fatigue, it may suggest that the training is beneficial for you. Nonetheless, it is essential to have realistic expectations and understand that while vision training can help, it may not completely eliminate the need for corrective lenses.

In summary, managing your eye health is crucial, especially with your history of high myopia and current symptoms. Regular check-ups with an eye care professional will help you monitor your condition and address any emerging issues. Additionally, adopting good eye care habits, such as taking breaks from screens and ensuring proper lighting, can significantly reduce eye fatigue. If you have further concerns or if your symptoms persist, do not hesitate to seek medical advice. Your vision is vital, and taking proactive steps now can help preserve it for the future. Thank you for your questions, and I wish you the best in your eye health journey!

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