Eye Fatigue: Symptoms, Treatment, and When to Seek Help

Eye fatigue

Hello doctor, I have been experiencing significant eye pain since mid-May of this year.
After consulting an ophthalmologist, I was diagnosed with eye strain and prescribed a dilating agent to use at night, along with advice to reduce my screen time and rest more.
Following the doctor's recommendations, my eye pain has decreased, but I still feel discomfort.
There is a persistent tightness in the area between my eyes, similar to a soreness.
Even when I’m not staring at a computer or phone, I notice a sense of tension in my eyes after waking up.
This condition has continued from mid-May until now.
I have returned to the ophthalmology clinic for follow-up visits, and the doctor reiterated that it is eye strain and advised more rest.
During one visit, I asked the doctor why it has not improved after such a long time, and the doctor told me that eye strain does not get better, which made me feel very upset.
(The doctor used a dilating agent to examine my eyes and confirmed that there are no other issues with my eyes.)
I have several questions for you, doctor:
1.
Is it true that, as the ophthalmologist said, eye strain does not improve?
2.
Since I still have ongoing discomfort, should I consider getting a second opinion from another ophthalmologist?
3.
Would it be better to get an examination at a larger hospital?
4.
The doctor previously suggested wearing a pair of glasses with a lower prescription for near tasks to reduce eye strain.
Is this effective? If so, what prescription strength would be appropriate?
5.
Additionally, when I close my left eye, it often feels wet, as if tears are about to flow, while my right eye does not have this sensation.
Moreover, my left eye feels tighter compared to my right eye.
Is there a problem with my left eye?
6.
Lastly, will long-term use of a dilating agent to relax the eye muscles be harmful to my eyes?

zoy, 20~29 year old female. Ask Date: 2016/10/29

Dr. Cai Wenyuan reply Ophthalmology

I have already answered, thank you.

Reply Date: 2016/10/29

More Info

Understanding eye fatigue is crucial, especially in today's digital age where prolonged screen time is common. Your symptoms indicate a complex interplay of factors that may contribute to your discomfort. Let's address your questions and provide some insights into managing eye fatigue effectively.

1. Is eye fatigue really something that won't improve?
Eye fatigue, also known as asthenopia, is a common condition that can result from prolonged use of digital devices, reading, or any activity that requires intense focus. While it may feel persistent, many individuals experience improvement with proper management strategies. It's essential to understand that eye fatigue can be exacerbated by factors such as poor lighting, improper screen distance, and inadequate breaks. Therefore, while it may not completely "go away," it can certainly be managed effectively.

2. Should I seek a second opinion?
If your discomfort persists despite following your doctor's advice, seeking a second opinion can be beneficial. Different practitioners may have varying approaches to treatment and management. A comprehensive eye examination at a different clinic or a specialized eye center may provide new insights or alternative treatment options.

3. Is it better to go to a larger hospital for examination?
Visiting a larger hospital or a specialized eye clinic can be advantageous, especially if they have advanced diagnostic tools and a team of specialists. These facilities often have access to the latest technology and research, which can aid in diagnosing and treating complex cases of eye fatigue.

4. Should I wear glasses with a lower prescription for near tasks?
Wearing glasses with a lower prescription for close-up tasks can indeed help reduce eye strain. This is particularly true if you have a significant difference between your distance and near vision prescriptions. A common recommendation is to use a pair of reading glasses that are one or two diopters less than your full prescription for near work. However, it's essential to consult with your eye care professional to determine the most suitable prescription for your specific needs.

5. Is there an issue with my left eye?
The sensation of wetness or discomfort in one eye, especially if accompanied by tightness, could indicate a few possibilities, such as dry eye syndrome, allergies, or even a mild infection. It’s crucial to have this evaluated by an eye care professional, as they can perform specific tests to determine the underlying cause and recommend appropriate treatment.

6. Is long-term use of dilating drops harmful?
Using dilating drops, such as those prescribed for relaxation of the ciliary muscle, should be done under the guidance of a healthcare professional. While occasional use can help alleviate symptoms of eye strain, long-term use without medical supervision is not advisable. Prolonged dilation can lead to side effects such as light sensitivity and difficulty focusing. Always discuss the duration and frequency of use with your doctor.

Additional Recommendations for Managing Eye Fatigue:
- Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break and look at something 20 feet away. This helps reduce strain on your eye muscles.

- Optimize Your Workspace: Ensure that your computer screen is at eye level and about an arm's length away. Use proper lighting to minimize glare.

- Stay Hydrated: Drink plenty of water throughout the day to keep your eyes moist and reduce dryness.

- Use Artificial Tears: If you experience dryness, consider using preservative-free artificial tears to keep your eyes lubricated.

- Limit Screen Time: Try to reduce the amount of time spent on screens, especially before bedtime, to help your eyes rest.

In conclusion, while eye fatigue can be a frustrating condition, it is often manageable with the right strategies and professional guidance. If your symptoms persist, do not hesitate to seek further evaluation and treatment options. Your eye health is paramount, and addressing these concerns early can lead to better outcomes.

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