Eye Pain: Is It Fatigue or Something More? - Ophthalmology

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Eye problems


Hello, I am a senior high school student.
Recently, I have experienced some pain in my eyes when looking towards the sides (I think I have had this before).
I'm not sure if it's muscle pain caused by fatigue.
I stay in the library at night and look at my phone when I get home.
Could this be eye fatigue? Additionally, I have been having scalp issues, and my dermatologist prescribed "Koyis" (a medication that releases a mixed air foam containing steroids, applied directly to the scalp).
I am a bit worried that it might get into my eyes while washing my hair, or has it already been absorbed by the scalp? (The doctor did not provide any specific warnings.)

xuesheng, 10~19 year old female. Ask Date: 2017/02/16

Dr. Cai Wenyuan reply Ophthalmology


Hello, your issue still requires a medical examination to determine the cause.
Thank you.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/02/16

More Info


Hello! It's great that you're reaching out for advice regarding your eye discomfort, especially as a high school senior preparing for exams. Based on your description, it sounds like you may be experiencing symptoms related to eye fatigue, which is quite common among students who spend long hours studying or using screens.

Eye fatigue, also known as asthenopia, can manifest as discomfort, pain, or a feeling of heaviness in the eyes, particularly after prolonged periods of focusing on tasks like reading or looking at screens. This discomfort can be exacerbated by factors such as poor lighting, glare from screens, and inadequate breaks during study sessions. The pain you feel when looking to the side could be due to the strain on the extraocular muscles that control eye movement, particularly if you're frequently shifting your gaze.

To alleviate eye fatigue, consider implementing the following strategies:
1. The 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps relax the eye muscles and reduces strain.

2. Proper Lighting: Ensure that your study area is well-lit to minimize glare and strain on your eyes. Avoid studying in dim light or with harsh overhead lights.

3. Screen Time Management: Limit your screen time, especially before bed. Blue light emitted from screens can disrupt your sleep cycle and contribute to eye strain.

4. Regular Eye Exams: If you haven't had an eye exam recently, it might be a good idea to see an eye care professional. They can assess your vision and determine if you need corrective lenses or other interventions.

5. Use Artificial Tears: If your eyes feel dry or irritated, over-the-counter artificial tears can help lubricate your eyes and relieve discomfort.

Regarding your concern about the medication "可易適" (which contains a steroid), it's important to be cautious. While the medication is intended for topical use on the scalp, it’s always best to avoid getting any medication in your eyes. If you accidentally get some in your eyes while washing your hair, rinse your eyes gently with clean water or saline solution. If you experience any irritation, redness, or discomfort afterward, consult an eye care professional.

In summary, your symptoms likely stem from eye fatigue due to prolonged screen time and studying. Implementing good eye care practices can help alleviate your discomfort. However, if your symptoms persist or worsen, or if you experience additional symptoms such as vision changes, it’s essential to seek further evaluation from an eye care specialist. They can provide a comprehensive assessment and recommend appropriate treatment options tailored to your needs. Remember, taking care of your eyes is just as important as your studies, especially during this critical time in your academic journey!

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