Eye Fatigue: Causes, Symptoms, and Treatment Options - Ophthalmology

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Eye fatigue


Hello, Doctor: I would like to ask you a few questions.

1.
I have myopia of about 600 degrees in both eyes, and recently I've started to experience eye strain.
I'm worried that my myopia might be worsening.
However, I can still see well with my 425-degree glasses while driving, riding, walking, and studying (unless the object is too far away).
Can I conclude that my myopia hasn't worsened if I can still see with my 425 glasses? Because if it had worsened significantly, I would think the 425 glasses wouldn't be sufficient.
2.
Is there a relationship between blue light-blocking lenses and the rate of myopia progression?
3.
Sometimes my vision suddenly becomes blurry.
I have visited an ophthalmology clinic, and the doctor said there was nothing wrong, suggesting it might be due to eye fatigue.
Can eye fatigue cause sudden blurriness? I spend a lot of time on the computer due to my studies.
Although I don't take breaks every 30 minutes, I do occasionally take short breaks.
4.
The clinic doctor prescribed me a bottle of eye drops, which I found helpful for eye fatigue.
After using it, I went to the pharmacy to buy the same one.
I would like to ask about this eye drop, "Mydriacyl Eye Drops 0.01%, containing Neostigmine Methylsulfate 0.1mg per milliliter." Are there any side effects from long-term use? I have read reports that some eye drops can increase the risk of glaucoma with prolonged use.
I only use it before bed or when I feel fatigued, and I don't use it if I don't feel discomfort.
Thank you in advance for your response, Doctor.

Weiwei, 20~29 year old female. Ask Date: 2017/03/04

Dr. Cai Wenyuan reply Ophthalmology


Hello, the prescription for glasses should be determined by a physician, as an inappropriate prescription can lead to eye strain.
Anti-blue light lenses are not related to the progression of myopia.
The eye drops you mentioned have no direct relation to glaucoma.
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: 2017/03/04

More Info


Eye fatigue, also known as asthenopia, is a common condition that can arise from various factors, particularly in our modern world where screen time is prevalent. Understanding the causes, symptoms, and treatment options for eye fatigue is crucial for maintaining eye health, especially for individuals who spend long hours in front of computers or other digital devices.


Causes of Eye Fatigue
1. Visual Strain: Prolonged use of digital devices can lead to visual strain. This occurs when the eyes are overworked, often due to focusing on screens for extended periods without adequate breaks. Symptoms can include discomfort, dryness, and blurred vision.

2. Uncorrected Vision Problems: If you have uncorrected refractive errors, such as myopia (nearsightedness), hyperopia (farsightedness), or astigmatism, your eyes may need to work harder to focus, leading to fatigue. In your case, with a prescription of 600 degrees of myopia, it’s essential to ensure that your glasses are accurately prescribed and updated.

3. Environmental Factors: Poor lighting, glare from screens, and improper viewing distances can exacerbate eye fatigue. An environment that is too bright or too dim can strain the eyes.

4. Dry Eyes: Insufficient tear production or excessive screen time can lead to dry eyes, which can cause discomfort and fatigue. This is often exacerbated by reduced blinking rates when staring at screens.

5. Underlying Health Conditions: Conditions such as migraines, sinus issues, or even systemic diseases can manifest as eye fatigue or discomfort.


Symptoms of Eye Fatigue
Common symptoms include:
- Eye strain or discomfort
- Dry or watery eyes
- Blurred or double vision
- Difficulty focusing
- Headaches
- Sensitivity to light
- General fatigue in the eye area

Treatment Options
1. Regular Eye Exams: Regular check-ups with an eye care professional are essential. They can determine if your prescription needs updating or if there are underlying issues contributing to your symptoms.

2. Corrective Lenses: If your vision has changed, updating your prescription glasses or contact lenses can alleviate strain. You mentioned wearing glasses with a lower prescription; if you can still see well, it may indicate your myopia hasn't worsened significantly, but it’s best to confirm with an eye care professional.

3. Blue Light Blocking Glasses: These can help reduce eye strain from screens. While there is ongoing debate about their effectiveness in preventing myopia progression, they can provide comfort during prolonged screen use.

4. The 20-20-20 Rule: To combat eye fatigue, follow 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.

5. Proper Lighting: Ensure your workspace is well-lit to reduce glare on screens. Adjust the brightness of your devices to match the surrounding light.

6. Artificial Tears: If dry eyes are a concern, using lubricating eye drops can help. However, be cautious with long-term use of any medicated eye drops, such as the one you mentioned (Neostigmine Methylsulfate). While it may provide temporary relief, long-term use should be monitored by an eye care professional to avoid potential side effects, including increased intraocular pressure, which can lead to glaucoma.

7. Lifestyle Adjustments: Incorporate regular breaks during screen time, maintain proper posture, and ensure you are hydrated. Additionally, consider reducing screen time when possible, especially before bed.


Conclusion
Eye fatigue is a multifaceted issue that can significantly impact daily life, especially for those who rely heavily on digital devices. By understanding the causes and implementing preventive measures, you can alleviate symptoms and maintain better eye health. If symptoms persist or worsen, it’s crucial to consult with an eye care professional for a comprehensive evaluation and tailored treatment plan.

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