Managing Eye Fatigue and Vitreous Degeneration After Long Hours on Screens

Q: Managing Eye Fatigue and Vitreous Degeneration After Long Hours on Screens

Hello, Xiao Liang： For individuals with myopia, using glasses with a slightly lower prescription while working on the computer can help reduce eye strain. <br>The same applies when reading; if you are not accustomed to frequently switching glasses, you might consider multifocal l

Eye fatigue, vitreous degeneration, and retina?

Dear Dr.
Gao,
I was previously a white-collar worker, averaging 8 to 10 hours a day in front of a computer.
In January of this year, due to prolonged exposure to my laptop, I experienced vitreous degeneration, retinal traction, dry eye syndrome, and one eye developed retinal edema, with my myopia increasing by 75 degrees.
Consequently, I underwent retinal laser treatment.
After that, I completely refrained from using electronic devices and took a two-month rest.
However, now my eyes become fatigued very easily; I can only use the computer for a maximum of one hour a day, and my reading time for newspapers has also decreased significantly, leading to fatigue.
When I followed up with my previous doctor, he mentioned that eye fatigue is not a disease and that he could not prescribe treatment for it.
Therefore, I would like to ask you, Dr.
Gao:
1) Are there any methods to improve the issue of eye fatigue?
2) Given my situation, will I still be able to work in a job that requires 8 to 10 hours of computer use a day? I am very concerned about whether I need to change careers.
3) For individuals who need to stare at a computer for long periods, should my prescription be fully corrected or reduced by 50 degrees? A previous optometrist informed me that my prescription indicated my eyes prefer to see close up, suggesting I use a progressive lens with a 50-degree reduction.
However, my previous doctor advised that I should have a full prescription.
I would appreciate your clarification on this matter.
Thank you.

Xiao Liang, 20~29 year old female. Ask Date: 2017/03/22

Dr. Gao Pilin reply Ophthalmology

Hello, Xiao Liang: For individuals with myopia, using glasses with a slightly lower prescription while working on the computer can help reduce eye strain.
The same applies when reading; if you are not accustomed to frequently switching glasses, you might consider multifocal lenses, which can alleviate fatigue.
The maximum prescription for progressive lenses should be fully prescribed, and then adjusted as needed.
Based on your age, reducing the prescription by 100-150 degrees should be sufficient.
Please follow the 20-20-20 rule for eye care: every 20 minutes of computer use, look away from the screen for 20 seconds and focus on an object 20 feet (6 meters) away.
If possible, try to blink 20 times during that break.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; 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: 2017/03/22

More Info

Managing eye fatigue and vitreous degeneration, especially after prolonged screen time, is a common concern in today's digital age. Your experience of developing symptoms such as vitreous degeneration, retinal traction, dry eye syndrome, and increased myopia is not uncommon among individuals who spend extensive hours in front of screens. Let's address your questions and provide some insights into managing these conditions.

1. Improving Eye Fatigue: Eye fatigue, or asthenopia, can manifest as discomfort, dryness, blurred vision, and headaches after prolonged visual tasks. To alleviate these symptoms, consider implementing the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps reduce strain on the eye muscles. Additionally, ensure that your workspace is ergonomically set up, with the screen at eye level and about an arm's length away. Proper lighting is also crucial; avoid glare from windows or overhead lights. Using artificial tears can help manage dry eyes, and maintaining adequate hydration throughout the day is essential.

2. Returning to Long Hours of Screen Work: Given your history of retinal issues and current symptoms, it is advisable to approach returning to a full-time screen-based job cautiously. While it may be possible to work long hours again, it is essential to listen to your body. If you find that your eyes become fatigued after just an hour, it may be wise to consider roles that require less screen time or allow for more frequent breaks. Consulting with an eye care professional who specializes in occupational health can provide tailored advice based on your specific condition and work requirements.

3. Prescription Adjustments for Screen Use: The question of whether to adjust your prescription for screen work is nuanced. While some optometrists may suggest reducing the prescription by 0.50 diopters for screen use to alleviate strain, others may recommend using the full prescription to ensure optimal vision. The rationale behind reducing the prescription is that it can help reduce the effort your eyes need to exert when focusing on close objects, which is particularly beneficial for prolonged screen use. However, this should be a decision made in consultation with your eye care provider, considering your specific visual needs and comfort.

In addition to these strategies, consider incorporating regular eye exercises into your routine. Simple exercises, such as rolling your eyes or focusing on near and far objects, can help strengthen eye muscles and improve flexibility. Furthermore, maintaining a balanced diet rich in omega-3 fatty acids, vitamins A, C, and E, and minerals like zinc can support overall eye health.

Lastly, if you continue to experience significant discomfort or if your vision deteriorates, it is crucial to seek further evaluation from an ophthalmologist. They can assess for any underlying conditions that may require more specialized treatment or intervention.

In conclusion, managing eye fatigue and vitreous degeneration requires a multifaceted approach that includes proper ergonomics, regular breaks, appropriate hydration, and potentially adjusting your prescription. While returning to a full-time screen-based job may be feasible, it is essential to prioritize your eye health and make adjustments as necessary to ensure your comfort and well-being.

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