Blurred Vision in Left Eye: Possible Causes and Solutions - Ophthalmology

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Blurred vision in the left eye?


I have myopia with astigmatism, approximately 400 to 500 diopters.
My left eye has difficulty seeing close objects clearly; everything appears somewhat blurry.
Wearing glasses provides slight improvement, but I still struggle to read small text on the computer screen when it's about 30 centimeters away, which makes my eyes feel more strained.
I believe this issue has been present since I was 18, but I only recently became aware of it.
I have seen two doctors, both of whom indicated that my eyes are overly fatigued.
One experienced doctor examined my eyes with an instrument for about 3 to 5 minutes and still found no significant issues, reiterating that my eyes are fatigued.
Could this possibly be due to uncorrected hyperopia?

Mr. Zhu, 20~29 year old female. Ask Date: 2017/05/24

Dr. Cai Wenyuan reply Ophthalmology


Hello, could this possibly be due to uncorrected hyperopia? It is difficult to make a judgment without sufficient data.
Wishing you peace and health.
Sincerely, Dr.
Cai Wenyuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/05/24

More Info


Blurred vision, especially when it is localized to one eye, can be a frustrating and concerning symptom. In your case, with a history of myopia (nearsightedness) and astigmatism, there are several potential causes for the blurred vision in your left eye, particularly when viewing close objects.

Possible Causes
1. Uncorrected Refractive Error: Given your prescription of -4.00 to -5.00 diopters, it is possible that your current glasses do not fully correct your vision. If you have a degree of hyperopia (farsightedness) that has not been adequately addressed, this could lead to difficulty focusing on nearby objects, resulting in blurred vision.
2. Astigmatism: Astigmatism can cause distorted or blurred vision at all distances. If your astigmatism is not properly corrected in your glasses, it can lead to visual discomfort and fatigue, especially when focusing on small text or screens.

3. Eye Fatigue: As noted by the doctors you consulted, eye fatigue (or asthenopia) can occur from prolonged use of digital devices or reading. Symptoms include blurred vision, discomfort, and difficulty focusing. This is particularly common in individuals who spend long hours in front of screens without adequate breaks.

4. Dry Eye Syndrome: Insufficient tear production or poor tear quality can lead to dry eyes, which may cause blurred vision, especially when focusing on near tasks. This condition can be exacerbated by prolonged screen time, air conditioning, or certain medications.

5. Cataracts: Although less common at a younger age, cataracts can develop and lead to blurred vision. They typically cause a gradual clouding of the lens, affecting clarity and brightness of vision.

6. Retinal Issues: Conditions affecting the retina, such as retinal detachment or macular degeneration, can also cause localized blurred vision. However, these are less likely given your age and the absence of other symptoms.


Recommendations
1. Comprehensive Eye Exam: It is crucial to have a thorough eye examination by an optometrist or ophthalmologist. This should include a refraction test to determine your exact prescription and check for any uncorrected refractive errors.
2. Update Prescription: If your current glasses do not adequately correct your vision, an updated prescription may be necessary. Ensure that both distance and near vision are assessed.

3. Consider Contact Lenses: If glasses are not providing the clarity you need, consider discussing contact lenses with your eye care provider. They can provide a different visual experience and may reduce some of the fatigue associated with glasses.

4. Manage Eye Fatigue: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This can help reduce eye strain from prolonged near work.

5. Artificial Tears: If dry eyes are suspected, using preservative-free artificial tears can help maintain moisture and comfort.

6. Follow-Up: If symptoms persist despite corrective measures, or if you notice any new symptoms (such as flashes of light, floaters, or significant changes in vision), seek immediate medical attention.

In conclusion, while your symptoms may be related to uncorrected refractive errors or eye fatigue, it is essential to have a comprehensive evaluation to rule out any serious underlying conditions. Regular eye exams and proper vision correction are key to maintaining good eye health and clear vision.

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