Blurred Vision and Eye Pain: Is It Just Eye Fatigue? - Ophthalmology

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Blurred vision in one eye and eye discomfort?


Hello, doctor.
Due to work requirements, I have been looking at the computer for long periods of time and recently noticed that my right eye has blurred vision when looking at distant objects (monocular).
I initially thought it was due to worsening myopia, but after an eye exam, my prescription hasn't changed significantly (currently -7.00 with -1.75 astigmatism).
Now, I also experience discomfort and a sense of heaviness below the eyebrow on the upper part of my right eye, but my intraocular pressure measurements are normal.
Doctor, could this be simply due to eye strain?

lin, 20~29 year old female. Ask Date: 2017/11/13

Dr. Gao Pilin reply Ophthalmology


Hello Lin: Pain in this area is usually caused by fatigue.
It is advisable to rest more and apply a warm towel for heat therapy, which should help alleviate the symptoms.
If the situation is severe, I recommend getting a pair of computer glasses to reduce eye strain.
Trigeminal neuralgia (supraorbital neuralgia) can sometimes present similarly.
If the pain persists despite these measures, you may want to consult a neurologist.
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.
Please note that online responses are for reference only, and 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: 2017/11/13

More Info


It sounds like you're experiencing a combination of blurred vision and eye pain, particularly in your right eye, which you suspect may be due to eye fatigue from prolonged computer use. Given your history of myopia (nearsightedness) and the fact that your recent eye exam showed no significant changes in your prescription, it's understandable to be concerned about the cause of your symptoms.

Eye fatigue, also known as asthenopia, is a common condition that can occur when the eyes are overworked, especially during activities that require prolonged focus, such as staring at a computer screen. Symptoms of eye fatigue can include blurred vision, discomfort, dryness, and even headaches. The pain you describe above your right eye could be related to muscle strain from focusing for extended periods, particularly if you are not taking regular breaks or using proper ergonomics while working.

However, while eye fatigue is a likely cause of your symptoms, it is essential to rule out other potential issues. For instance, if you are experiencing persistent blurred vision, it could also indicate other conditions such as dry eye syndrome, which is common among individuals who spend long hours in front of screens. Dry eyes can lead to discomfort and blurred vision, as the tear film that lubricates the eye becomes unstable. Additionally, conditions like convergence insufficiency, where the eyes struggle to work together while focusing on nearby objects, can also lead to similar symptoms.

Given that your eye pressure is normal and your prescription has not changed significantly, it is less likely that you are experiencing a severe eye condition. However, if your symptoms persist or worsen, it would be prudent to consult with an eye care professional for a comprehensive evaluation. They may recommend specific treatments, such as artificial tears for dry eyes, or suggest the use of computer glasses designed to reduce eye strain.

In the meantime, consider implementing the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice can help reduce eye strain and fatigue. Additionally, ensure that your workspace is well-lit and that your computer screen is positioned at eye level to promote better posture and reduce strain on your neck and eyes.

If you notice any other symptoms, such as significant changes in vision, increased pain, or any new visual disturbances (like flashes of light or floaters), it is crucial to seek immediate medical attention, as these could be signs of more serious conditions that require prompt evaluation.

In conclusion, while your symptoms may primarily be due to eye fatigue, it is essential to monitor them closely and consult with an eye care professional if they persist or worsen. Taking proactive steps to manage your eye health can help alleviate discomfort and maintain good vision.

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