Eye Pressure: Causes of Discomfort After Late-Night Study - Ophthalmology

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My eyes have been feeling swollen?


Recently, due to midterm exams, I stayed up late studying.
When I woke up early yesterday, my eyes felt very uncomfortable and were constantly swollen.
What could be the issue? Thank you, doctor.

Qi Qi, 20~29 year old female. Ask Date: 2018/11/06

Dr. Cai Wenyuan reply Ophthalmology


Hello, thank you for your question, Qiqi.
It may be due to eye strain; please take a few days to rest and see if the symptoms persist.
If they do, seek medical attention.
Wishing you safety and health.
Sincerely, Dr.
Cai Wenyuan, Director of Ophthalmology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/11/06

More Info


Late-night studying can lead to a range of discomforts, particularly regarding eye health. The symptoms you describe—feeling pressure or discomfort in your eyes after a night of insufficient sleep—are not uncommon. This discomfort can be attributed to several factors, including eye strain, dryness, and potential fluctuations in eye pressure.

When you stay up late, especially while focusing on reading or studying, your eyes are subjected to prolonged periods of strain. This strain can lead to a condition known as digital eye strain or computer vision syndrome, which is characterized by symptoms such as dry eyes, blurred vision, and discomfort. The act of staring at screens or printed materials for extended periods reduces the frequency of blinking, which is essential for keeping the eyes moist. As a result, your eyes may become dry and irritated, leading to a sensation of pressure or discomfort.

Additionally, sleep deprivation can exacerbate these symptoms. Lack of sleep affects the body's ability to produce tears, which can further contribute to dryness and discomfort. When your eyes are dry, they may feel scratchy or heavy, and you might experience increased sensitivity to light, known as photophobia. This can create a cycle where discomfort leads to more strain as you try to focus, which in turn can elevate your eye pressure temporarily.

Regarding eye pressure specifically, while there is no direct evidence linking late-night studying to significantly elevated eye pressure, sleep deprivation can cause temporary fluctuations. Stress and fatigue can influence the autonomic nervous system, which regulates various bodily functions, including those related to eye pressure. Therefore, if you are feeling particularly stressed or fatigued from studying late, it could lead to a mild increase in eye pressure.

To alleviate these symptoms and prevent discomfort in the future, consider the following strategies:
1. Prioritize Sleep: Aim for a consistent sleep schedule that allows for adequate rest. Most adults require 7-9 hours of sleep per night for optimal health.

2. Take Breaks: Follow the 20-20-20 rule while studying or using screens: every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain.

3. Stay Hydrated: Drink plenty of water to maintain overall hydration, which can help with tear production.

4. Use Artificial Tears: If you experience dryness, consider using lubricating eye drops to keep your eyes moist.

5. Adjust Lighting: Ensure that your study area is well-lit to reduce glare and strain on your eyes.

6. Limit Screen Time: If possible, reduce the amount of time spent on screens, especially before bedtime.

7. Consult an Eye Care Professional: If discomfort persists or worsens, it’s essential to consult an eye care professional. They can assess your eye health and check for any underlying conditions that may require treatment.

In summary, the discomfort you are experiencing after late-night studying is likely due to a combination of eye strain, dryness, and potential temporary fluctuations in eye pressure. By implementing good eye care practices and ensuring adequate rest, you can help mitigate these symptoms and maintain your eye health.

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