Eye Health: Addressing Common Concerns and Conditions - Ophthalmology

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Hello, doctor. I have various questions regarding eye issues?


Hello Doctor, I am in my twenties and previously worked in a computer-related job.
My current prescription is -4.50 diopters.
Recently, during an E-chart test, I scored 1.0.
I usually use a Japanese eye drop called "Jing Ming Mu" for eye care.
In the past, I could look at a computer screen for 8-10 hours without issues, but now my vision starts to blur after just 1-2 hours.
I find that I can see clearly only when I slightly squint my eyes (which makes them appear smaller than usual), but after a few minutes, when I open my eyes back to their normal size, the screen seems very bright and I still experience blurriness.
Is this deterioration due to long-term computer work, or could there be another reason?
Additionally, I have floaters in my right eye.
After leaving my job in recent years, my sleep schedule has become irregular, and my eye pressure has been on the higher side, ranging from 20-24 mmHg, with lower readings of 17-18 mmHg.
I often notice blood vessels in the whites of my eyes, and my doctor recommended warm compresses.
Before showering, I fill a basin with hot water and open my eyes while moving my eyeballs in the water.
There have been a few instances where the water was too hot, but I continued to keep my eyes open.
Recently, I have noticed an increase in floaters in both eyes.
Could this be a reason for the increase in my floaters?
Lastly, after my doctor dilated my pupils, they used a device similar to a light source for examination and mentioned that my eyes appeared somewhat sunken, indicating a predisposition to glaucoma.
When I asked the doctor if the prescription for glaucoma eye drops was due to a glaucoma diagnosis, they said it was ambiguous.
Later, a nurse informed me that the doctor diagnosed me with dry eyes, inflammation, and potential glaucoma in both eyes.
Does this mean I have a confirmed diagnosis of glaucoma? What should I do about my floaters and the potential glaucoma? What would you recommend? I apologize for the lengthy message, and thank you for your response!

Axiang, 30~39 year old female. Ask Date: 2018/11/16

Dr. Cai Wenyuan reply Ophthalmology


Hello, please give your eyes more rest, reduce the use of electronic devices, and have regular check-ups.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/11/16

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your eye health. It sounds like you are experiencing a range of symptoms that can be quite distressing, especially given your history of prolonged computer use and the recent changes in your vision. Let’s break down your concerns and address them systematically.


1. Visual Changes and Computer Use
You mentioned that you used to work long hours on the computer without issues, but now you find that your vision becomes blurry after just 1-2 hours. This change could be attributed to several factors, including digital eye strain, also known as computer vision syndrome. Symptoms of digital eye strain can include blurred vision, dry eyes, and discomfort after prolonged screen time. The fact that you have to squint or partially close your eyes to see clearly suggests that your eyes may be fatigued.
To alleviate these symptoms, consider the following strategies:
- Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain.

- Adjust Your Workspace: Ensure your computer screen is at eye level and about an arm's length away. Proper lighting can also help reduce glare.

- Use Artificial Tears: If your eyes feel dry, using preservative-free artificial tears can provide relief.


2. Floaters and Eye Health
You mentioned having floaters in your right eye, and you are now noticing an increase in floaters in both eyes. Floaters are typically harmless but can be annoying. They are often a result of changes in the vitreous gel inside the eye as we age. However, a sudden increase in floaters, especially if accompanied by flashes of light or a shadow in your peripheral vision, should prompt an immediate visit to an eye care professional to rule out any serious conditions such as retinal detachment.


3. Eye Pressure and Glaucoma Concerns
You noted that your eye pressure readings have been between 17-24 mmHg, which can be a concern, especially if you have a family history of glaucoma or other risk factors. Elevated eye pressure does not automatically mean you have glaucoma, but it is a risk factor. The fact that your doctor mentioned your eyes being "dry and inflamed" suggests that you may be experiencing ocular surface disease, which can also contribute to discomfort and visual disturbances.


4. Treatment and Management
Regarding the treatment options:
- Medications: If your doctor prescribed eye drops for glaucoma, it is likely a precautionary measure to manage your eye pressure. It’s essential to follow your doctor's recommendations and attend regular follow-ups to monitor your condition.

- Lifestyle Adjustments: Improving your sleep hygiene and managing stress can also positively impact your overall eye health. Ensure you are getting adequate rest, as sleep deprivation can exacerbate eye strain and discomfort.


5. When to Seek Further Help
If you continue to experience increased floaters, significant changes in vision, or discomfort that does not improve with self-care measures, it is crucial to seek further evaluation from an ophthalmologist. They can perform a comprehensive eye exam, including a dilated fundus exam, to assess the health of your retina and optic nerve.

In summary, while your symptoms may be related to digital eye strain and other manageable conditions, it is essential to remain vigilant about any changes in your vision. Regular check-ups with your eye care provider will help ensure that any potential issues are addressed promptly.

Take care of your eyes, and don’t hesitate to reach out for further assistance or clarification on any of these points.

Best regards,
Doctor Q&A Teams

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