Do Screen Time and Allergies Contribute to Eye Problems in Kids? - Ophthalmology

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Is congenital eye allergy related to watching television or using a computer?


My son is 3 years old, and his eye allergies are more severe than his nasal allergies.
Every time he rubs his eyes, they swell up, and when it's serious, the whites of his eyes become edematous.
I am a stay-at-home mom, so whenever his eyes swell, the elders say it's because he watches too much TV or uses the computer too long.
However, he spends no more than 4 hours a day in front of screens (he usually wakes up between 7:00 and 7:30 AM).
I would like to ask the doctor if this really has an impact.
Since I take care of two children, I let him wash his hands by himself in the bathroom, and he often rubs his eyes.

Lin Lin, 20~29 year old female. Ask Date: 2019/04/08

Dr. Cai Wenyuan reply Ophthalmology


Hello, allergies are not related to watching TV or using a computer.
However, it seems that limiting the total time spent watching TV or using a computer to no more than 4 hours a day may be beneficial.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/04/08

More Info


When it comes to children's eye health, several factors can contribute to the development of eye problems, including screen time and allergies. In your case, your 3-year-old son is experiencing significant eye allergies, which can lead to symptoms such as swelling and irritation, especially when he rubs his eyes. Let's break down the potential impacts of screen time and allergies on his eye health.


Screen Time and Eye Health
While excessive screen time has been associated with various eye issues, including digital eye strain and potential worsening of refractive errors (like myopia), the amount of time your son spends in front of screens (less than 4 hours a day) is generally considered moderate. The American Academy of Pediatrics recommends that children aged 2 to 5 years should have no more than one hour of high-quality programming each day, and it’s crucial to ensure that screen time does not replace physical activity or sleep.

However, it’s important to note that screen time can lead to eye strain, especially if children are not taking regular breaks. The 20-20-20 rule is a helpful guideline: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice can help reduce eye fatigue and discomfort.


Allergies and Eye Health
In your son's case, the more pressing issue seems to be his allergies. Allergic reactions can cause significant eye irritation, leading to symptoms such as redness, swelling, and watering. When children rub their eyes, it can exacerbate these symptoms and potentially lead to further complications, such as conjunctivitis or even corneal abrasions if the rubbing is vigorous enough.

The fact that your son’s eye allergies are more severe than his nasal allergies suggests that he may be particularly sensitive to allergens that affect the eyes, such as pollen, dust mites, pet dander, or mold. It’s essential to identify and minimize exposure to these allergens as much as possible. Here are some strategies you can consider:
1. Environmental Control: Keep your home clean and free of dust. Use air purifiers, especially in the bedroom, and wash bedding regularly in hot water to eliminate dust mites.

2. Limit Rubbing: Encourage your son to avoid rubbing his eyes. You might consider teaching him to use a cool compress on his eyes to relieve itching and swelling instead.

3. Consult an Allergist: If his symptoms persist, it may be beneficial to consult with an allergist. They can perform tests to identify specific allergens and recommend appropriate treatments, such as antihistamines or allergy eye drops.

4. Regular Eye Check-ups: Regular visits to an eye care professional can help monitor his eye health and address any concerns early on.


Conclusion
In summary, while moderate screen time is unlikely to be the primary cause of your son's eye problems, it is essential to ensure he takes breaks to reduce eye strain. However, the more significant concern appears to be his allergies, which can lead to significant eye discomfort and should be managed effectively. By addressing both screen time habits and allergy management, you can help protect your son's eye health and overall well-being. If you have further concerns, don't hesitate to reach out to a pediatrician or an eye care specialist for personalized advice.

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