Can Playing Video Games in the Dark Cause Glaucoma? - Ophthalmology

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Hello doctor, last night I was playing on my PS4 when my mom accidentally turned off the lights for a few seconds.
I was looking at the screen's brightness for a few seconds before the lights came back on.
Will this cause me to develop glaucoma?

Chen, 10~19 year old female. Ask Date: 2019/07/29

Dr. Cai Wenyuan reply Ophthalmology


Hello: No problem, thank you.
Wishing you peace and good health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2019/07/29

More Info


Playing video games in the dark, or experiencing sudden changes in lighting while gaming, does not cause glaucoma. Glaucoma is primarily related to increased intraocular pressure, which can damage the optic nerve over time. Factors contributing to glaucoma include genetics, age, and certain medical conditions, rather than temporary lighting conditions or the act of playing video games.

When you were playing your PS4 and the lights were turned off momentarily, your eyes may have experienced a brief adjustment period to the sudden change in brightness. This is a normal physiological response. The human eye has the ability to adapt to varying light levels, but this adaptation takes time. If you quickly switch from a bright screen to darkness, your pupils will constrict to limit the amount of light entering the eye, and when the lights come back on, your pupils will dilate again to adjust to the increased light. This rapid change can cause temporary discomfort or visual disturbances, but it does not lead to glaucoma.

It's important to note that while playing video games in low light conditions can lead to eye strain or discomfort, it does not directly cause serious eye conditions like glaucoma. However, prolonged exposure to screens without proper lighting can contribute to digital eye strain, which may manifest as symptoms like dryness, irritation, and blurred vision. To mitigate these effects, it's advisable to ensure adequate ambient lighting when gaming or using screens, take regular breaks, and practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

In summary, the brief moment of darkness while gaming will not cause glaucoma. However, maintaining good eye health is essential, especially for those who spend significant time in front of screens. Regular eye examinations are crucial for early detection of any potential eye conditions, including glaucoma, especially if you have risk factors such as a family history of the disease or other health issues. If you have concerns about your eye health or experience persistent symptoms, it is always best to consult with an eye care professional.

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