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

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Vision problems


Hello doctor, last night I was playing on the PS4 and my mom accidentally turned off the lights.
I continued to look at the TV screen's light for several seconds until she turned the lights back on.
Will this cause me to develop glaucoma?

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

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Zhao: You will not develop glaucoma or any other disease, so please rest assured.
The Ophthalmology Department of Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses are for reference only; it is still necessary to visit a medical institution for treatment if needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2019/07/29

More Info


Playing video games in the dark, especially when there are sudden changes in lighting, such as turning off the lights while you are focused on a bright screen, can be concerning for some individuals. However, it is important to clarify that this specific scenario is not a direct cause of glaucoma.

Glaucoma is a group of eye conditions that damage the optic nerve, often due to increased intraocular pressure (IOP). The primary risk factors for developing glaucoma include age, family history, certain medical conditions (like diabetes), and prolonged use of corticosteroids. The act of playing video games in the dark does not inherently increase the risk of developing glaucoma.
When you suddenly shift from a bright screen to darkness, your eyes may experience temporary discomfort or strain, which is a common phenomenon known as "visual fatigue" or "digital eye strain." This can lead to symptoms such as blurred vision, dry eyes, or headaches, but it does not cause structural damage to the eye or increase the risk of glaucoma.
In terms of eye health, it is advisable to maintain a balanced environment when using screens. Here are some recommendations to protect your eyes while gaming or using screens in general:
1. Lighting: Ensure that the room is adequately lit when using screens. Avoid playing in complete darkness, as this can cause your pupils to dilate, making it harder for your eyes to adjust when you look away from the screen.

2. Screen Brightness: Adjust the brightness of your screen to match the ambient light in the room. This reduces strain on your eyes and helps maintain comfort.

3. Breaks: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This helps reduce eye strain.

4. Regular Eye Exams: Regular check-ups with an eye care professional can help monitor your eye health and catch any potential issues early.

5. Hydration and Blink Rate: Remember to blink frequently to keep your eyes moist, especially when focused on screens, as people tend to blink less while using devices.

6. Ergonomics: Position your screen at eye level and at a comfortable distance to minimize strain.

In conclusion, while playing video games in the dark may lead to temporary discomfort, it does not cause glaucoma. If you have concerns about your eye health or experience persistent symptoms, it is always best to consult with an eye care professional for personalized advice and assessment. Regular eye examinations are crucial, especially if you have risk factors for eye diseases.

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