Morning Eye Discomfort: Is Late Sleep Causing High Eye Pressure? - Ophthalmology

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Eyes feel sore and dry in the morning?


Hello, Dr.
Gao.
Recently, I've noticed that if I go to bed late the night before, I tend to wake up with eye discomfort and some light sensitivity the next morning.
However, after washing my face, it improves significantly in about ten minutes.
I'm wondering if this could be related to high intraocular pressure, as during a recent visit to the ophthalmologist for floaters, the doctor did not mention any elevated eye pressure.
Is it possible that staying up late could cause increased intraocular pressure the following morning? If that is the case, would going to bed earlier the night before help alleviate these symptoms? Thank you, Dr.
Gao.

Bei Kun Rao De Ren, 10~19 year old female. Ask Date: 2019/08/31

Dr. Gao Pilin reply Ophthalmology


Hello,
If you go to bed late, you may experience symptoms such as eye strain and light sensitivity the next morning.
This is likely due to reduced tear production from staying up late, which can lead to dry eyes and the symptoms you described.
This is not related to high intraocular pressure.
Going to bed earlier and ensuring adequate rest should help alleviate these symptoms.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only, and it is advisable to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.

Dr.
Gao Pilin

Reply Date: 2019/08/31

More Info


Late-night sleep can indeed lead to various forms of eye discomfort the following morning, including symptoms like dryness, soreness, and light sensitivity. However, the relationship between late sleep and elevated intraocular pressure (IOP) is not straightforward. While it is true that sleep deprivation can affect overall eye health, the direct correlation between late-night sleep and increased eye pressure is less clear.

When you sleep, your body undergoes various physiological changes, including those affecting the eyes. During sleep, the production and drainage of aqueous humor (the fluid in the eye) can be altered. Some studies suggest that IOP may be higher in the morning due to the natural circadian rhythm of the body, which can lead to increased fluid production during the night. However, this increase is typically not significant enough to cause discomfort unless there are pre-existing conditions, such as glaucoma.

The symptoms you describe—eye soreness and light sensitivity—are more likely related to dryness and fatigue rather than elevated IOP. When you stay up late, your eyes may not receive adequate moisture, leading to dryness. This can cause discomfort, especially when exposed to light upon waking. Washing your face and allowing some time for your eyes to adjust can help alleviate these symptoms, as it may stimulate tear production and provide temporary relief.

To prevent eye discomfort associated with late-night sleep, consider the following strategies:
1. Maintain a Regular Sleep Schedule: Aim to go to bed and wake up at the same time every day. Consistent sleep patterns help regulate your body's internal clock and can improve overall eye health.

2. Create a Comfortable Sleep Environment: Ensure your sleeping area is conducive to rest. This includes minimizing light exposure and using comfortable bedding.

3. Limit Screen Time Before Bed: The blue light emitted by screens can interfere with your ability to fall asleep. Try to avoid screens at least an hour before bedtime.

4. Stay Hydrated: Dehydration can contribute to dry eyes. Ensure you drink enough water throughout the day.

5. Use Artificial Tears: If you frequently experience dry eyes, consider using over-the-counter artificial tears to keep your eyes lubricated, especially before bed.

6. Take Breaks During Extended Screen Time: If you work on a computer or use screens for long periods, follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

7. Consult an Eye Care Professional: If your symptoms persist or worsen, it is essential to consult an eye care professional. They can assess your eye health, check your IOP, and provide personalized recommendations.

In conclusion, while late-night sleep can lead to temporary eye discomfort, it is unlikely to cause significant increases in eye pressure unless there are underlying conditions. Prioritizing good sleep hygiene and eye care practices can help mitigate these symptoms and promote better eye health. If you have concerns about your eye pressure or persistent discomfort, seeking professional advice is always a good step.

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