Blurry Vision: Possible Causes and Solutions - Ophthalmology

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Blurred vision?


Hello doctor, my mother is in her forties and due to work, she can only sleep about 3-4 hours a day.
Initially, she noticed some blurriness in her vision, but later she said it has become increasingly foggy and appears somewhat yellowish.
Sometimes the text looks like it is bleeding together, making it hard to read.
She has had good vision since childhood, and recently her eye examination showed a vision of 1.2, with only slight presbyopia and no other significant issues.
Could you please explain what conditions might be causing these symptoms? Thank you.

Danxin Mama de Huikaosheng, 40~49 year old female. Ask Date: 2020/01/18

Dr. Gao Pilin reply Ophthalmology


Dear Concerned Child of a Student,
Based on your description, your mother may be experiencing presbyopia, along with insufficient sleep, which could be causing her eyes to become excessively fatigued.
Wearing reading glasses may help improve her condition.

The Ophthalmology Department at Puzi Hospital in Taiwan is available on the following schedule:
Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Sincerely,
Gao Pilin

Reply Date: 2020/01/18

More Info


Blurry vision can be a concerning symptom, especially when it appears to develop suddenly or progressively over time. In your mother's case, there are several potential causes for her blurry vision, particularly given her busy lifestyle and limited sleep. Here’s a detailed exploration of possible causes and solutions.


Possible Causes of Blurry Vision
1. Eye Fatigue (Asthenopia): Given that your mother is only getting 3-4 hours of sleep a night, she may be experiencing eye fatigue. Prolonged periods of focusing on screens or reading can lead to discomfort and blurred vision. This is often accompanied by symptoms like headaches and dry eyes.

2. Presbyopia: As people age, the lens of the eye becomes less flexible, making it difficult to focus on close objects. While you mentioned that she has only slight presbyopia, it can still contribute to blurry vision, especially when she is tired.

3. Cataracts: Although your mother is relatively young, cataracts can develop earlier in some individuals, particularly if there is a family history or if she has had significant exposure to UV light without protection. Cataracts can cause a cloudy or blurry vision, and sometimes a yellowish tint to vision.

4. Dry Eye Syndrome: Insufficient sleep can lead to decreased tear production, resulting in dry eyes. This condition can cause blurry vision, especially after prolonged visual tasks.

5. Refractive Errors: Even if her vision was previously good, changes in the eye can lead to new refractive errors. This can include myopia (nearsightedness), hyperopia (farsightedness), or astigmatism.

6. Health Conditions: Conditions such as diabetes can lead to diabetic retinopathy, which can cause blurry vision. Other systemic conditions, such as hypertension, can also affect vision.

7. Neurological Issues: In rare cases, blurry vision can be a sign of neurological issues, such as migraines or other conditions affecting the optic nerve.


Solutions and Recommendations
1. Regular Eye Exams: It is crucial for your mother to have regular eye examinations with an optometrist or ophthalmologist. They can assess her vision and eye health comprehensively, including checking for cataracts or other conditions.

2. Proper Sleep Hygiene: Encourage your mother to prioritize sleep. Adequate rest is essential for overall health and can significantly impact eye health and vision clarity.

3. Eye Drops: If dry eyes are a concern, over-the-counter artificial tears can help alleviate symptoms. It’s essential to choose preservative-free options if she needs to use them frequently.

4. Blue Light Filters: If she spends a lot of time on screens, consider using blue light filters on devices or wearing glasses that block blue light to reduce eye strain.

5. Healthy Diet: A diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support eye health. Foods like leafy greens, carrots, fish, and nuts are beneficial.

6. Limit Screen Time: Encourage her to take regular breaks from screens using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

7. Consult a Specialist: If her symptoms persist or worsen, it may be beneficial to consult a specialist, such as a retinal specialist, to rule out any underlying conditions.

In conclusion, while your mother’s blurry vision may be related to fatigue or minor refractive changes, it is essential to monitor her symptoms closely and seek professional advice. Early intervention can often prevent more serious issues and improve her quality of life.

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