Blurry Vision: Possible Causes and Solutions - Ophthalmology

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Blurred vision?


Hello doctor, my mother is in her forties and due to her work, she can only sleep about 3-4 hours a day.
Initially, she noticed some blurriness in her vision, but later she mentioned that 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 eyesight since childhood, and recently, after going to the hospital for an examination, her vision was still 1.2, with only a 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: 2020/01/19

Dr. Gao Pilin reply Ophthalmology


Dear Concerned Child of a Student,
Based on your description, your mother may be experiencing presbyopia, compounded by insufficient sleep and eye strain.
Wearing reading glasses could potentially improve her condition.
With a vision of 1.2, there shouldn't be any significant issues.
This phenomenon is most commonly associated with presbyopia after the age of forty.
Other conditions would require a clinical examination for a definitive diagnosis, so it would be prudent to have the examining physician provide an explanation.

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

Reply Date: 2020/01/19

More Info


Blurry vision can be a concerning symptom, especially when it appears suddenly or worsens over time. In your mother's case, several factors could contribute to her visual disturbances, particularly given her busy lifestyle and limited sleep. Here are some potential causes and solutions based on her symptoms:

Possible Causes of Blurry Vision
1. Eye Fatigue (Asthenopia): Given that your mother is only getting 3-4 hours of sleep per night, she may be experiencing eye fatigue. Prolonged periods of focusing on screens or reading without adequate rest can lead to blurry vision, especially if she is not taking regular breaks.

2. Dry Eye Syndrome: Insufficient sleep can lead to decreased tear production, resulting in dry eyes. This condition can cause blurry vision, a gritty sensation, and discomfort. The yellowish tint and watery appearance of letters could be due to tears not adequately lubricating the surface of the eye.

3. Presbyopia: As she is in her forties, presbyopia (age-related difficulty in focusing on close objects) could be a factor. Although she has had good vision historically, the onset of presbyopia can lead to blurred vision when reading or doing close work.

4. Cataracts: While she has been noted to have good vision (1.2), the symptoms of yellowish tint and blurred vision could suggest the early stages of cataracts. Cataracts can cause clouding of the lens, leading to visual disturbances, especially in low light or when looking at bright lights.

5. Refractive Errors: Even if she has had good vision in the past, changes in her eyes could lead to new refractive errors. This can happen due to changes in the shape of the eye or the lens, leading to myopia (nearsightedness), hyperopia (farsightedness), or astigmatism.

6. Health Conditions: Systemic conditions such as diabetes or hypertension can also affect vision. If she has any underlying health issues, these could be contributing to her symptoms.


Recommended Solutions
1. Regular Eye Exams: It is crucial for your mother to have regular eye exams, especially as she is experiencing new visual symptoms. An eye care professional can assess her vision and check for conditions like cataracts or other refractive errors.

2. Proper Sleep Hygiene: Encourage her to prioritize sleep. Adequate rest is essential for overall health and can significantly improve eye comfort and function.

3. Hydration and Nutrition: Ensure she stays hydrated and consumes a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, which are beneficial for eye health.

4. Use of Artificial Tears: If dry eyes are suspected, over-the-counter artificial tears can help alleviate symptoms and improve comfort.

5. Vision Correction: If refractive errors are diagnosed, corrective lenses may be needed. Reading glasses or multifocal lenses could help with presbyopia.

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

7. Monitor Symptoms: Keep track of her symptoms. If they worsen or new symptoms arise (such as flashes of light, significant vision loss, or pain), seek immediate medical attention.

In conclusion, while your mother's symptoms may not indicate a severe condition, they warrant attention and further evaluation. By addressing lifestyle factors and ensuring regular eye care, she can maintain her eye health and potentially alleviate her blurry vision.

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