Sudden Eye Movement: Causes and Concerns for Eye Health - Ophthalmology

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Sudden eye movement?


I was staring at my fingernail in the corner when I suddenly felt my eyeball move, and my vision seemed to shake for a moment.
After that, I continued to use my finger and didn't feel any more shaking.
My vision didn't change, but it seemed a bit blurry, though not significantly.
My eyes felt a bit strained, and I have a history of dry eye syndrome.
Could this be related to focusing on my finger for an extended period, or is there another reason?

Yuan, 20~29 year old female. Ask Date: 2020/02/25

Dr. Gao Pilin reply Ophthalmology


Hello, it may be due to prolonged near work causing eye strain and ciliary muscle spasm.
Taking a break should help you recover.
In Taiwan, the ophthalmology department at Puzi Hospital is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; if necessary, you should visit a medical facility for treatment.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2020/02/25

More Info


Sudden eye movements or sensations of the eyes moving unexpectedly can be concerning, especially when accompanied by other symptoms such as visual blurriness or discomfort. Based on your description, it seems that you experienced a brief episode of visual disturbance while focusing intently on a specific object (your fingernail). This phenomenon can be attributed to several factors, primarily related to eye fatigue and muscle strain.


Possible Causes
1. Eye Fatigue: Prolonged focus on a near object, such as your fingernail, can lead to eye strain. The muscles that control eye movement, particularly the ciliary muscles responsible for adjusting the lens for focus, can become fatigued. This fatigue can result in temporary disturbances in vision, such as the sensation of the eye moving or a momentary blurriness.

2. Dry Eyes: You mentioned having dry eye syndrome, which can exacerbate feelings of discomfort and visual disturbances. When the eyes are dry, the surface of the eye may not be adequately lubricated, leading to irritation and a sensation of heaviness or strain. This can make it harder for the eyes to maintain focus, especially during prolonged tasks.

3. Visual Processing: The brain continuously processes visual information, and when you shift your focus from one object to another (or maintain focus on a single object for too long), it can sometimes result in a brief disconnection or lag in visual processing. This can create the illusion of movement or blurriness.

4. Muscle Spasms: In some cases, the muscles around the eyes may spasm due to fatigue or strain, leading to a sensation of movement. This is often harmless but can be uncomfortable.

5. Nervous System Response: Stress or anxiety can also lead to physical sensations in the body, including the eyes. If you were feeling anxious or stressed while focusing, this could contribute to the sensation of your eyes moving unexpectedly.


Recommendations
1. Take Breaks: If you find yourself focusing on a single object for an extended period, it's essential to take regular breaks. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps reduce eye strain.

2. Stay Hydrated: Ensure you are drinking enough water throughout the day, as hydration can help maintain tear production and reduce dryness.

3. Use Artificial Tears: Since you have dry eyes, using preservative-free artificial tears can help keep your eyes lubricated and comfortable, especially during tasks that require prolonged focus.

4. Adjust Lighting: Ensure that your workspace is well-lit to reduce strain on your eyes. Poor lighting can exacerbate eye fatigue.

5. Consult an Eye Care Professional: If these symptoms persist or worsen, it is crucial to consult an eye care professional. They can conduct a thorough examination to rule out any underlying conditions that may be contributing to your symptoms, such as refractive errors or other ocular health issues.


Conclusion
In summary, the sudden sensation of eye movement you experienced is likely related to eye fatigue and dryness, especially given your history of dry eye syndrome. While this is generally not a cause for alarm, it is essential to practice good eye care habits and consult with an eye care professional if the symptoms continue or if you have any concerns about your eye health. Regular eye exams and proper management of dry eyes can significantly improve your overall visual comfort and health.

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