Can Prolonged Close Reading Lead to Eye Fatigue and Blindness? - Ophthalmology

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Eye strain


Staring at a book too closely for an extended period can lead to eye strain, but it does not cause blindness in the long term.
However, chronic eye strain can lead to discomfort and may exacerbate existing vision problems.
It is important to take regular breaks and practice good eye care to maintain eye health.

Weiwei, 30~39 year old female. Ask Date: 2020/05/15

Dr. Cai Wenyuan reply Ophthalmology


When reading, it is important to maintain an appropriate distance and to take regular breaks.

Reply Date: 2020/05/15

More Info


Prolonged close reading, especially in the context of modern habits like reading on smartphones or tablets, can indeed lead to eye fatigue, but it is important to clarify that it does not directly cause blindness. Eye fatigue, often referred to as digital eye strain or computer vision syndrome, manifests as discomfort, dryness, blurred vision, and headaches after extended periods of close work.
The primary reason for eye fatigue during prolonged reading is the increased demand on the eye muscles. When we focus on close objects, such as a book or a screen, the ciliary muscles in our eyes contract to adjust the lens for clear vision. Over time, this constant contraction can lead to fatigue, similar to how our leg muscles feel tired after a long run.
Moreover, when reading on screens, the blue light emitted can contribute to discomfort and disrupt sleep patterns, which can further exacerbate feelings of fatigue. While these symptoms can be bothersome, they are typically temporary and can be alleviated with proper eye care practices.

To mitigate eye fatigue, the 20-20-20 rule is often recommended: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps relax the eye muscles and reduces strain. Additionally, ensuring that your reading environment is well-lit can help reduce the effort your eyes need to exert to focus.

Regarding the concern about prolonged close reading leading to blindness, it is crucial to understand that while eye fatigue can be uncomfortable, it does not cause permanent damage to the eyes or lead to blindness. However, neglecting eye health can lead to other issues over time, such as worsening refractive errors (like myopia) or the development of conditions like dry eye syndrome.
For individuals already experiencing symptoms of eye strain, it is advisable to consult with an eye care professional. They can provide personalized recommendations, which may include corrective lenses, eye drops for dryness, or even lifestyle adjustments to reduce screen time.
In summary, while prolonged close reading can lead to eye fatigue, it does not cause blindness. Practicing good eye care habits, such as taking regular breaks and ensuring proper lighting, can help maintain eye health and comfort during reading. If symptoms persist, seeking professional advice is always a prudent step.

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