Blurry Vision: Causes and Solutions for Eye Discomfort - Ophthalmology

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Blurred vision


Hello Doctor, due to the summer vacation, my daily routine has been irregular.
A few days ago, when I woke up and opened my eyes, I suddenly experienced a sharp pain in my left eye accompanied by tearing, which lasted for about a minute before subsiding.
However, a few days later, my left eye started to feel blurry (similar to myopia), and even with my glasses on, the condition remains the same.
When watching subtitles on a screen, I notice a halo effect (only in my left eye; my right eye is normal).
Although I visited an ophthalmologist, the doctor said it was an eye inflammation and prescribed eye drops, but after using them for several days, there has been no improvement.
Thank you, Doctor.

Zhang Xiaojie, 20~29 year old female. Ask Date: 2020/08/10

Dr. He Jianxian reply Ophthalmology


Hello Ms.
Chang: It is not possible to determine the true condition of your eyes based on the above description.
I recommend that you visit again and consult your attending physician about your actual condition.
Director He Jianxian, Ophthalmology, Nantou Hospital.

Reply Date: 2020/08/10

More Info


Blurry vision can be a concerning symptom, especially when it occurs suddenly or is accompanied by pain or discomfort. In your case, the sudden onset of sharp pain followed by tearing in your left eye, and the subsequent blurry vision, suggests a few potential causes that should be considered.

Firstly, the initial pain and tearing could indicate a condition known as acute conjunctivitis or keratitis. These conditions can cause inflammation of the eye's surface, leading to symptoms such as pain, tearing, and blurred vision. The fact that your blurry vision persists even when wearing glasses suggests that the issue may not solely be refractive (related to the shape of your eye) but could be due to an underlying inflammatory process.

The presence of a "halo" effect around lights, particularly when viewing screens, is often associated with corneal issues. This could be due to corneal edema, where the cornea becomes swollen and loses its clarity, or it could be a result of dry eye syndrome, which can also lead to visual disturbances. Given that you mentioned the issue is only in your left eye, it may indicate that the inflammation or irritation is localized to that eye.

Since you have already consulted an ophthalmologist and were prescribed eye drops, it is important to follow up if you do not see improvement. Sometimes, the initial treatment may not be sufficient, or the diagnosis may need to be reevaluated. If the eye drops prescribed are anti-inflammatory or antibiotic, they should ideally start showing improvement within a few days. If not, further investigation may be warranted.

In addition to the prescribed treatment, consider the following recommendations:
1. Avoid Eye Strain: Limit screen time and take regular breaks using the 20-20-20 rule—every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain, especially if you are spending a lot of time on screens during your summer break.

2. Maintain Eye Hygiene: If you suspect any form of conjunctivitis, ensure that you are practicing good hygiene. Wash your hands frequently and avoid touching your eyes. If you wear contact lenses, consider switching to glasses until your symptoms resolve.

3. Stay Hydrated: Ensure you are drinking enough water. Dehydration can exacerbate dry eye symptoms, which may contribute to your discomfort.

4. Use Artificial Tears: If your eye feels dry or irritated, using preservative-free artificial tears can help lubricate the eye and alleviate some discomfort.

5. Follow Up with Your Eye Doctor: If your symptoms persist or worsen, return to your eye doctor for a comprehensive examination. They may perform additional tests, such as corneal topography or a slit-lamp examination, to assess the health of your cornea and other structures in your eye.

6. Consider Allergies: If you have a history of allergies, consider whether environmental factors (like pollen or dust) could be contributing to your symptoms. Antihistamines or allergy eye drops may be beneficial in such cases.

In summary, while your symptoms may initially suggest an inflammatory process, it is crucial to monitor your condition closely and maintain communication with your healthcare provider. If you experience any new symptoms, such as increased pain, redness, or changes in vision, seek immediate medical attention. Your eye health is paramount, and timely intervention can prevent potential complications.

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