Visual Distortions: Solutions for Text Perception Issues - Ophthalmology

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Visual disturbances in font perception?


Hello, Doctor Gao.
I previously raised a question and have since obtained the correct prescription, but I still experience a sensation of slanting or extending lines when reading text.
What treatment options do you recommend to resolve this issue?

Danxin de ren, 20~29 year old female. Ask Date: 2020/09/19

Dr. Gao Pilin reply Ophthalmology


Hello, concerned individual: If you still have a feeling of elongation, I recommend that you visit a medium to large hospital with a retinal department for a thorough examination by a physician to check for any retinal issues.
In Taiwan, the ophthalmology department at Puzi Hospital is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are only for reference; it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2020/09/19

More Info


Visual distortions, such as the perception of text appearing to have slanted or extended lines, can be quite distressing and may significantly impact your daily activities, especially if reading is a frequent task. Given your experience of persistent visual disturbances even after obtaining the correct prescription glasses, it is essential to explore several potential underlying causes and solutions.

Firstly, it is important to understand that visual distortions can arise from various factors, including refractive errors, eye strain, neurological conditions, or even psychological factors. Since you mentioned that you have already updated your glasses prescription, we can rule out simple refractive errors like nearsightedness, farsightedness, or astigmatism as the primary cause of your symptoms.

One common issue that could lead to visual distortions is astigmatism, which is caused by an irregular shape of the cornea or lens. This irregularity can lead to blurred or distorted vision at all distances. If you have astigmatism, it is crucial that your glasses are correctly prescribed and fitted. If you continue to experience distortions, it may be worth revisiting your eye care professional to ensure that your prescription is accurate and that the lenses are properly aligned.

Another potential cause of visual distortions is visual processing issues. This refers to how your brain interprets visual information. Conditions such as convergence insufficiency, where the eyes struggle to work together while focusing on nearby objects, can lead to symptoms like double vision or slanting text. A comprehensive eye exam that includes tests for binocular vision and visual processing may help identify if this is a contributing factor.

Eye strain is another common issue, particularly for individuals who spend long hours reading or using screens. Symptoms of eye strain can include blurred vision, dry eyes, and discomfort. To alleviate eye strain, consider the following strategies:
1. The 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps relax the eye muscles.

2. Proper Lighting: Ensure that your reading area is well-lit to reduce strain on your eyes.

3. Screen Time Management: Limit prolonged exposure to screens and take regular breaks.

If you are experiencing additional symptoms such as dizziness or headaches, it may be worthwhile to consult with a healthcare provider to rule out any neurological issues. Sometimes, visual distortions can be linked to conditions such as migraines or even anxiety disorders, which can affect how visual information is processed.

In terms of treatment, if your symptoms persist despite corrective lenses and lifestyle adjustments, you may benefit from vision therapy. This is a type of physical therapy for the eyes and brain that can help improve visual skills and processing. A vision therapist can work with you to develop exercises tailored to your specific needs.

Lastly, if you have any underlying health conditions, such as diabetes or hypertension, it is essential to manage these effectively, as they can impact your vision. Regular check-ups with your eye care professional are crucial to monitor any changes in your vision and to ensure that any potential issues are addressed promptly.

In conclusion, while visual distortions can be frustrating, there are several avenues to explore for relief. A thorough examination by an eye care professional, combined with lifestyle adjustments and possibly vision therapy, can help you manage and potentially resolve these issues. If you continue to experience difficulties, do not hesitate to seek further evaluation and support.

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