Sudden Blurry Vision: Causes and Solutions for Students - Ophthalmology

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Sudden blurred vision?


Hello Doctor, I have thalassemia and astigmatism (which I've had since childhood), and I often experience dizziness, but it doesn't affect my ability to see.
Recently, I just started college, and the academic pressure is very high.
I've noticed that when I ride my bike or look at slides, my vision becomes blurry, but this happens intermittently.
For instance, I might have blurry vision for two out of three days, or it could be fine in the morning but then become blurry in the afternoon or evening.
However, when I close one eye, I can see clearly.
In a recent school health check, my vision was measured at 0.8 and 0.9, but I was also experiencing blurry vision at that time.
When I tested each eye separately, it seemed fine.
This has been quite troubling for me, as it's very strenuous to look at slides or ride my bike, and sometimes I just close one eye to see better.
I would like to know what might be causing this.
Thank you!

Tùzǐ, 10~19 year old female. Ask Date: 2020/10/07

Dr. Gao Pilin reply Ophthalmology


Hello, Rabbit: Based on your situation, it is most likely a refractive issue.
I recommend that you visit an ophthalmologist for an eye examination.
Wearing the correct prescription glasses may resolve this condition.
As for the blurred vision in both eyes while one eye is fine, it could be related to strabismus.
When fatigued, strabismus may become more pronounced, leading to double vision.
However, a thorough examination is necessary to confirm this.
The ophthalmology department at Puzi Hospital in Taiwan 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; it is essential to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2020/10/07

More Info


Sudden blurry vision can be a concerning symptom, especially for students who are under significant academic pressure. Based on your description, it seems that you are experiencing intermittent blurry vision, particularly when engaging in activities that require visual focus, such as riding a bike or looking at presentation slides. This can be frustrating and may impact your daily activities and academic performance.
There are several potential causes for your symptoms, which can be categorized into physiological, psychological, and environmental factors:
1. Eye Strain: With the increased demands of university coursework, you may be spending more time reading, using a computer, or focusing on presentations. Prolonged periods of intense visual focus can lead to digital eye strain or computer vision syndrome, which manifests as blurry vision, headaches, and discomfort. Taking regular breaks using the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help alleviate this strain.

2. Refractive Errors: You mentioned having astigmatism, which can cause blurry vision, especially if your glasses prescription is not up to date. It’s important to have regular eye exams to ensure that your prescription is accurate, as even minor changes in your vision can lead to significant discomfort and visual disturbances.

3. Fatigue and Stress: The transition to university life can be stressful, and stress can manifest physically in various ways, including visual disturbances. Fatigue from studying, lack of sleep, and high levels of stress can contribute to blurry vision. Ensuring you get adequate rest, manage stress through relaxation techniques, and maintain a balanced lifestyle can help mitigate these effects.

4. Hydration and Nutrition: As a student, it’s easy to overlook proper hydration and nutrition, especially during busy periods. Dehydration can lead to dry eyes, which may cause temporary blurriness. Additionally, certain nutritional deficiencies, particularly in vitamins A, C, and E, can affect eye health. Make sure you are eating a balanced diet and drinking enough water throughout the day.

5. Underlying Health Conditions: Given your history of Mediterranean anemia and frequent dizziness, it’s essential to consider that these conditions may also contribute to your symptoms. Anemia can lead to decreased oxygen delivery to the eyes, potentially causing visual disturbances. If your symptoms persist, it may be worthwhile to consult with a healthcare professional to rule out any underlying conditions that may be exacerbating your visual issues.

6. Visual Processing Issues: Sometimes, individuals may experience difficulties with visual processing, where the brain has trouble interpreting visual information. This can lead to symptoms like blurry vision, especially when transitioning between different visual tasks. If this is suspected, working with an eye care professional who specializes in vision therapy may be beneficial.

In conclusion, while your symptoms may be related to common issues such as eye strain or stress, it is crucial to monitor them closely. If you continue to experience blurry vision, especially if it worsens or is accompanied by other symptoms (such as headaches, dizziness, or changes in your overall health), it is advisable to seek a comprehensive eye examination. An eye care professional can provide a thorough assessment and recommend appropriate interventions, which may include updating your glasses prescription, suggesting vision therapy, or addressing any underlying health concerns. Remember to take care of your overall well-being, as it plays a significant role in maintaining good vision.

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