Blurred Vision in Teens: Causes and When to See a Doctor - Ophthalmology

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Blurred vision


Hello, I am a high school student and I have recently noticed a significant decline in the vision of my right eye over the past week or two (it may have started earlier).
My eye occasionally feels a slight pain and a pulling sensation, and I don't tear up much, nor is there any noticeable redness or swelling.
I have approximately 300 degrees of myopia, and even with glasses, I cannot see objects clearly from about one meter away.
I have been trying to reduce my screen time, take regular breaks, and apply warm compresses, but there has been no improvement.
Should I be concerned that this is eye fatigue or could it be another condition that requires a doctor's visit?

OwO, 10~19 year old female. Ask Date: 2021/03/18

Dr. Gao Pilin reply Ophthalmology


Hello, based on your description, it seems that your symptoms are likely caused by eye strain, which can lead to difficulty seeing clearly due to excessive fatigue of the ciliary muscles.
However, I still recommend that you visit an ophthalmologist for a thorough examination.
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 on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are only for reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2021/03/18

More Info


Hello! It sounds like you're experiencing some concerning symptoms with your vision, particularly in your right eye. Blurred vision, especially when accompanied by discomfort or pain, can be indicative of several underlying issues, and it's important to address these symptoms promptly.

Causes of Blurred Vision in Teens:
1. Refractive Errors: Since you mentioned having myopia (nearsightedness) of about 300 degrees, it's possible that your prescription may have changed, leading to blurred vision. This is common in teenagers as their eyes are still developing.


2. Eye Strain: Spending long hours on electronic devices can lead to digital eye strain, which may cause symptoms like blurred vision, discomfort, and headaches. However, you mentioned that you've been trying to reduce screen time and take breaks, which is a good practice.

3. Dry Eyes: The feeling of your eyes being "not very watery" could indicate dry eye syndrome, which can occur due to prolonged screen time or environmental factors. Dry eyes can lead to discomfort and blurred vision.

4. Infections or Inflammation: Conditions such as conjunctivitis (pink eye) or uveitis (inflammation of the middle layer of the eye) can cause pain and blurred vision. Even if there is no redness or swelling, these conditions can still be present.

5. Other Eye Conditions: More serious conditions, such as retinal detachment or glaucoma, can also lead to blurred vision and discomfort. Although these are less common in teens, they are still possible.

When to See a Doctor:
Given your symptoms of blurred vision, mild pain, and the feeling of pulling in your eye, it is advisable to see an eye care professional as soon as possible. Here are some specific reasons to seek medical attention:
- If your blurred vision persists or worsens.

- If you experience any sudden changes in vision, such as flashes of light or floaters.

- If the pain in your eye increases or is accompanied by other symptoms like headaches or nausea.

- If you notice any changes in your vision that interfere with your daily activities, such as reading or driving.

What to Expect at the Doctor's Office:
During your visit, the eye doctor will likely perform a comprehensive eye examination, which may include:
- Visual Acuity Test: To determine how well you see at various distances.

- Refraction Assessment: To check if your glasses prescription needs updating.

- Slit-Lamp Examination: To examine the front structures of your eye for any abnormalities.

- Pupil Dilation: To get a better view of the retina and optic nerve.

Management and Treatment:
Depending on the diagnosis, treatment may vary. If it's simply a matter of needing a new prescription, updating your glasses or contact lenses may resolve your issues. If dry eyes are the culprit, artificial tears or lifestyle modifications may be recommended. In the case of infections or inflammation, appropriate medications will be prescribed.

In conclusion, while some causes of blurred vision can be benign, it's crucial to consult with an eye care professional to rule out any serious conditions. Early intervention can help prevent potential complications and ensure that your vision remains healthy as you continue your studies. Take care of your eyes, and don't hesitate to seek help!

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