Does Straining Your Eyes After Dilation Damage Your Vision? - Ophthalmology

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Will straining the eyes during dilation harm the eyes?


Hello Doctor: I have been administered a long-acting mydriatic agent in my eyes, but when I look at close objects, my vision is slightly blurry.
However, if I exert some effort, I can see things clearly.
What could be the reason for this? Will this behavior cause further harm to my eyes? The purpose of using the mydriatic agent is to relax my eyes, but I am straining to focus and see clearly.

C, 10~19 year old female. Ask Date: 2021/08/12

Dr. Gao Pilin reply Ophthalmology


Hello, C: When looking at nearby objects, the ciliary muscle in the eye contracts.
Therefore, when mydriatic agents are used, they paralyze the ciliary muscle, allowing it to relax.
If the mydriatic effect is complete, then straining the eyes should not help.
However, if the paralysis is not complete, as in your case, straining may still cause the ciliary muscle to contract, allowing for clearer vision.
This, however, contradicts the purpose of using the eye drops.
While it may not harm the eyes, it is best not to do this frequently.
Online responses can only serve as a reference; if necessary, it is still advisable to seek medical attention at a healthcare facility.
Gao Pilin

Reply Date: 2021/08/12

More Info


After dilation, your eyes are in a state where the pupil is enlarged, allowing more light to enter. This is typically done to facilitate a thorough examination of the retina and other internal structures of the eye. However, this dilation can temporarily affect your ability to focus on near objects, leading to blurred vision.
When you mention that you can see clearly after straining your eyes, it indicates that your eye muscles are compensating for the temporary loss of near vision caused by the dilation. The ciliary muscle, which controls the shape of the lens for focusing, may be working harder to achieve clarity. While this might seem like a solution in the moment, straining your eyes can lead to discomfort and fatigue.
Straining your eyes after dilation is generally not recommended. The purpose of dilation is to relax the eye muscles and allow for a more comprehensive examination. By forcing your eyes to focus, you may inadvertently cause additional strain, which can lead to symptoms such as headaches, eye fatigue, and discomfort. Over time, excessive strain can contribute to more serious issues, especially if you have pre-existing conditions like high myopia or thin retinas, which are more susceptible to complications.

It's important to remember that after dilation, your eyes are more sensitive to light and may not respond as they normally would. This can lead to discomfort when trying to focus on nearby objects. Instead of straining your eyes, it would be better to allow them to relax and give them time to adjust back to their normal state. If you find that your vision remains blurry for an extended period after the dilation wears off, or if you experience significant discomfort, it would be wise to consult your eye care professional.

In terms of long-term effects, occasional straining after dilation is unlikely to cause permanent damage, but it can lead to temporary discomfort. If you frequently find yourself in situations where you need to strain your eyes to see clearly, it may be worth discussing with your eye doctor. They can evaluate your vision and determine if there are underlying issues that need to be addressed, such as the need for corrective lenses or other interventions.

In conclusion, while it may be tempting to strain your eyes to see clearly after dilation, it's best to avoid doing so. Allow your eyes to relax and recover from the effects of the dilation. If you have ongoing concerns about your vision or eye health, don't hesitate to reach out to your eye care provider for personalized advice and recommendations.

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