Eye Issues: Fatigue vs. Serious Conditions Explained - Ophthalmology

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Eye problems


Hello, doctor.
A few days ago, I experienced discomfort in my right eye and went to an ophthalmologist for an examination.
My vision was tested, and the doctor used a fundus camera to examine my eyes.
My right eye was slightly dilated with a mydriatic agent, and the doctor checked the macula, stating that it looked very healthy (this examination was not done on the left eye).
The only findings were slight entropion in the left eye and some areas of superficial abrasion in the right eye.
Over the past few days, I have occasionally seen floaters and light spots (not many), which I have seen before, but I am unsure if it is psychological, as it seems to be happening more frequently.
I would like to ask the doctor if the examinations conducted a few days ago showed no issues, does that mean my symptoms are likely due to eye fatigue and not a true pathological condition? If there were issues with the retina, would they be visible with the fundus camera?

P, 20~29 year old female. Ask Date: 2021/08/26

Dr. Gao Pilin reply Ophthalmology


Hello, if you are experiencing floaters and light spots, and your examination shows no issues, you should be able to feel reassured.
Any problems should be detectable.
If there is a retinal issue, it may cause blurred vision, but it typically does not cause discomfort.
Discomfort could be due to other reasons, such as inflammation, fatigue, or allergies.

Reply Date: 2021/08/26

More Info


Understanding eye issues, particularly distinguishing between fatigue and serious conditions, is crucial for maintaining eye health. Based on your description, it seems that your recent eye discomfort and symptoms may be more related to fatigue rather than a serious underlying condition. However, let’s delve deeper into the various aspects of your situation.

Firstly, it’s important to recognize that eye fatigue, often referred to as asthenopia, can arise from prolonged use of digital devices, reading, or any activity that requires intense focus. Symptoms can include discomfort, dryness, blurred vision, and even headaches. Given that you have experienced discomfort after extended periods of screen time, it’s plausible that your symptoms are primarily due to eye strain. The fact that your eye examinations showed no significant issues, such as retinal damage or serious ocular diseases, supports this notion.

Your recent visit to the eye doctor, where your vision was tested and your retina was examined, yielded normal results, particularly regarding the health of your macula. The presence of floaters and light flashes, while concerning, is often benign, especially if they have been present intermittently in the past. Floaters are typically caused by changes in the vitreous gel of the eye and are common, particularly as we age. However, if you notice a sudden increase in floaters or flashes, it’s essential to seek immediate medical attention, as these can sometimes indicate more serious conditions like retinal detachment.

Regarding your question about whether the eye examinations can detect retinal issues, the answer is yes. Comprehensive eye exams, including dilated fundus examinations, allow eye care professionals to visualize the retina and assess for any abnormalities. If your doctor did not find any issues during these examinations, it is a reassuring sign that your retina is likely healthy.

The sensation of seeing floaters and light spots can indeed be exacerbated by fatigue. When the eyes are tired, they may not function optimally, leading to increased awareness of these visual phenomena. It’s also worth noting that stress and anxiety can heighten your perception of these symptoms, making them feel more pronounced than they might otherwise be.

In terms of management, it’s advisable to adopt practices that alleviate eye strain. This includes the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. Additionally, ensuring proper lighting while reading or using screens, maintaining a comfortable distance from screens, and using artificial tears to combat dryness can be beneficial.

If your symptoms persist or worsen, or if you experience new symptoms such as significant vision changes, it would be prudent to follow up with your eye care provider. They may recommend further tests or a referral to a specialist if necessary.
In summary, while your symptoms may currently suggest eye fatigue rather than a serious condition, ongoing monitoring and self-care are key. Regular eye exams are essential for maintaining eye health, especially if you have a history of visual disturbances. Always listen to your body, and don’t hesitate to seek further evaluation if you feel something is amiss.

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