Managing Eye Pressure: Strabismus, Fatigue, and Treatment Options

Q: Managing Eye Pressure: Strabismus, Fatigue, and Treatment Options

Hello Wan： 1. Uncertain. 2. Pulling it back forcefully may compress the eyeball, leading to increased intraocular pressure. 3. Surgical correction may be considered. 4. It could be caused by strabismus. 5. Uncertain. 6. Possible. 7.

Ciliary muscle, glasses, eye fatigue, high intraocular pressure?

Hello, Doctor.
On June 29, my intraocular pressure was measured at 21/20, and on August 23, it was 21/19.
This time, the doctor prescribed me a pressure-lowering medication (Xingkelong 2%).
When I had my pressure checked on September 2, it was 17/16.
At that time, I asked the doctor for a fundus examination, and after performing a dilated eye exam, the doctor said there were no significant issues.
However, starting the next day, I experienced some difficulty focusing, although I could still manage with effort.
On September 6, I visited the ophthalmologist again, and my eye pressure was measured at 26/23.
The doctor suggested that this high reading might be due to a lack of sleep the previous night, but I am still concerned about the possibility of glaucoma.
Therefore, on September 7, I went to a larger hospital for further examination.
The measured eye pressure was 21/21.
The doctor performed an OCT and measured my corneal thickness, stating that my cornea is normal and not thicker than average, and there are no signs of glaucoma in my optic nerve.
However, the doctor mentioned that my glasses can no longer correct my strabismus and that my strabismus may fluctuate based on fatigue levels.
I would like to ask the doctor a few questions: (1) Could my consistently high eye pressure be related to my strabismus? (2) Recently, my eyes often lose focus automatically, but I can regain focus with effort; could this lead to increased eye pressure? (3) Regarding the second question, what methods can help improve this situation? (4) I noticed the automatic loss of focus started after I received the dilating drops on September 2; could it be that I hadn't used them in a long time and the sudden use caused this frequent loss of focus? (5) Could the automatic loss of focus be related to psychological factors, where I think about losing focus and it happens? (6) Is it possible that loss of focus is caused by excessive eye fatigue? (7) Doctor, does dry eye syndrome or acute conjunctivitis affect eye pressure? (8) Could my body constitution be a reason for the persistent high eye pressure? (9) Would using a warm compress eye mask have any effect on eye pressure and dry eye syndrome? (10) Recently, I feel very tired after using electronic devices for a short time; is this also a sign of excessive eye fatigue?

Wan, 20~29 year old female. Ask Date: 2021/09/08

Dr. Gao Pilin reply Ophthalmology

Hello Wan: 1.
Uncertain.
2.
Pulling it back forcefully may compress the eyeball, leading to increased intraocular pressure.
3.
Surgical correction may be considered.
4.
It could be caused by strabismus.
5.
Uncertain.
6.
Possible.
7.
It should not be significant, but if corticosteroids are used, they can increase intraocular pressure in some individuals.
8.
Cannot diagnose.
9.
A warm compress should have no effect on intraocular pressure.
10.
It should be, as strabismus can lead to increased fatigue.

Reply Date: 2021/09/08

More Info

Managing eye pressure and understanding its relationship with strabismus (crossed eyes), fatigue, and treatment options is crucial for maintaining ocular health. Based on your detailed account, let's address your concerns systematically.

1. High Eye Pressure and Strabismus: Your concern about whether high eye pressure is related to strabismus is valid. Strabismus can lead to visual discomfort and fatigue, which may indirectly affect eye pressure. When the eye muscles are strained due to misalignment, it can cause the eyes to work harder to focus, potentially leading to increased intraocular pressure (IOP). However, the primary causes of elevated IOP are often related to the drainage of aqueous humor in the eye rather than strabismus itself.

2. Automatic Loss of Focus and Eye Pressure: The phenomenon of your eyes losing focus but being able to regain it with effort may not directly cause an increase in eye pressure. However, the strain from trying to focus can lead to temporary fluctuations in IOP. When the eye muscles are overworked, it can lead to discomfort and a sensation of pressure, but this does not necessarily mean that your IOP is permanently elevated.

3. Improving Focus Issues: To manage the automatic loss of focus, consider implementing the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This can help reduce eye strain. Additionally, ensure that your workspace is ergonomically set up, with proper lighting and screen distance. If the problem persists, consult with your eye care provider about vision therapy or corrective lenses that may help with your strabismus.

4. Effects of Pupil Dilation: The loss of focus you experienced after using a dilating agent (like the one used for your eye exam) is common. Dilation can temporarily affect your ability to focus, especially if you have not used such drops in a while. This effect should subside as the medication wears off.

5. Psychological Factors: While psychological factors can influence how we perceive visual tasks, the automatic loss of focus is more likely a physiological response to fatigue or strain rather than a conscious decision. Stress and anxiety can exacerbate feelings of discomfort, but they are not the root cause of the loss of focus.

6. Fatigue and Loss of Focus: Yes, excessive fatigue can lead to visual disturbances, including loss of focus. Prolonged screen time without breaks can cause digital eye strain, leading to symptoms such as blurred vision, dry eyes, and discomfort. Regular breaks and proper hydration can help mitigate these effects.

7. Dry Eye Syndrome and Acute Conjunctivitis: Both dry eye syndrome and acute conjunctivitis can influence eye pressure. Dry eyes can lead to discomfort and strain, potentially causing temporary increases in IOP. Acute conjunctivitis may also cause inflammation, which can affect the drainage of aqueous humor, leading to elevated pressure.

8. Physiological Factors: Individual physiological differences can affect how your body regulates eye pressure. Factors such as genetics, age, and overall health can play a role in your eye pressure levels. If you have a family history of glaucoma or other eye conditions, it may be worth discussing this with your eye care provider.

9. Heat Compresses: Using a warm compress can be beneficial for dry eyes and may help with eye strain. It can promote better circulation and help with the function of the meibomian glands, which produce the oily layer of tears. However, it is essential to ensure that the compress is not too hot, as excessive heat can cause discomfort or damage.

10. Digital Eye Strain: Feeling fatigued after using digital devices is a common issue known as digital eye strain or computer vision syndrome. Symptoms include dryness, blurred vision, and discomfort. To alleviate these symptoms, ensure you take regular breaks, adjust your screen settings, and consider using artificial tears if dryness persists.

In summary, managing your eye health involves a combination of proper eye care, regular check-ups, and lifestyle adjustments. If your symptoms persist or worsen, it is crucial to follow up with your eye care provider for further evaluation and tailored treatment options.

Similar Q&A

Managing Eye Fatigue: Tips for Relief and Treatment Options

Hello, Doctor. I apologize for bothering you, but I have a long-term issue that I have not been able to resolve, and I would like to seek your advice. I am 28 years old and have myopia of about -7 diopters. Over the past five years, I have experienced multiple symptoms described ...

Dr. Gao Pilin reply Ophthalmology
Hello: If you have already consulted with ophthalmology and orthopedics, please follow your physician's recommendations for follow-up care. Additionally, I have a few suggestions for you: 1. Adjust your work habits: Prolonged use of computers, reading, and using mobile dev...

Managing Eye Pressure: Tips for Exercise, Diet, and Lifestyle Adjustments

Hello Doctor: Recently, I've been troubled by some eye issues. I have previously experienced symptoms of high intraocular pressure (headaches, dizziness, mild nausea), and similar feelings have returned in the past couple of days. Based on my observations, I feel more comfor...

Dr. Cai Wenyuan reply Ophthalmology
The sensations in the eyes may not necessarily be related to intraocular pressure; it is advisable to seek medical evaluation.

Managing Uncontrolled Glaucoma: Treatment Options Beyond Medications

Hello Dr. Wang, I have consistently high intraocular pressure and have been diagnosed with glaucoma. My doctor has changed my medication 3 to 4 times, but my eye pressure remains uncontrolled. Some of the medications cause allergic reactions and headaches. If medications are in...

Dr. Wang Yuwei reply Ophthalmology
If a single medication is insufficient to control glaucoma, a change in medication or combination therapy may be considered. If control is still not achieved, different types of laser treatments should be administered based on the specific diagnosis. If control remains elusive, s...

Managing Glaucoma: Alternatives to Eye Drops and Light Sensitivity Solutions

Hello Dr. Liu: My father has glaucoma and is currently on medication to manage it. The issue is that after using the eye drops, he experiences photophobia, which causes him to spend most of the day lying in bed and sleeping. When we encourage him to exercise, he says he can'...

Dr. Liu Jingxian reply Ophthalmology
Hello, Sir: If a patient has been diagnosed with "glaucoma," they should undergo regular intraocular pressure control, typically achieved through the use of intraocular pressure-lowering eye drops to stabilize the pressure. If multiple types of eye drops do not achieve ...