Sudden Blurry Vision in Teens: Possible Causes and Solutions - Ophthalmology

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Blurred vision


Hello, doctor.
I am a high school student.
I have maintained a vision of 1.5 since childhood, but recently I have noticed a significant decline in my left eye's vision.
Distant objects appear more blurred (I'm not sure if this counts as vision loss).
I attend classes at 7 AM and finish school at 5 PM, using the computer for about 2 to 3 hours a day, while maintaining a proper distance from the screen.
A few years ago, I had conjunctivitis, but it shouldn't affect my vision.
Even though I've been going to bed early and reducing computer use in the past few days, my condition hasn't improved.
I would like to ask the doctor what problems my eyes might be experiencing, or if this is simply myopia.

Mr. Wu, 10~19 year old female. Ask Date: 2021/12/03

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
Wu: There are many causes of blurred vision, the most common being refractive errors, such as myopia, hyperopia, or astigmatism.
However, there are many other potential causes as well; any part of the eye, all the way to the brain, can contribute to blurred vision.
It is advisable for you to have an eye examination.

Reply Date: 2021/12/03

More Info


Sudden blurry vision, especially in a teenager who has previously maintained good eyesight, can be concerning and may indicate several underlying issues. As you described, your left eye's vision has noticeably declined, leading to difficulty seeing distant objects clearly. This change can be attributed to various factors, and it is essential to consider both ocular and systemic causes.


Possible Causes
1. Refractive Errors: The most common cause of sudden blurry vision in adolescents is the development of refractive errors, such as myopia (nearsightedness) or astigmatism. While you mentioned that you have maintained good vision (1.5), it is possible that your eyes have changed, leading to a new prescription requirement.

2. Eye Strain: Prolonged use of computers and digital devices can lead to digital eye strain or computer vision syndrome. Symptoms include blurry vision, dry eyes, and discomfort. Even if you maintain a proper distance from the screen, prolonged focus can still cause fatigue in the eye muscles.

3. Infections or Inflammation: Past conditions like conjunctivitis (pink eye) can sometimes lead to residual effects, but they typically do not cause long-term vision changes. However, other inflammatory conditions, such as uveitis or keratitis, could lead to sudden changes in vision.

4. Retinal Issues: Although less common in teenagers, conditions affecting the retina, such as retinal detachment or tears, can cause sudden vision changes. Symptoms may include flashes of light or floaters, which should be evaluated immediately.

5. Systemic Health Issues: Conditions such as diabetes or hypertension can lead to changes in vision. If you have any other symptoms, such as increased thirst, frequent urination, or headaches, it may be worth discussing these with a healthcare provider.

6. Neurological Factors: Rarely, neurological issues can manifest as sudden changes in vision. If you experience headaches, dizziness, or other neurological symptoms, it is crucial to seek immediate medical attention.


Recommended Actions
1. Eye Examination: The first step is to schedule an appointment with an eye care professional. A comprehensive eye exam will help determine if there are any refractive errors or other ocular conditions that need to be addressed.

2. Visual Hygiene: To alleviate eye strain, practice the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. Ensure that your workspace is well-lit and that you are sitting at an appropriate distance from your screen.

3. Limit Screen Time: While it may not be feasible to eliminate computer use entirely, try to reduce screen time, especially before bed, to help your eyes rest.

4. Stay Hydrated: Ensure you are drinking enough water throughout the day, as dehydration can contribute to dry eyes and discomfort.

5. Monitor Symptoms: Keep track of any additional symptoms that may arise, such as headaches, light sensitivity, or changes in peripheral vision, and report these to your eye care provider.

6. Follow-Up: If your vision does not improve or worsens, follow up with your eye doctor. They may recommend further testing or refer you to a specialist if necessary.


Conclusion
Sudden changes in vision can be alarming, especially for a teenager who has previously enjoyed good eyesight. While it may be a simple refractive error, it is crucial to rule out more serious conditions. A thorough examination by an eye care professional will provide clarity and help you find the appropriate solutions to restore your vision. Remember, early detection and intervention are key to maintaining eye health.

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