Chronic Headaches from Long-Term Glasses Use: What to Do?

Wearing glasses for a long time can cause headaches?

Hello, Doctor.
I have been wearing glasses for nearly 30 years, but I have always experienced discomfort in my left eye socket and difficulty with the left temple of the glasses.
For a long time, I relied heavily on contact lenses.
It has only been in the last ten years that I forced myself to switch back to glasses, but I still experience discomfort in the left eye socket and a sensation of heat about 3-5 centimeters in front of my left ear, making it difficult to wear glasses.
To avoid sensitivity in my left ear, I have adjusted the frames to be very loose, similar to wearing reading glasses.
Recently, due to significant wear on my old glasses and the onset of presbyopia, I got two new pairs of glasses (one for distance and one for near vision).
However, when using both new pairs, I not only experience the previously mentioned discomfort, but I also have headaches that start with eye socket soreness followed by head pain (the headaches are worse with lower prescriptions, and the eye socket discomfort is more pronounced).
Upon reflection, I realize that I often had headaches when wearing physical glasses in the past, but this time, the severity of the headaches is affecting my daily life.
The optical shop has made multiple adjustments to my glasses but has been unable to resolve the issue.
I would like to ask what kind of examination I should seek from an ophthalmologist.
Thank you.

Beita, 40~49 year old female. Ask Date: 2022/02/21

Dr. Liang Ce reply Ophthalmology

We recommend that you visit the ophthalmology outpatient department of a major hospital to see if any relevant examinations are needed.
Thank you, and wish you good health!

Reply Date: 2022/02/21

More Info

Chronic headaches, especially those associated with long-term glasses use, can be a frustrating and debilitating issue. Based on your description, it seems that your headaches are closely linked to the discomfort and strain you experience while wearing glasses. Here are some insights and recommendations to help you address this problem.

Understanding the Problem
1. Eye Strain: Prolonged use of glasses, especially if they are not properly fitted or if the prescription is incorrect, can lead to eye strain. This strain can manifest as discomfort around the eyes, which may progress to headaches. Symptoms like eye fatigue, soreness, and headaches are common indicators of this issue.

2. Fitting Issues: If your glasses are not adjusted correctly, they can put pressure on specific areas of your head, particularly around the temples and ears. This pressure can lead to tension headaches. You mentioned that you have adjusted your glasses to be very loose to avoid discomfort, but this might not be the best solution, as loose glasses can also cause strain by not providing adequate support.

3. Prescription Changes: As you age, your vision changes, and so does your prescription. If your new glasses are not suitable for your current vision needs, they can exacerbate headaches. It's crucial to ensure that your prescription is up-to-date and appropriate for your daily activities.

4. Tension and Stress: Chronic headaches can also be exacerbated by stress and tension. If you are experiencing anxiety or stress in your daily life, this can contribute to muscle tension in the neck and shoulders, which can lead to headaches.

Recommendations
1. Consult an Eye Specialist: It is essential to visit an optometrist or ophthalmologist for a comprehensive eye examination. They can assess your current prescription, check for any underlying eye conditions, and ensure that your glasses fit properly. Ask them to evaluate your visual needs, especially since you mentioned needing different glasses for distance and reading.

2. Proper Fitting: Ensure that your glasses are fitted correctly. A professional can adjust the frames to sit comfortably on your face without causing pressure points. This adjustment can significantly reduce discomfort and the likelihood of headaches.

3. Consider Contact Lenses: Since you have a history of using contact lenses, you might want to consider returning to them, especially if they provide more comfort than glasses. Discuss with your eye care provider the possibility of using contacts, particularly for activities that require prolonged visual focus.

4. Take Breaks: If you are using your glasses for extended periods, remember to take regular breaks. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This practice can help reduce eye strain.

5. Manage Stress: Incorporate stress management techniques into your routine. Practices such as yoga, meditation, or even simple breathing exercises can help alleviate tension that may contribute to headaches.

6. Physical Therapy: If your headaches persist, consider consulting a physical therapist. They can provide exercises to strengthen neck and shoulder muscles, which may help alleviate tension headaches.

7. Keep a Headache Diary: Track your headaches, noting when they occur, their intensity, and any associated activities. This information can be valuable for your healthcare provider in determining the underlying causes and appropriate treatments.

Conclusion
Chronic headaches related to glasses use can often be managed effectively with the right approach. By consulting with an eye care professional, ensuring proper fitting and prescription, and incorporating lifestyle changes, you can reduce the frequency and intensity of your headaches. Remember, it’s essential to address both the physical aspects of your eyewear and any underlying stressors in your life to achieve the best results. If headaches persist despite these changes, further evaluation by a healthcare provider may be necessary to rule out other potential causes.

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