Blurry Vision After Napping: Causes and Solutions - Ophthalmology

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Visual haze or fog in front of the eyes?


Hello, I often take naps on my desk during lunch breaks, and sometimes I might press on my eyeballs, although I'm not sure if I actually do.
After waking up and putting on my glasses, my entire field of vision appears foggy and somewhat blurred, making it difficult to see details clearly.
However, this usually resolves itself after about 30 to 50 minutes.
Could you explain why this happens? Additionally, how much time should I limit my daily use of phones and computers? I've noticed that using my phone makes my eyes feel tired easily, while using a computer or reading paper is more tolerable.
However, after a full day of classes at school, using the computer at home also quickly leads to eye fatigue.
Sometimes, during eye examinations, my intraocular pressure readings are higher (sometimes normal, sometimes between 21 and 30), but I do not have glaucoma.
Should I be concerned about this?

Pingguo, 10~19 year old female. Ask Date: 2022/04/14

Dr. Gao Pilin reply Ophthalmology


Hello, Apple: Waking up with blurry vision after sleeping on your stomach is a common experience for many, especially during school days after a nap.
This occurs because the pressure on the cornea while sleeping can lead to astigmatism, which resolves as the cornea gradually recovers.
The duration of this recovery can vary, but it is advisable to practice the 20-20-20 rule for eye care: every 20 minutes of computer use, look away from the screen for 20 seconds and focus on an object 20 feet (approximately 6 meters) away.
Blinking 20 times during this break is even better.
If there are signs of elevated intraocular pressure, even in the absence of glaucoma, it is important to pay attention to it.
Regular eye examinations are essential to prevent eye strain.

Reply Date: 2022/04/14

More Info


Blurry vision after napping, especially when you've been resting your head on a hard surface like a desk, can be attributed to several factors. When you sleep in such a position, there is a possibility of temporary pressure on the eyeball, which can lead to a few physiological responses that might cause your vision to become blurry upon waking.


Causes of Blurry Vision After Napping
1. Pressure on the Eye: When you rest your head on a surface, the pressure can temporarily distort the shape of your eyeball or compress the cornea, leading to a transient change in vision. This is often a temporary condition that resolves itself as the eye returns to its normal shape.

2. Tear Film Instability: During sleep, especially if your eyes are partially open or if you are in a dry environment, the tear film that coats your eyes may become unstable. Upon waking, your eyes may not have enough moisture, leading to dryness and blurred vision. This can be exacerbated if you are using screens frequently, as they can contribute to eye strain and dryness.

3. Visual Fatigue: If you have been using your eyes extensively before napping, such as staring at a computer or phone screen, your eye muscles may be fatigued. Upon waking, it may take some time for your eyes to adjust and refocus properly, leading to temporary blurriness.

4. Changes in Blood Flow: Lying down can alter blood flow to the eyes. When you stand up or sit up quickly, there might be a brief moment of altered blood flow, which can affect your vision temporarily.


Solutions and Recommendations
- Give Your Eyes Time to Adjust: If you experience blurry vision after waking, allow your eyes some time to adjust. As you noted, the blurriness typically resolves within 30 to 50 minutes. This is a good sign that the condition is likely temporary.

- Maintain Eye Hydration: Ensure that your eyes are well-hydrated. Use artificial tears if you experience dryness, especially after prolonged screen time or if you sleep in a dry environment.

- Adjust Your Sleeping Position: Try to avoid resting your head on hard surfaces. Instead, use a soft pillow that supports your head and neck without putting pressure on your eyes.

- Screen Time Management: The American Academy of Ophthalmology recommends the 20-20-20 rule to reduce eye strain: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps relax the eye muscles and can reduce fatigue.

- Monitor Eye Health: Since you mentioned fluctuations in eye pressure, it’s important to keep track of your eye health. While occasional increases in eye pressure can be normal, consistent readings above 21 mmHg may warrant further investigation, especially if you have a family history of glaucoma or other eye conditions. Regular check-ups with an eye care professional are essential.


Conclusion
In summary, the blurry vision you experience after napping is likely due to temporary factors such as pressure on the eye, tear film instability, or visual fatigue. By adjusting your sleeping habits, managing screen time, and ensuring proper hydration, you can mitigate these effects. Additionally, keep an eye on your eye pressure readings and consult with an eye care professional if you have any concerns. Taking proactive steps can help maintain your eye health and comfort, especially as you balance your academic responsibilities with screen use.

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