Improving Pseudomyopia in Adults: Tips for Eye Health and Comfort - Ophthalmology

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Improvement of Adult Pseudomyopia


Hello, doctor.
I am 27 years old and previously had no myopia.
At the age of 25, I was diagnosed with 50 degrees and 100 degrees of myopia.
Recently, my vision has become increasingly unclear, and I have been experiencing pain around the bones of my eyes, dizziness, and visual disturbances.
Yesterday, I visited an ophthalmologist who diagnosed me with 200 degrees of pseudomyopia and noted that my intraocular pressure was slightly elevated but not above normal levels.
I have had elevated intraocular pressure in the past, but I am very anxious about the tonometry machine; I often blink several times before a reading can be taken.
The doctor prescribed me EyeHelp (for relief) and artificial tears, to be used three times a day for seven days.

1.
Can I improve my 200 degrees of pseudomyopia by reducing screen time, minimizing near work, focusing more on distant objects, taking a 10-minute break after 30 minutes of work, and using a larger screen? Will my dry eye condition improve after reducing screen time?
2.
When I use a heated eye mask or a towel for warm compresses, I experience eye strain and a stronger urge to blink.
Is this normal?
3.
Since my dizziness and eye bone pain have not improved, should I continue to see an ophthalmologist? Thank you.

Judy, 20~29 year old female. Ask Date: 2022/04/15

Dr. Gao Pilin reply Ophthalmology


Hello Judy:
1.
Pseudomyopia should decrease after adequate rest.
Minimize the use of electronic devices, maintain an appropriate distance, and use larger screens and fonts on mobile devices.
However, using an excessively large computer monitor may cause eye discomfort.
You can refer to: https://bit.ly/3jOEa1I
2.
If the heat applied is dry heat, it may sometimes make the eyes drier.
It is better to use a warm, moist towel for compresses to avoid this issue.

3.
Pain around the eyes may be related to trigeminal neuralgia; you may want to consult a neurologist.

Reply Date: 2022/04/15

More Info


Improving pseudomyopia, especially in adults, requires a multifaceted approach that addresses both the symptoms and the underlying causes. Pseudomyopia, often referred to as "false myopia," occurs when the eye's focusing muscles are overly strained, leading to temporary nearsightedness. This condition can be exacerbated by prolonged near work, such as using computers or smartphones, which is common in today’s digital age. Here are some strategies to help improve your eye health and comfort:
1. Reduce Near Work: As you mentioned, limiting the time spent on screens (3C devices: computer, cell phone, and console) is crucial. The 20-20-20 rule is a helpful guideline: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps relax the eye muscles and reduces strain.

2. Proper Ergonomics: Ensure that your workspace is ergonomically set up. The screen should be at eye level, and you should maintain a distance of about 20-30 inches from your eyes. Using larger screens can help reduce eye strain, but ensure that the brightness and contrast are adjusted to comfortable levels.

3. Eye Exercises: Incorporating eye exercises can help alleviate strain. Simple exercises include rolling your eyes, focusing on a distant object, and blinking frequently to keep your eyes moist.

4. Artificial Tears: Since you have been prescribed artificial tears, using them regularly can help alleviate dry eye symptoms, especially if you are in an environment with low humidity or if you tend to blink less while focusing on screens.

5. Heat Therapy: Regarding your experience with heat therapy, it is common for some individuals to feel discomfort or increased blinking when using hot compresses. If you find that a specific heat mask or towel causes discomfort, consider using a warm, damp cloth instead, as moist heat can be more soothing and effective for relieving dry eyes.

6. Consulting an Eye Care Professional: Since you are experiencing headaches and pain around your eyes, it is essential to continue consulting with your eye care provider. These symptoms could indicate that your eyes are still under strain or that there may be other underlying issues, such as tension headaches or even issues related to your eye pressure. Regular check-ups are vital, especially if you have a history of elevated eye pressure.

7. Lifestyle Adjustments: Incorporating regular breaks, staying hydrated, and ensuring you have adequate lighting while reading or working can significantly impact your eye comfort. Additionally, consider incorporating more outdoor activities into your routine, as studies suggest that spending time outdoors may help reduce the progression of myopia.

8. Diet and Nutrition: A diet rich in omega-3 fatty acids, antioxidants, and vitamins A, C, and E can support eye health. Foods like leafy greens, fish, nuts, and fruits should be included in your diet.

9. Manage Stress: Stress can exacerbate physical symptoms, including eye strain. Techniques such as mindfulness, yoga, or simple breathing exercises can help manage stress levels.

10. Follow-Up: If your symptoms persist, such as the headaches and discomfort, it is crucial to follow up with your eye doctor. They may recommend further evaluations or adjustments to your treatment plan.

In conclusion, while pseudomyopia can often be improved with lifestyle changes and proper eye care, it is essential to remain vigilant about your symptoms and maintain regular communication with your healthcare provider. This proactive approach will help ensure that your vision remains stable and your eye health is prioritized.

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