Is It Safe to Go Without Glasses for 4 Hours? Eye Health Concerns Explained - Ophthalmology

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Hello, doctor?


Hello Doctor, I have myopia of about 350 degrees.
Recently, I started a job where I only need to stand at the entrance to greet the public, so I hardly need to use my eyes much.
During the 4 hours of work, I do not wear my glasses.
Is this acceptable? Is it harmful to my eyes? (During these 4 hours, I do not need to exert my eyes too much to see things.) However, sometimes it feels strange; my eyes can feel very warm, almost throbbing, and I also experience eye pressure and headaches.
Could this be related to not wearing my glasses? I find that wearing glasses often leads to visual fatigue, and it’s easy for my vision to become blurry after just 1-2 hours of use.
I have had repeated examinations at both an ophthalmologist and an optical shop, and there were no issues with my prescription or the fit of my glasses.
I also have diabetes and dry eye syndrome.
Additionally, when I look at things, I sometimes feel a faint, transparent veil near my eyelids, but it is different from the darkness associated with glaucoma; there is no difference in color perception, just an indescribable sensation (a very faint feeling of a transparent obstruction in my vision).
Thank you, Doctor, for taking the time to respond.
Thank you!

Axiang, 30~39 year old female. Ask Date: 2022/07/19

Dr. Gao Pilin reply Ophthalmology


Hello, Ah Xiang: You can go without glasses for 4 hours during work hours.
It is possible that due to dry eye syndrome, your eyes may feel very warm, with a sensation of heaviness, and you may also experience eye pressure and headaches, which can lead to blurred vision.
The area around the eyelids may feel this way because of the eyelashes.

Reply Date: 2022/07/19

More Info


When it comes to your question about whether it's safe to go without glasses for four hours while working outdoors, especially given your myopia of approximately 350 degrees, there are several factors to consider regarding eye health.

Firstly, it's important to understand that myopia, or nearsightedness, means that you have difficulty seeing distant objects clearly. While standing at a doorway and greeting people may not require intense visual focus, not wearing your glasses can still lead to discomfort. You mentioned experiencing sensations of heat in your eyes, a feeling of pressure, and headaches. These symptoms could be attributed to several factors, including eye strain, dry eyes, or even tension headaches, which can occur when your eyes are working harder than usual to focus without corrective lenses.

Given your existing conditions of diabetes and dry eye syndrome, it's crucial to be particularly mindful of your eye health. Diabetes can lead to complications such as diabetic retinopathy, which can affect your vision over time. Dry eye syndrome can exacerbate feelings of discomfort, especially in environments where you may be exposed to wind or bright sunlight. The heat and pressure you feel in your eyes could be a result of these conditions, and not wearing your glasses may contribute to the strain.

Regarding your experience of visual disturbances, such as the "transparent covering" sensation near your eyelids, this could be related to dry eyes or even a phenomenon known as visual snow, which can occur in some individuals. It's essential to monitor these symptoms, as they may indicate that your eyes are not adequately lubricated or that there is some underlying issue that needs to be addressed.

In terms of safety, while you may not experience immediate harm from not wearing your glasses for a short duration, prolonged periods without appropriate vision correction can lead to increased eye strain and discomfort. If you find that wearing glasses leads to visual fatigue, it may be worth discussing with your eye care professional. They can assess whether your prescription is accurate or if there are other underlying issues contributing to your discomfort.

To mitigate potential eye strain while working, consider the following recommendations:
1. Wear Your Glasses: If possible, wear your glasses even during light tasks. This will help reduce strain and improve your overall comfort.

2. Take Breaks: If you are standing for long periods, take short breaks to rest your eyes. Look away from any visual tasks and focus on distant objects to help relax your eye muscles.

3. Stay Hydrated: Ensure you are drinking enough water, as hydration can help alleviate symptoms of dry eyes.

4. Use Artificial Tears: If you have dry eyes, using lubricating eye drops can help keep your eyes moist and reduce discomfort.

5. Consult Your Eye Care Professional: Regular check-ups are essential, especially given your diabetes and existing eye conditions. Discuss any new symptoms or changes in your vision with your doctor.

In conclusion, while it may not be immediately harmful to go without glasses for a short period, it is advisable to wear them to prevent discomfort and potential strain on your eyes. Your symptoms warrant attention, and maintaining regular communication with your eye care provider is crucial for managing your eye health effectively.

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