Discomfort in Eyebrow and Forehead: Is It Related to Eye Strain? - Ophthalmology

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Experiencing discomfort in the right eyebrow and forehead when using a smartphone or laptop?


Hello, Doctor.
Previously, I felt discomfort in my brow bone and visited an ophthalmologist.
The doctor only performed a slit lamp examination on my right eye and mentioned it was a bit dry, prescribing artificial tears and antihistamines.
However, after a few days of using the drops, I noticed that my left eye felt dry upon waking up, and there were more blood vessels visible.
I realized that when I looked at my phone or laptop for less than 10 minutes, I experienced tightness and discomfort in my right brow bone and forehead, and sometimes the left side would also feel uncomfortable.
I have high myopia and had a fundus examination in April this year, where the doctor said everything was fine.
Last week, I also had an intraocular pressure test, and the doctor only performed a slit lamp examination, which was normal.
Could these symptoms possibly indicate glaucoma? Would you recommend returning to the ophthalmologist for further examination? What additional tests should I request? Thank you, Doctor.

A, 20~29 year old female. Ask Date: 2022/11/21

Dr. Gao Pilin reply Ophthalmology


Hello: This phenomenon is likely caused by eye strain, not glaucoma.
Switching to a pair of glasses with a lower prescription when using a smartphone or laptop should alleviate the symptoms.
Of course, proper rest is even more important.

Reply Date: 2022/11/21

More Info


Discomfort in the eyebrow and forehead can indeed be related to eye strain, especially in individuals with high myopia or those who spend prolonged periods looking at screens. The symptoms you describe—tightness or discomfort in the eyebrow and forehead area—could be indicative of several underlying issues, including eye strain, tension headaches, or even sinus-related problems.

When you engage in activities that require intense focus, such as using a smartphone or computer, your eye muscles work harder to maintain clarity and focus. This can lead to a condition commonly referred to as "computer vision syndrome" or digital eye strain. Symptoms of this syndrome often include dry eyes, blurred vision, and discomfort in the forehead and brow area, as the muscles around the eyes become fatigued.

In your case, the discomfort you feel in the eyebrow and forehead, particularly after short periods of screen time, suggests that your eyes may be experiencing strain. The fact that you have high myopia can exacerbate this issue, as individuals with significant refractive errors often have to exert more effort to focus on near objects. Additionally, if your eyes are dry, as indicated by your previous visits to the eye doctor, this can further contribute to discomfort and strain.

Regarding your concern about glaucoma, while it is essential to be vigilant about eye health, the symptoms you describe do not specifically point to glaucoma. Glaucoma is often associated with increased intraocular pressure and can lead to peripheral vision loss. However, the discomfort in your forehead and eyebrow area is more likely related to muscle tension or strain rather than elevated eye pressure. Since you have had recent eye examinations that showed normal results, including eye pressure checks, it is less likely that your symptoms are directly related to glaucoma.

That said, if your discomfort persists or worsens, it would be prudent to return to your eye care provider for further evaluation. You might consider asking for a comprehensive eye exam that includes not only a slit lamp examination but also a thorough assessment of your visual acuity and possibly a refraction test to ensure your prescription is up to date. Additionally, discussing your symptoms in detail with your eye doctor can help them understand your situation better and determine if further tests, such as visual field testing or imaging of the optic nerve, are necessary.

In the meantime, there are several strategies you can employ to alleviate your symptoms. The 20-20-20 rule is a helpful guideline: every 20 minutes of screen time, take a 20-second break to look at something 20 feet away. This practice can help reduce eye strain. Additionally, ensuring that you are using proper lighting and maintaining an appropriate distance from your screen can also help minimize discomfort. Using artificial tears can assist in managing dryness, especially if you find that your eyes feel dry after prolonged screen use.

In summary, while your symptoms are likely related to eye strain rather than glaucoma, it is essential to monitor your condition and consult with your eye care provider if discomfort persists. Regular eye examinations and open communication with your doctor about your symptoms can help ensure that any potential issues are addressed promptly.

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