Glaucoma: Symptoms, Risks, and Eye Health for Young Adults - Ophthalmology

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Glaucoma issues?


Hello Doctor, I am a 20-year-old male university student, and I spend a significant amount of time using my smartphone, tablet, and computer—over ten hours a day.
Recently, I have been experiencing frequent swelling and soreness in my eyes, which seem to improve after a nap.
In addition to my extensive use of electronic devices, I often use my phone or computer in low-light conditions, which has led me to worry about high intraocular pressure or even glaucoma.
Therefore, I visited a clinic for a check-up.
During the examination, I did not experience any discomfort, and my intraocular pressure was found to be normal.
However, while researching online, I discovered that there have been cases of normal intraocular pressure in individuals who still have glaucoma.
Given my heavy use of electronic devices, I am quite concerned about the possibility of developing glaucoma.
I wear daily disposable contact lenses, and the doctor mentioned that my prescription is slightly higher than my actual vision, which could contribute to eye fatigue.
However, he also stated that he could not definitively determine whether I have glaucoma and suggested that I should wait until I experience discomfort again to measure my pressure for a proper assessment.
His uncertainty has only heightened my concerns.
Could you please advise whether my symptoms indicate excessive eye strain, or should I be worried about high intraocular pressure and consider more detailed eye examinations to confirm the possibility of glaucoma? Thank you for your clarification, Doctor.
I am genuinely worried.
Note: I do not have a family history of glaucoma, but there is a history of hypertension, high blood sugar, and diabetes; however, I have not been diagnosed with any of these conditions myself.

Wang Xiaoming, 20~29 year old female. Ask Date: 2023/01/03

Dr. Gao Pilin reply Ophthalmology


Hello: Wearing contact lenses with a prescription that is higher than the actual prescription can cause feelings of fatigue and pressure in the eyes.
This does not necessarily indicate high intraocular pressure.
It is advisable to replace the contact lenses with the correct prescription and observe any changes.
If prolonged near-vision tasks are required, using glasses with a lower prescription may help reduce these symptoms.

Reply Date: 2023/01/03

More Info


Understanding glaucoma and its implications for young adults, especially those who spend significant time using digital devices, is crucial for maintaining eye health. As a 20-year-old male university student who uses smartphones, tablets, and computers for over ten hours a day, your concerns about eye strain and potential glaucoma are valid.
Firstly, it’s important to clarify what glaucoma is. Glaucoma is a group of eye conditions that damage the optic nerve, often due to high intraocular pressure (IOP). It can lead to vision loss if not detected and treated early. While it is more common in older adults, young people can also develop glaucoma, particularly if they have risk factors such as a family history of the disease, certain medical conditions, or high eye pressure.

Your symptoms of eye discomfort, swelling, and pain after prolonged screen time are indicative of digital eye strain, also known as computer vision syndrome. This condition is characterized by symptoms such as dry eyes, blurred vision, headaches, and neck or shoulder pain, primarily caused by extended periods of focusing on screens without adequate breaks. The fact that your eye pressure was measured as normal during your recent check-up is reassuring, as elevated eye pressure is a significant risk factor for glaucoma. However, it’s essential to recognize that normal eye pressure does not entirely rule out the possibility of glaucoma, especially if there are other risk factors present.

Regarding your use of contact lenses, wearing lenses that are not the correct prescription can indeed lead to increased eye fatigue and discomfort. It’s advisable to ensure that your contact lenses are properly fitted and that you are using the correct prescription. If you experience discomfort, consider switching to glasses for extended screen time or ensuring that your lenses are appropriate for your vision needs.

Given your family history of hypertension, diabetes, and high blood sugar, it’s wise to remain vigilant about your eye health. These conditions can increase the risk of developing eye diseases, including glaucoma. Regular eye exams are crucial, as they can help detect any changes in your eye health early on. If you notice persistent symptoms or changes in your vision, it’s essential to follow up with your eye care provider.

To manage your eye health effectively, consider the following recommendations:
1. Take Regular Breaks: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This helps reduce eye strain.

2. Optimize Lighting: Ensure that your workspace is well-lit to minimize glare on screens. Avoid using devices in dim lighting, as this can exacerbate eye strain.

3. Adjust Screen Settings: Increase text size and contrast on your devices to make reading easier. Consider using blue light filters to reduce eye fatigue.

4. Stay Hydrated: Drink plenty of water to keep your eyes moist and reduce dryness.

5. Regular Eye Exams: Schedule regular check-ups with your eye care professional to monitor your eye health, especially given your concerns and family history.

6. Manage Overall Health: Maintain a healthy lifestyle, including a balanced diet, regular exercise, and managing any chronic conditions like hypertension or diabetes.

In conclusion, while your symptoms may be more related to eye strain than glaucoma, it’s essential to remain proactive about your eye health. Regular check-ups and being mindful of your screen time can help mitigate risks and ensure that any potential issues are addressed promptly. If your symptoms persist or worsen, don’t hesitate to seek further evaluation from your eye care provider.

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