Blurred vision
Hello Doctor, I have been experiencing discomfort in my eyes lately, especially in my right eye, which feels a bit dry and has a sensation of pressure around the eye socket.
Blinking also causes some discomfort, but there are no noticeable blood vessels.
Additionally, I have significant anisometropia; my left eye is -7.00 diopters for myopia and +1.00 diopters for astigmatism, while my right eye is -0.50 diopters for myopia and +7.50 diopters for astigmatism (wearing glasses doesn't help much).
Sometimes I find myself needing to refocus when reading, and this issue seems to have worsened recently.
I'm unsure if this qualifies as visual disturbances, but I feel that regardless of whether I'm wearing glasses, it takes more effort to see clearly, and I often need to refocus.
I'm not sure what the cause might be.
Thank you, Doctor!
Student Y, 20~29 year old female. Ask Date: 2023/02/16
Dr. Gao Pilin reply Ophthalmology
Hello: The symptoms you described may be caused by eye strain.
Common causes of eye strain include prolonged screen time, reading, and activities like driving that require the eyes to maintain the same position for extended periods.
I recommend the following measures: 1.
Rest your eyes: Take a break every 60-90 minutes to relax your eyes; you can look at distant objects or close your eyes for 5-10 minutes.
2.
Stay hydrated: Drink plenty of water and eat fruits and vegetables to maintain your body's hydration balance and reduce dryness in your eyes.
3.
Reading distance: Avoid sitting too close to the screen or book; maintain a distance of about 30 centimeters to reduce eye strain.
4.
Wear appropriate glasses: If there is a significant difference in your prescription, it is advisable to wear glasses or contact lenses with the correct prescription to minimize eye fatigue and blurriness.
If these measures do not help or if your symptoms worsen, it is recommended to see an ophthalmologist for a detailed examination to determine if there are any other eye issues.
Reply Date: 2023/02/16
More Info
Blurry vision and discomfort in the eyes can stem from a variety of causes, and it’s essential to understand these factors to find appropriate solutions. Based on your description, it seems you are experiencing symptoms that could be attributed to several underlying issues, including refractive errors, dry eye syndrome, and possibly even the effects of significant differences in prescription between your eyes.
Firstly, the significant disparity in your refractive error between your left and right eyes (with left eye being -7.00 diopters and right eye being -0.50 diopters) can lead to visual discomfort and difficulty focusing. This condition is known as anisometropia, where the two eyes have different refractive powers. When there is a large difference in prescription, the brain may struggle to merge the images from both eyes, leading to symptoms such as double vision, blurred vision, or the sensation of needing to refocus frequently. This can be particularly pronounced when you are trying to read or focus on close-up tasks.
Moreover, the symptoms of dryness and discomfort in your right eye could indicate dry eye syndrome. This condition occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. Symptoms of dry eyes include a gritty sensation, burning, and a feeling of heaviness or pressure in the eye. Environmental factors, prolonged screen time, and even certain medications can exacerbate dry eye symptoms. It’s important to maintain proper hydration and consider using artificial tears or lubricating eye drops to alleviate these symptoms.
Additionally, the sensation of needing to frequently refocus could be related to eye strain, especially if you are spending long hours reading or using digital devices. Eye strain, or asthenopia, can cause discomfort, fatigue, and blurry vision. To mitigate this, you can follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps reduce the fatigue on your eye muscles.
Given your symptoms, it would be prudent to schedule a comprehensive eye examination with an eye care professional. They can assess your visual acuity, check for any underlying conditions such as cataracts or glaucoma, and evaluate your tear production to determine if dry eye syndrome is a contributing factor. If necessary, they may also refer you to a specialist for further evaluation, especially considering the significant difference in your prescriptions.
In the meantime, here are some practical steps you can take to alleviate your symptoms:
1. Use Artificial Tears: Over-the-counter lubricating eye drops can help relieve dryness and discomfort. Look for preservative-free options for more frequent use.
2. Adjust Your Environment: Ensure that your workspace is well-lit and consider using an anti-glare screen on your computer to reduce strain.
3. Take Regular Breaks: Implement the 20-20-20 rule to give your eyes a rest and reduce fatigue.
4. Stay Hydrated: Drink plenty of water throughout the day to help maintain tear production.
5. Consider Prescription Glasses: If you are not already wearing glasses, or if your current prescription is not providing adequate correction, discuss with your eye care provider about getting a proper prescription that accommodates the significant difference in your vision.
6. Limit Screen Time: If possible, reduce the amount of time spent on screens, especially if you notice that your symptoms worsen after prolonged use.
In conclusion, while your symptoms may be concerning, they are often manageable with the right approach and care. It’s crucial to consult with an eye care professional who can provide a tailored treatment plan based on a thorough examination of your eyes. Taking proactive steps to care for your eye health can significantly improve your comfort and visual clarity.
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