Blurry Vision in One Eye: Causes and Solutions - Ophthalmology

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Blurred vision in one eye?


Hello, doctor.
I have high myopia (my left eye has better unaided vision than my right eye).
Originally, my right eye prescription was insufficient.
After getting new glasses, my right eye is clearer than my left eye.
However, during a patch test recently (while wearing the new glasses), I noticed that when I look at things with my left eye alone, there is a slight double vision effect, and it feels a bit blurry (although it’s fine when looking very close).
However, when I switch back to my old glasses, it feels okay.
What could be the reason for this? Am I overthinking it?

Afu, 20~29 year old female. Ask Date: 2023/02/22

Dr. Gao Pilin reply Ophthalmology


Hello: Based on the situation you described, this may be due to the prescription of your new glasses or other issues.
Additionally, the prescription of the new glasses may not fully match your vision needs, or there could be manufacturing issues with the lenses, such as wear or unevenness, which could lead to double vision or blurriness when you look at things.
It is advisable to visit an ophthalmologist to have your eyes examined and to check if the prescription of your new glasses is appropriate, as well as to determine if there are any issues with the lenses.
If it is confirmed that there is a problem with the glasses, it is recommended that you replace or adjust the prescription.

Reply Date: 2023/02/22

More Info


Blurry vision in one eye can be concerning, especially for someone with a history of high myopia. Based on your description, it seems that you are experiencing some visual disturbances, particularly in your left eye, which may include double vision (diplopia) and blurriness. There are several potential causes for these symptoms, and understanding them can help you manage your condition effectively.


Possible Causes
1. Refractive Error: Since you have high myopia, it is possible that your new glasses prescription may not be perfectly suited for your left eye. Even slight discrepancies in the prescription can lead to visual disturbances, especially if the left eye is more sensitive to changes in focus. If your right eye is clearer with the new glasses, it could be that the left eye is not compensating well, leading to a sense of double vision or blurriness.

2. Astigmatism: If you have astigmatism, which is common in myopic individuals, it can cause distortion in vision. This might be more pronounced when wearing new glasses if the astigmatism correction is not adequate or if the lenses are not aligned properly.

3. Binocular Vision Issues: Sometimes, the brain struggles to fuse images from both eyes, especially if there is a significant difference in clarity or focus between them. This can lead to symptoms like double vision or a feeling of heaviness in one eye.

4. Lens Quality: The quality of the lenses in your new glasses can also affect your vision. If the lenses are of lower quality or not properly coated, they might introduce distortions that could lead to blurriness or double vision.

5. Eye Fatigue: Prolonged use of digital devices or reading can lead to eye strain, which can exacerbate symptoms of blurry vision. This is particularly relevant if you have been using your eyes intensively.

6. Underlying Eye Conditions: Conditions such as cataracts, retinal issues, or even corneal irregularities can cause sudden changes in vision. While these are less likely given your recent eye exams, they should not be ruled out entirely.


Solutions and Recommendations
1. Re-evaluate Your Prescription: It would be wise to return to your optometrist or ophthalmologist to have your prescription re-evaluated. They can check if the new lenses are correctly aligned and if the prescription is appropriate for both eyes.

2. Consider a Different Lens Type: If you are experiencing issues with your current lenses, you might want to discuss different lens types or coatings that could reduce glare and improve clarity.

3. Take Breaks: If you are spending long hours on screens or reading, ensure you take regular breaks to reduce eye strain. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.

4. Monitor Symptoms: Keep track of when the symptoms occur and if they worsen over time. If you notice any significant changes, such as an increase in double vision or blurriness, seek medical attention promptly.

5. Stay Calm: Anxiety about your vision can exacerbate the perception of visual disturbances. Try to remain calm and rational about your symptoms, and remember that many visual issues can be resolved with the right care.

6. Follow Up: If your symptoms persist despite changes in glasses or taking breaks, consider scheduling a follow-up appointment with an eye care professional to rule out any underlying conditions.

In conclusion, while experiencing blurry vision and double vision can be alarming, there are several potential explanations and solutions. By working closely with your eye care provider and monitoring your symptoms, you can find the best approach to manage your vision effectively.

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