Dry Eye Syndrome and Its Impact on Eye Fatigue - Ophthalmology

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Dry eye syndrome and eye fatigue?


Hello, Doctor.
I have high myopia of -9.00.
Recently, during an eye examination, it was found that my optic nerve head increased from 0.3 to 0.5.
However, after undergoing glaucoma-related tests, the doctor mentioned that there are currently no typical symptoms of glaucoma.
I also have moderate dry eye syndrome and would like to ask if the eye fatigue caused by dry eyes can affect the optic nerve, as I experience symptoms of eye fatigue for most of the day.

Additionally, I would like to know if the dry eye syndrome and eye fatigue require a period of time or several months to improve, as I have been using artificial tears and Neosporin for three months now, which only provides temporary relief.
I still experience the same symptoms upon waking up the next day.
Would the use of a dilating agent help alleviate eye fatigue? Previously, after using a dilating agent during a fundus examination, I noticed a significant but temporary improvement in fatigue symptoms.
Thank you, Doctor.

Chen, 20~29 year old female. Ask Date: 2023/04/07

Dr. Gao Pilin reply Ophthalmology


Hello: Regarding your question, here are the following suggestions:
1.
Dry eye syndrome can lead to eye fatigue, which may affect the optic nerve to some extent.
Prolonged eye fatigue can result in symptoms such as blurred vision and eye strain, thereby impacting the health of the optic nerve.
Therefore, it is recommended that you take measures to alleviate eye fatigue, such as taking appropriate breaks for your eyes and reducing screen time, to minimize the impact of eye fatigue on the optic nerve.
2.
Artificial tears and phenylephrine can help relieve symptoms of dry eye and fatigue, but improvement may take time and could require several months.
Additionally, it is advisable to follow your physician's recommendations when using artificial tears and phenylephrine, and to use them consistently to maintain their effectiveness.
3.
Mydriatics can help alleviate eye fatigue, but they may also cause side effects such as dry eyes, so caution is advised when using them.
Furthermore, mydriatics are only a temporary solution for eye fatigue; it is recommended that you adopt long-term measures to improve eye health, such as adjusting lifestyle habits and undergoing regular eye examinations.
Finally, given your high myopia, it is advisable to have regular eye check-ups to ensure the health of your eyes.
If you have any questions or if your symptoms worsen, it is recommended that you seek medical attention promptly for examination and treatment.

Reply Date: 2023/04/07

More Info


Dry Eye Syndrome (DES) is a common condition that can significantly impact eye comfort and visual performance. It occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. This can lead to symptoms such as dryness, irritation, and fatigue, which can be particularly troublesome for individuals who spend long hours in front of screens or have underlying conditions like high myopia, as you mentioned.

In your case, you have reported experiencing significant eye fatigue, which is exacerbated by your dry eye condition. It is important to understand that dry eyes can indeed contribute to eye fatigue, and this fatigue can, in turn, affect the health of the optic nerve. Prolonged eye strain can lead to discomfort and may cause temporary blurring of vision, which can be misinterpreted as a more serious issue. However, the relationship between dry eyes and optic nerve health is complex. While dry eyes primarily affect the surface of the eye, chronic irritation and inflammation can potentially influence the overall health of the visual system, including the optic nerve.

Regarding your use of artificial tears and medications like Sinomin, it is essential to recognize that while these treatments can provide temporary relief, they may not address the underlying causes of your dry eye syndrome. Consistent use of artificial tears is often necessary, and it may take several weeks to months before you notice significant improvement in your symptoms. It is also crucial to follow your ophthalmologist's recommendations regarding the frequency and type of artificial tears you should use.

As for the use of dilating drops (such as the ones you mentioned), these can indeed provide temporary relief from eye fatigue by relaxing the ciliary muscles, which may help reduce strain. However, the effects are temporary, and the underlying issues related to dry eyes will still need to be managed. It is also worth noting that dilating drops can cause temporary blurred vision, especially for near tasks, so their use should be carefully considered based on your daily activities.

In terms of managing your dry eye syndrome and associated fatigue, here are some strategies that may help:
1. Environmental Modifications: Ensure that your workspace is well-lit and that you take regular breaks from screen time. The 20-20-20 rule is a helpful guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain.

2. Hydration: Staying hydrated is essential for maintaining tear production. Make sure you are drinking enough water throughout the day.

3. Humidifiers: Using a humidifier in your home or office can help maintain moisture in the air, which may alleviate dry eye symptoms.

4. Dietary Considerations: Incorporating omega-3 fatty acids into your diet can help improve tear quality. Foods like fish, flaxseeds, and walnuts are good sources.

5. Regular Eye Exams: Continue to have regular check-ups with your ophthalmologist to monitor your eye health and adjust your treatment plan as necessary.

6. Consider Specialized Contact Lenses: If you wear contact lenses, you might want to explore scleral lenses, which can provide a moisture reservoir for the eyes.

7. Consultation with Specialists: If your symptoms persist despite treatment, consider consulting with a specialist in dry eye disease or a cornea specialist who can provide more targeted therapies.

In conclusion, while dry eye syndrome can contribute to eye fatigue and potentially impact optic nerve health, it is essential to adopt a comprehensive approach to management. This includes consistent use of artificial tears, environmental adjustments, and regular follow-ups with your eye care provider. If you have any concerns or if your symptoms worsen, do not hesitate to seek further medical advice.

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