Eye Fatigue: Causes, Symptoms, and When to Seek Help - Ophthalmology

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Eye fatigue


At the beginning of April, I felt my eyes were fatigued and visited two ophthalmologists who diagnosed me with eye strain.
However, I was still concerned and consulted a third doctor who noted that my intraocular pressure was slightly elevated.
After undergoing additional tests, everything else appeared normal.
I was advised to return for a follow-up in six months.
When I went back, I mentioned feeling a heavy sensation in my head and discomfort, fearing it might be related to my eyes.
The doctor reassured me that elevated intraocular pressure in someone in their twenties typically does not cause significant headaches and advised me not to worry.
Despite using the prescribed eye drops, I still notice a considerable amount of redness in my eyes (mostly on the sides, though not very pronounced) and I'm uncertain if this is normal.
The heavy sensation in my head persists, and I am concerned that there might be a serious underlying issue, especially since I have a history of serious illness.

Yang, 20~29 year old female. Ask Date: 2023/04/18

Dr. Chen Anping reply Ophthalmology


Hello, due to the inability to conduct a personal examination, I am unable to provide an online response.
I apologize for any inconvenience this may cause.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2023/04/18

More Info


Eye fatigue, also known as asthenopia, is a common condition that can arise from various factors, particularly in our increasingly digital world. Understanding the causes, symptoms, and when to seek help is crucial for maintaining eye health.


Causes of Eye Fatigue
1. Prolonged Screen Time: One of the most significant contributors to eye fatigue is extended exposure to screens, whether from computers, tablets, or smartphones. This can lead to a condition known as digital eye strain, characterized by discomfort, dryness, and blurred vision.

2. Uncorrected Vision Problems: Conditions such as nearsightedness (myopia), farsightedness (hyperopia), and astigmatism can cause the eyes to work harder than necessary, leading to fatigue. If you have not had a recent eye exam, it is advisable to get your vision checked.

3. Poor Lighting: Working in dim light or with excessive glare can strain your eyes. Proper lighting is essential for reducing eye fatigue.

4. Dry Eyes: Insufficient tear production can lead to dry eyes, which can cause discomfort and fatigue. This is often exacerbated by prolonged screen use, as people tend to blink less frequently when focused on screens.

5. Stress and Anxiety: Psychological factors can also contribute to the sensation of eye fatigue. Stress can lead to muscle tension around the eyes, exacerbating discomfort.

6. Medical Conditions: Certain health issues, such as migraines, sinus problems, or even high blood pressure, can manifest as eye fatigue or discomfort.

Symptoms of Eye Fatigue
Common symptoms of eye fatigue include:
- Tired, dry, or irritated eyes
- Blurred or double vision
- Difficulty focusing
- Headaches
- Sensitivity to light
- Neck and shoulder pain

When to Seek Help
If you experience persistent symptoms of eye fatigue, it is essential to consult an eye care professional. Here are some indicators that you should seek help:
- Symptoms that do not improve with rest or changes in your environment.

- Frequent headaches or migraines associated with eye strain.

- Changes in vision, such as sudden blurriness or difficulty focusing.

- Persistent redness or irritation in the eyes.

- If you have a history of eye conditions or other health issues that could complicate your symptoms.


Managing Eye Fatigue
1. Regular Eye Exams: Ensure you have regular check-ups with an eye care professional to monitor your vision and eye health.

2. Follow the 20-20-20 Rule: To reduce digital eye strain, take a break every 20 minutes to look at something 20 feet away for at least 20 seconds.

3. Adjust Your Workspace: Ensure your screen is at eye level and that you have adequate lighting to reduce glare.

4. Stay Hydrated: Drink plenty of water to help maintain tear production and reduce dryness.

5. Use Artificial Tears: If you experience dry eyes, over-the-counter artificial tears can provide relief.

6. Manage Stress: Engage in relaxation techniques such as deep breathing, meditation, or yoga to alleviate stress that may contribute to eye fatigue.


Conclusion
Eye fatigue is a multifaceted issue that can stem from various causes, including prolonged screen time, uncorrected vision problems, and even psychological factors. While it is often manageable with lifestyle adjustments and proper care, persistent symptoms warrant professional evaluation to rule out underlying conditions. If you are experiencing ongoing discomfort, do not hesitate to reach out to an eye care professional for a comprehensive assessment and tailored advice. Your eye health is vital, and taking proactive steps can help ensure your vision remains clear and comfortable.

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