Eye Fatigue: Common Issues and Solutions for Vision Problems - Ophthalmology

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Eye fatigue, eye problems?


Hello, doctor.
I have myopia of -2.75 diopters and astigmatism of -0.75 in my left eye, and myopia of -3.25 diopters and astigmatism of -0.25 in my right eye.
Below are the issues I experience when I don't wear my glasses (previously, an ophthalmologist said it was eye fatigue after only a few seconds of examination, so I would like to seek your opinion):
1.
Is it normal to see a slight white haze around the edges of my vision when looking at my phone?
2.
Why do the letters on my phone appear smaller, but return to their original size after I blink?
3.
Can astigmatism cause double vision when looking at my phone?
4.
Can eye fatigue from looking at my phone cause double vision? (I do not experience double vision when looking at distant objects.)
5.
What is the best way to rest my eyes when they are fatigued?
6.
When looking at things in my room, my vision sometimes becomes darker, but blinking resolves it.
Is this considered visual fatigue?
7.
Is it normal to have a color difference between my two eyes? My left eye has a warm tone while my right eye has a cool tone, but the difference is not significant.

Long, 10~19 year old female. Ask Date: 2023/07/30

Dr. Liang Ce reply Ophthalmology


Recommendation: Please consult an ophthalmology medical facility for medical advice.
Thank you, and wishing you good health.

Reply Date: 2023/07/30

More Info


Hello! Thank you for your detailed questions regarding eye fatigue and related vision issues. It’s important to address these concerns as they can significantly affect your daily life. Let’s break down your questions one by one and provide some insights based on medical knowledge.

1. Seeing a White Haze Around the Phone: Experiencing a slight white haze around your phone screen can be attributed to several factors, including eye strain, dry eyes, or even the screen's brightness and glare. When you focus on a screen for prolonged periods, your eyes may not blink as frequently, leading to dryness and a hazy appearance. This is not uncommon, especially in individuals with refractive errors like myopia and astigmatism.

2. Text Appearing Smaller After Blinking: The phenomenon where text appears smaller after focusing on it for a while and then blinking is likely due to temporary changes in your eye's shape and focus. When you stare at something for too long, your eye muscles can become fatigued, and blinking helps reset your focus. This is a normal response, but if it happens frequently, it may indicate that your eyes are straining.

3. Astigmatism and Double Vision: Astigmatism can indeed contribute to double vision, especially when looking at screens or reading. This occurs because the irregular shape of the cornea causes light to focus on multiple points rather than a single point on the retina, leading to blurred or distorted vision. If you notice double vision specifically when using your phone, it might be worth discussing with your eye care professional.

4. Eye Fatigue and Double Vision: Eye fatigue can also lead to temporary double vision. When your eye muscles are overworked, they may struggle to coordinate properly, resulting in misalignment and double vision. This is often more pronounced when focusing on near objects, such as a phone screen, compared to distant objects.

5. Resting Your Eyes: To alleviate eye fatigue, consider the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This helps relax the eye muscles. Additionally, ensure you are in a well-lit environment to reduce glare and strain. Regularly blinking and using artificial tears can also help keep your eyes moist.

6. Eyes Turning Darker: If you notice your vision becoming darker when looking at something for an extended period, this could be a sign of visual fatigue or temporary changes in your retinal response. It’s not uncommon for eyes to feel fatigued after prolonged focus, and blinking can help refresh your vision. However, if this happens frequently, it’s advisable to consult an eye care professional.

7. Color Perception Differences: Having slight color differences between your eyes is not unusual. This can be due to variations in the lens or cornea of each eye, which may affect how colors are perceived. However, if the difference is significant or accompanied by other symptoms, it would be wise to have it evaluated by an eye specialist.

In summary, many of the symptoms you are experiencing can be attributed to eye fatigue, which is common in individuals who spend a lot of time on screens. It’s crucial to take regular breaks, ensure proper lighting, and maintain good eye hygiene. If your symptoms persist or worsen, it’s advisable to seek a comprehensive eye examination to rule out any underlying conditions and to discuss the possibility of corrective lenses tailored to your specific needs.

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