Blurry Vision: Causes and When to Seek Eye Care - Ophthalmology

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Misty vision?


Two weeks ago, I had a fundus examination and was told that my floaters are currently not a problem, and I should return for a check-up in six months.
However, in the past few days, I'm not sure if my vision issues are due to insufficient prescription in one eye, scratches from prolonged wear, or the indoor lighting.
Sometimes, I feel a slight haze when looking indoors, but other times, it disappears when I'm outside.
I would like to ask the doctor if I should go for another visit.
I'm worried that this might be a symptom of glaucoma or cataracts.
Currently, my eyes have difficulty adjusting focus for both near and far vision, and I often experience focus instability even when relaxed.
That's why I haven't changed my glasses yet.
I've also been using eye drops for eye fatigue, but I still don't feel any improvement.
I get plenty of sleep, but I often wake up with the same focus issues, although it's not as strenuous as it is at night.
Could this also be related to presbyopia or strabismus?

Jiao Lv Da Xue Sheng, 20~29 year old female. Ask Date: 2023/09/04

Dr. Gao Pilin reply Ophthalmology


Hello: You mentioned that your eyes sometimes feel slightly foggy, especially under indoor lighting.
This could be due to surface issues of the eye, such as dry eye syndrome, or it may be related to insufficient prescription strength, scratches on your glasses, or other factors.
I recommend that you see an ophthalmologist as soon as possible for an eye examination, so the doctor can assess your eye condition and determine if you need a new glasses prescription or other treatment.
Regarding the inability to focus and whether there is strabismus, this also requires a doctor's examination to ascertain.

Reply Date: 2023/09/04

More Info


Blurry vision can be a concerning symptom, and it's important to understand the potential causes and when to seek further eye care. Based on your description, it seems you have been experiencing some visual disturbances, including a feeling of fogginess indoors, difficulty focusing, and a sense of fluctuating vision. These symptoms can arise from various factors, and I will outline some possible causes and recommendations for your situation.


Possible Causes of Blurry Vision
1. Refractive Errors: If your glasses prescription is not adequate, it can lead to blurry vision. This is especially true if one eye has a different prescription than the other, which can cause difficulty in focusing. If you have not updated your prescription recently, it may be worthwhile to have your eyes re-evaluated.

2. Eye Strain: Prolonged use of digital devices can lead to digital eye strain, which may cause symptoms such as blurred vision, dryness, and discomfort. If you spend long hours in front of screens without taking breaks, this could contribute to your symptoms.

3. Cataracts: While you mentioned concerns about cataracts, they typically present with gradual blurriness, glare, and difficulty seeing at night. If you are experiencing these symptoms, especially if they are worsening, it would be prudent to consult an eye care professional.

4. Glaucoma: This condition often does not present symptoms until significant damage has occurred. However, if you have a family history of glaucoma or other risk factors, regular eye exams are crucial for early detection.

5. Aging: As we age, our eyes undergo changes that can affect vision. Presbyopia, or age-related difficulty in focusing on close objects, is common and could explain some of your focusing issues. This condition typically begins in the early to mid-40s.

6. Lighting Conditions: You mentioned that your vision seems clearer outdoors compared to indoors. Poor lighting can significantly affect how well you see. If your indoor lighting is inadequate, it may contribute to the feeling of haziness.


Recommendations
1. Schedule an Eye Exam: Given your symptoms, it would be wise to schedule an appointment with an eye care professional. They can perform a comprehensive eye exam to assess your vision and check for any underlying conditions such as cataracts or glaucoma.

2. Update Your Prescription: If you haven’t had your glasses prescription checked recently, consider doing so. An updated prescription can significantly improve your visual clarity.

3. Practice the 20-20-20 Rule: To alleviate eye strain, follow the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. This can help reduce fatigue and improve comfort.

4. Monitor Your Symptoms: Keep track of when your symptoms occur and any associated activities. This information can be helpful for your eye care provider in diagnosing the issue.

5. Consider Lighting Adjustments: Ensure that your workspace is well-lit. Using task lighting can help reduce strain and improve visibility.

6. Stay Hydrated and Rested: Ensure you are getting enough sleep and staying hydrated, as both can impact eye health and comfort.


Conclusion
In summary, while your symptoms may be related to a variety of factors, including refractive errors, eye strain, or age-related changes, it is essential to consult with an eye care professional for a thorough evaluation. They can provide a definitive diagnosis and recommend appropriate treatment or corrective measures. Regular eye exams are crucial, especially if you notice changes in your vision, to ensure that any potential issues are addressed promptly.

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