Dry eyes
Doctor, I have a question.
Recently, I've been experiencing double vision and glare at night, with halos around objects.
However, I had a fundus examination last month, and everything was fine.
What can I do to improve this condition?
Lin, 10~19 year old female. Ask Date: 2023/11/08
Dr. Gao Pilin reply Ophthalmology
Hello: It is possible that dry eyes and insufficient tear production are causing refractive issues.
Other conditions such as astigmatism, corneal edema, and ocular discharge can also lead to similar symptoms.
It is recommended that you visit an ophthalmologist for further examination.
Reply Date: 2023/11/08
More Info
To alleviate dry eyes and visual disturbances at night, it's essential to understand the underlying causes and implement effective strategies. Your symptoms of double vision, glare, and halos around objects, especially at night, can be distressing, but there are several approaches you can take to improve your situation.
Understanding Your Symptoms
1. Dry Eyes: This condition can lead to discomfort and visual disturbances. It occurs when your eyes do not produce enough tears or when the tears evaporate too quickly. Symptoms include a gritty sensation, redness, and blurred vision.
2. Visual Disturbances: The symptoms you describe, such as double vision and halos, can be exacerbated by dry eyes, refractive errors (like myopia or astigmatism), or even conditions like cataracts. These disturbances are often more pronounced in low-light conditions due to pupil dilation, which can make imperfections in the eye's optics more noticeable.
Steps to Alleviate Symptoms
1. Artificial Tears: While you mentioned that artificial tears did not seem to help much, it’s important to use preservative-free options, especially if you are using them frequently. These can help lubricate the eyes and reduce dryness.
2. Environmental Adjustments:
- Humidity: Use a humidifier in your home, especially in your bedroom, to maintain moisture in the air.
- Screen Time: Reduce screen time before bed, and ensure you take regular breaks using the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds).
- Lighting: Use softer lighting in the evening to reduce glare and strain on your eyes.
3. Proper Eye Care:
- Blinking: Make a conscious effort to blink more often, especially when using screens, as this helps to spread tears evenly over the surface of your eyes.
- Warm Compresses: Applying a warm compress can help stimulate tear production and relieve dryness.
4. Diet and Hydration: Ensure you are well-hydrated and consider incorporating omega-3 fatty acids into your diet, as they can help improve tear quality. Foods rich in omega-3s include fish, flaxseeds, and walnuts.
5. Regular Eye Exams: Since you have already had an eye exam recently, it’s crucial to continue monitoring your eye health. If your symptoms persist or worsen, follow up with your eye care professional. They may recommend further tests, such as a tear break-up time test or an evaluation for conditions like dry eye syndrome or cataracts.
6. Consider Contact Lenses: If you wear contact lenses, consider switching to a different type or using daily disposables, which can be more comfortable for dry eyes.
7. Medications: If your symptoms are severe, your eye doctor may prescribe medications to help with dryness or inflammation, such as anti-inflammatory eye drops.
When to Seek Further Help
If your visual disturbances continue despite these measures, or if you experience new symptoms such as sudden vision changes, flashes of light, or significant discomfort, it is essential to seek immediate medical attention. These could be signs of more serious conditions that require prompt evaluation.
In summary, managing dry eyes and visual disturbances at night involves a combination of lifestyle adjustments, proper eye care, and regular monitoring. By taking proactive steps, you can significantly improve your comfort and visual clarity.
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