Eye strain?
I apologize, doctor, but I would like to ask about a recent issue.
When I blink and look at brighter objects, I experience a sensation similar to the refraction of a window, accompanied by astigmatism.
This sensation varies with the frequency of blinking or the shape of the objects.
I had a fundus examination last month, and everything was normal.
How can I improve this condition?
Lin, 10~19 year old female. Ask Date: 2023/11/18
Dr. Gao Pilin reply Ophthalmology
Hello: The symptoms you described may involve astigmatism or other visual issues.
Astigmatism is a visual problem that occurs when the shape of the cornea is irregular or when there are issues with the lens of the eye, causing light to not focus properly on the retina, resulting in symptoms such as blurred vision, double vision, or halos.
You mentioned that recently, when you blink, bright objects appear to have a window refraction effect, which may suggest symptoms of astigmatism.
Astigmatism may not show abnormalities during a fundus examination.
Reply Date: 2023/11/18
More Info
Alleviating eye strain and distorted vision symptoms can be a multifaceted approach, especially when dealing with issues like refractive errors, eye fatigue, and potential underlying conditions. Based on your description, it seems you are experiencing visual distortions, particularly when looking at bright objects, which may be exacerbated by your existing refractive errors (like astigmatism) and possibly other factors such as eye strain or fatigue.
Understanding Your Symptoms
1. Visual Distortions: The sensation of seeing distortions, such as the "window refraction" effect you described, can often be linked to astigmatism, where the cornea or lens is irregularly shaped, causing light to focus unevenly on the retina. This can lead to blurred or distorted vision, particularly in bright light conditions.
2. Eye Strain: Eye strain, or asthenopia, can occur from prolonged use of digital devices, reading, or any activity that requires intense focus. Symptoms can include discomfort, fatigue, and visual disturbances. Given your history of eye strain, it’s crucial to consider how often you engage in these activities and for how long.
3. Underlying Conditions: While your recent eye exam showed no significant issues, it’s important to keep in mind that conditions like dry eye syndrome, which can cause discomfort and visual disturbances, may not always be evident during a standard eye exam.
Recommendations for Alleviating Symptoms
1. Regular Eye Exams: Continue to have regular check-ups with your eye care professional. If your symptoms persist or worsen, consider asking for a more comprehensive evaluation, including tests for dry eye or other conditions that might not have been assessed previously.
2. Update Prescription: If you have refractive errors like astigmatism, ensure that your glasses or contact lenses are up to date. An incorrect prescription can lead to visual distortions and increased eye strain.
3. Practice the 20-20-20 Rule: To alleviate eye strain, especially when using screens, follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps to relax the eye muscles.
4. Proper Lighting: Ensure that your workspace is well-lit to reduce glare and strain on your eyes. Avoid working in dim light or in direct sunlight, which can exacerbate visual distortions.
5. Blink More Often: When focusing on screens or reading, people tend to blink less, which can lead to dry eyes and discomfort. Make a conscious effort to blink more often to keep your eyes moist.
6. Use Artificial Tears: If you suspect dry eyes, consider using preservative-free artificial tears to keep your eyes lubricated. This can help alleviate discomfort and improve visual clarity.
7. Limit Screen Time: If possible, reduce the amount of time spent on screens or take frequent breaks to give your eyes a rest.
8. Eye Exercises: Engage in simple eye exercises to help reduce strain. For example, try focusing on a near object for a few seconds, then switch to a distant object, repeating this several times.
9. Consult an Eye Specialist: If your symptoms persist despite these measures, it may be beneficial to consult with a specialist who can provide tailored advice or explore other treatment options, such as vision therapy or specialized lenses.
Conclusion
In summary, addressing eye strain and distorted vision symptoms involves a combination of proper eye care, regular check-ups, and lifestyle adjustments. By being proactive about your eye health and implementing these strategies, you can significantly alleviate your symptoms and improve your overall visual comfort. If your symptoms continue to affect your daily life, do not hesitate to seek further evaluation from an eye care professional.
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