How to Alleviate Eye Strain from Astigmatism and Refraction Issues - Ophthalmology

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Eye strain?


Doctor, you mentioned last time that my astigmatism was measured at 25 degrees.
I've also noticed that the effect of light refraction through windows makes my tearing more pronounced.
Sometimes, when I blink, both eyes seem to experience this simultaneously (the combination of astigmatism and window refraction effect).
What can be done to improve this, doctor?

Lin, 10~19 year old female. Ask Date: 2023/11/23

Dr. Gao Pilin reply Ophthalmology


Hello: To reduce the effects of window refraction, you can sometimes avoid direct exposure to bright light from windows or adjust your seating position to place your eyes in a more gentle light.
As for astigmatism, since it is only 25 degrees, it should not cause significant eye discomfort or tearing.
There may be other issues that need to be examined to determine the cause.
It is recommended that you visit an ophthalmologist for a check-up.

Reply Date: 2023/11/23

More Info


To alleviate eye strain caused by astigmatism and refraction issues, it’s essential to understand the underlying factors contributing to your discomfort. Astigmatism occurs when the cornea or lens of the eye is irregularly shaped, leading to blurred or distorted vision. This can cause significant eye strain, especially during activities that require prolonged focus, such as reading or using a computer.


Understanding Your Symptoms
Your mention of increased tearing and simultaneous blinking could be linked to the discomfort caused by astigmatism. When the eyes are straining to focus, they may produce more tears in an attempt to alleviate dryness or irritation. This is a common response when the visual system is under stress. Additionally, the phenomenon of seeing double or experiencing distortion can further exacerbate eye strain, leading to fatigue and discomfort.


Recommendations for Improvement
1. Corrective Lenses: The first step in managing astigmatism is to ensure you have the correct prescription glasses or contact lenses. Regular visits to an optometrist or ophthalmologist are crucial to monitor your vision and update your prescription as needed. Toric lenses are specifically designed for astigmatism and can significantly improve visual clarity.

2. Visual Ergonomics: When working on a computer or reading, ensure that your workspace is ergonomically set up. The screen should be at eye level, and you should maintain a comfortable distance (typically about an arm's length). Use proper lighting to reduce glare, which can worsen visual discomfort.

3. The 20-20-20 Rule: To combat eye strain, follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps relax the eye muscles and reduces fatigue.

4. Blinking Exercises: Since you mentioned increased tearing and blinking, it may be beneficial to consciously practice blinking more often, especially when focusing on screens. This can help keep your eyes moist and reduce dryness.

5. Artificial Tears: If you experience dryness, consider using preservative-free artificial tears. These can provide relief from dryness and irritation, especially during long periods of screen time.

6. Adjust Screen Settings: If you notice that your eyes strain more when looking at screens, try adjusting the brightness and contrast settings. Reducing blue light exposure by using blue light filters or glasses can also help minimize eye strain.

7. Regular Eye Exams: Regular check-ups with your eye care professional are essential. They can assess your eye health and determine if any additional treatments, such as vision therapy or specialized lenses, are necessary.

8. Consider Vision Therapy: If your symptoms persist, you might benefit from vision therapy, which involves a series of exercises designed to improve visual skills and alleviate strain.


When to Seek Further Help
If you continue to experience significant discomfort despite these measures, it may be worth consulting with a specialist. An ophthalmologist can conduct a comprehensive evaluation to rule out other underlying conditions that may be contributing to your symptoms, such as dry eye syndrome or other refractive errors.

In summary, managing eye strain from astigmatism involves a combination of corrective lenses, ergonomic adjustments, regular breaks, and possibly the use of artificial tears. By implementing these strategies, you should be able to alleviate your symptoms and improve your overall visual comfort. If issues persist, do not hesitate to seek further evaluation from your eye care provider.

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