The eyes appear as if they have been dilated with a mydriatic agent?
Hello, Doctor.
I have hyperopia, with my left eye at +50 diopters and my right eye at +100 diopters.
After using a dilating agent, the measurements were +125 diopters for the left eye and +150 diopters for the right eye.
A few years ago, I started having difficulty focusing on near objects, like my phone or books, and I had to strain to see clearly.
When I visited a clinic, they mentioned that I had weaker accommodation and prescribed a pair of reading glasses.
Last month, my vision suddenly became blurry for both near and far distances, and I felt unusually fatigued, almost as if I had been dilated again.
My entire field of vision was blurry.
I went back to the clinic, and they said it was just eye fatigue and advised me to rest more.
They mentioned that at my age, it shouldn't be presbyopia.
I am 27 years old, but the situation hasn't improved for over a month.
I temporarily got two pairs of glasses, one for near and one for distance, which improved the blurriness somewhat, but everything still feels very tiring, and my eyes feel swollen and sore.
Doctor, could this fatigue be caused by another eye condition? Thank you.
jimmy, 20~29 year old female. Ask Date: 2023/12/12
Dr. Gao Pilin reply Ophthalmology
Hello: Although presbyopia is less common in younger individuals, it can still occur at times.
Presbyopia is a colloquial term, as it typically affects older adults.
It is essentially a condition characterized by insufficient near accommodation of the eyes.
Since you are farsighted, you may be more prone to this phenomenon.
If you have two pairs of glasses—one for near vision and one for distance—but still feel fatigued and experience a sensation of pressure and discomfort in your eyes, it may indicate that your prescription for near vision is still insufficient.
You might consider adjusting it upwards, perhaps trying around +400 diopters.
If your current prescription is only in the +200 range, it may not be adequate.
Reply Date: 2023/12/12
More Info
Hello! Thank you for sharing your concerns about your vision and eye fatigue. Based on your description, it sounds like you're experiencing a combination of blurry vision, fatigue, and discomfort, which can be quite distressing. Let's break down the possible causes and solutions for your symptoms.
Possible Causes of Blurry Vision and Eye Fatigue
1. Refractive Errors: You mentioned having hyperopia (farsightedness) in both eyes, with varying degrees. Even slight changes in your prescription can lead to significant discomfort, especially when focusing on near objects like books or screens. If your current glasses are not adequately correcting your vision, this could contribute to your symptoms.
2. Accommodation Issues: Since you have a history of weak accommodation (the eye's ability to focus on near objects), it’s possible that your eyes are straining more than usual to focus, especially if you are using screens or reading for extended periods. This can lead to fatigue and discomfort.
3. Eye Fatigue (Asthenopia): Prolonged use of digital devices or reading can lead to digital eye strain, characterized by symptoms like blurry vision, dry eyes, and discomfort. This is particularly common in individuals who spend long hours in front of screens without adequate breaks.
4. Underlying Eye Conditions: While your recent eye exams indicated no significant issues, conditions such as dry eye syndrome, or even early signs of presbyopia (though unlikely at your age), could contribute to your symptoms. Additionally, if there are any changes in your ocular health, such as cataracts or other conditions, these could also affect your vision.
5. Psychological Factors: Stress and anxiety can exacerbate feelings of fatigue and discomfort in the eyes. If you are under significant stress, this could be contributing to your symptoms.
Solutions and Recommendations
1. Regular Eye Exams: It’s crucial to have regular eye exams to monitor any changes in your vision. If your symptoms persist, consider seeking a second opinion from an ophthalmologist, who can conduct a more thorough examination.
2. Corrective Lenses: Since you have already tried different glasses, ensure that they are properly fitted and that the prescription is accurate. Sometimes, a multifocal lens or progressive lens might help if you are experiencing difficulty with both near and far vision.
3. Vision Therapy: If accommodation issues are significant, vision therapy might be beneficial. This involves exercises designed to improve the eye's focusing ability and coordination.
4. Take Breaks: 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 eye strain.
5. Artificial Tears: If you experience dryness, using artificial tears can help lubricate your eyes and alleviate discomfort.
6. Manage Screen Time: Limit your screen time and ensure proper lighting when reading or using devices. Adjust the brightness and contrast settings on your screens to reduce strain.
7. Stress Management: If stress is a factor, consider relaxation techniques such as deep breathing, meditation, or yoga to help alleviate tension.
8. Consider Eye Drops for Fatigue: There are eye drops available that can help with fatigue and dryness, but consult with your eye care provider before using them.
Conclusion
Your symptoms of blurry vision and eye fatigue can stem from a variety of factors, including refractive errors, accommodation issues, and even psychological stress. It’s essential to continue monitoring your symptoms and seek professional advice if they persist. With the right approach, including proper corrective lenses, regular breaks, and possibly vision therapy, you should be able to find relief and improve your visual comfort. If you have any further questions or concerns, please feel free to reach out. Take care!
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