Eye Strain: Symptoms and When to Seek Help - Ophthalmology

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Eye strain?


Doctor, I apologize for the interruption.
I have been experiencing eye socket pain, a feeling of hardness in my eyeballs, and dizziness due to excessive eye strain recently.
I researched online and found that it might be related to high intraocular pressure, but my vision is fine.
Six months ago, I had an examination, and the doctor said everything was normal.
Could this be simply due to eye strain, or could it be another condition?

Lin., 10~19 year old female. Ask Date: 2024/02/13

Dr. Gao Pilin reply Ophthalmology


Hello: Based on the symptoms you described, such as orbital pain, a sensation of hardness in the eyeball, and dizziness, these may be related to eye strain, but they could also indicate other ophthalmic issues.
Although you mentioned that your vision is fine, elevated intraocular pressure could also be a potential cause.
I recommend that you see an ophthalmologist as soon as possible for a comprehensive eye examination, which will help determine if there are any abnormalities in intraocular pressure or other underlying ocular conditions.
Additionally, please pay attention to proper eye care habits to protect your eyes from excessive fatigue.
If you have experienced any recent changes in your lifestyle or work, please inform the ophthalmologist, as this may assist in a more accurate assessment of your situation.
Wishing you a speedy recovery.

Reply Date: 2024/02/13

More Info


Eye strain, also known as asthenopia, is a common condition that can occur due to prolonged use of digital devices, reading, or any activity that requires intense focus. The symptoms you are experiencing, such as pain around the eyes, a sensation of hardness in the eyeballs, and dizziness, can indeed be attributed to eye strain, especially if you have been engaging in activities that require significant visual concentration.
When you use your eyes for extended periods without adequate breaks, your eye muscles can become fatigued, leading to discomfort and strain. This is particularly common in our digital age, where many people spend hours in front of screens. The symptoms you describe, including pain around the eye sockets and a feeling of pressure or hardness in the eyes, are consistent with eye strain. Dizziness can also occur, as prolonged focus can lead to tension in the neck and shoulders, which may contribute to a feeling of lightheadedness.

It's important to note that while these symptoms can be related to eye strain, they can also be indicative of other underlying conditions. For instance, elevated intraocular pressure can lead to symptoms similar to those you are experiencing, although you mentioned that your vision has not been affected and previous examinations showed no issues. However, it is crucial to monitor your symptoms closely. If they persist or worsen, it would be wise to consult an eye care professional for a comprehensive examination.

To manage and alleviate eye strain, consider implementing the following strategies:
1. Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps relax the eye muscles and reduce fatigue.

2. Adjust Your Workspace: Ensure that your computer screen is at eye level and about an arm's length away. Proper lighting can also reduce glare, which can contribute to eye strain.

3. Blink Regularly: When focusing on screens, people tend to blink less often, leading to dry eyes. Make a conscious effort to blink more frequently to keep your eyes moist.

4. Use Artificial Tears: If you experience dryness, consider using over-the-counter artificial tears to keep your eyes lubricated.

5. Limit Screen Time: If possible, reduce the amount of time spent on screens, especially if you notice symptoms worsening after prolonged use.

6. Stay Hydrated: Dehydration can exacerbate dry eyes, so ensure you are drinking enough water throughout the day.

7. Consider Eye Exercises: Simple eye exercises can help relieve tension. For example, rolling your eyes or focusing on a near object and then a far object can help.

8. Regular Eye Exams: Continue to have regular check-ups with your eye care provider to monitor your eye health and address any concerns promptly.

If your symptoms do not improve with these measures, or if you experience additional symptoms such as vision changes, persistent headaches, or significant discomfort, it is essential to seek medical attention. An eye care professional can conduct a thorough examination to rule out any serious conditions and provide tailored advice based on your specific situation.

In summary, while your symptoms are likely related to eye strain, it is crucial to remain vigilant and consult with a healthcare professional if your condition does not improve or if you have concerns about your eye health. Taking proactive steps to manage your eye strain can significantly enhance your comfort and overall well-being.

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