Eye Swelling: Causes and Solutions for Discomfort - Ophthalmology

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Eye swelling


Hello doctor, since last night, I've been experiencing dizziness and nausea for some unknown reason.
However, when I tested with a line chart, there were no defects or distortions.
After sleeping last night, I felt a bit better, but tonight it started again.
I'm also unsure if my left eye is swollen; I just know it feels uncomfortable and very different from my right eye.
I want to ask if this is due to my lack of sleep, as I often have shallow sleep, or if it is related to my high myopia and intermittent strabismus.
Although I have been doing finger focus exercises continuously, I don't feel any improvement.
Recently, I often need to rely on my corrective glasses to focus better when reading, which feels more comfortable.
I didn't use to wear them this often, but now I need new glasses for reading close-up, otherwise, my regular glasses require a lot of effort to focus, which makes me feel tired since my daily activities are quite similar.
The dizziness and nausea seem to occur after studying for an hour or two during meals.
I'm not sure if it's due to prolonged eye use or if there are other issues.
Additionally, I see rainbow halos around streetlights, so I can't test if my intraocular pressure is too high.
I'm feeling anxious, so I apologize for having so many questions.

Dàxuéshēng, 20~29 year old female. Ask Date: 2024/04/25

Dr. Gao Pilin reply Ophthalmology


Hello: The symptoms you described may be related to various factors, including your high myopia, intermittent strabismus, and possibly insufficient sleep.
Here are some potential causes and recommendations:
1.
Eye Strain: You mentioned that you engage in the same activities daily and experience symptoms one to two hours after reading.
This may be related to prolonged eye strain, especially from intense near work.
It is recommended that you take regular breaks for your eyes, following the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away, which can help reduce eye fatigue.
2.
Elevated Intraocular Pressure: The phenomenon of rainbow halos may be a sign of elevated intraocular pressure, which could be an early symptom of glaucoma.
It is advisable to have a follow-up eye examination, particularly to check your intraocular pressure.
3.
Insufficient Sleep: Light sleep and lack of sleep can lead to dizziness and nausea, further exacerbating eye discomfort.
Maintaining good sleep hygiene is crucial for your overall health.
4.
Vision Correction: Intermittent strabismus may affect your visual comfort and clarity.
Please follow your ophthalmologist's recommendations regarding vision correction.
If wearing another pair of glasses is more comfortable, you may continue to wear them and avoid using your original pair for now.
5.
Dizziness and Nausea: These symptoms may be related to your visual issues but could also be associated with other systemic health problems.
If the symptoms persist or worsen, it is advisable to consult a physician for a comprehensive physical examination to rule out other potential causes.

Reply Date: 2024/04/25

More Info


Hello! It sounds like you're experiencing a combination of symptoms that could be related to several factors, including your eye health, sleep quality, and possibly your overall stress levels. Let's break down your concerns and explore potential causes and solutions.


Understanding Your Symptoms
1. Eye Discomfort and Swelling: The sensation of discomfort in your left eye, which you suspect may be swollen, could be due to several reasons. Given your history of high myopia and intermittent strabismus, it's possible that your eye muscles are straining to maintain focus, especially if you're spending long hours reading or using screens. This can lead to eye fatigue, discomfort, and even swelling in some cases.

2. Dizziness and Nausea: These symptoms can often accompany eye strain, particularly if you're experiencing difficulty focusing. The brain relies heavily on visual input for balance and orientation, so any disruption in your visual clarity can lead to feelings of dizziness or nausea. Additionally, insufficient sleep can exacerbate these symptoms, as your body and eyes need adequate rest to function optimally.

3. Sleep Quality: You mentioned having shallow sleep and not feeling well-rested. Poor sleep can significantly impact your cognitive functions, including concentration and visual processing. It can also lead to increased sensitivity to light and visual disturbances, which may explain the rainbow halos around lights that you're experiencing.


Potential Causes
- Eye Strain: Extended periods of reading or screen time without breaks can lead to digital eye strain, characterized by discomfort, blurred vision, and headaches.

- Sleep Deprivation: Lack of quality sleep can lead to increased eye fatigue and discomfort, making it harder for your eyes to focus properly.

- Underlying Eye Conditions: Given your history of high myopia and intermittent strabismus, these conditions can contribute to visual discomfort and may require adjustments in your corrective lenses or additional treatment.


Recommendations for Relief
1. Regular Breaks: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain significantly.

2. Proper Lighting: Ensure that your reading or working area is well-lit to minimize strain. Avoid glare from screens by adjusting the brightness and using anti-reflective coatings on your glasses.

3. Eye Exercises: Continue with your finger focusing exercises, but also consider incorporating other eye relaxation techniques, such as palming (rubbing your hands together to create warmth and gently placing them over your closed eyes).

4. Sleep Hygiene: Focus on improving your sleep quality by establishing a regular sleep schedule, creating a restful environment, and avoiding screens before bedtime.

5. Consult an Eye Care Professional: Since you have a history of eye conditions, it would be wise to schedule an appointment with an optometrist or ophthalmologist. They can assess your current prescription, check for any changes in your eye health, and determine if your symptoms are related to your vision or if there are other underlying issues.

6. Manage Anxiety: If your anxiety about your symptoms is affecting your daily life, consider speaking with a mental health professional. They can provide strategies to help manage stress and anxiety, which can also alleviate some physical symptoms.


Conclusion
Your symptoms could be a combination of eye strain, sleep deprivation, and possibly anxiety. By taking proactive steps to manage your eye health, improve your sleep, and reduce stress, you may find relief from your discomfort. However, it's essential to consult with a healthcare professional to rule out any serious underlying conditions and to receive personalized advice tailored to your specific situation. Remember, taking care of your eyes is crucial, especially with your history of myopia and strabismus.

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