Eye Fatigue: Causes, Remedies, and Massage Techniques - Ophthalmology

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Eye fatigue


Hello, Doctor.
Recently, I have been experiencing frequent eye fatigue, especially when looking at close objects (I feel the muscles below my eyes are very tense, possibly due to looking down while reading) and during large eye movements (like the circular motions suggested in eye exercises).
I would like to ask you: 1.
What could be the cause of this condition? 2.
How can I improve this situation? 3.
I read that massaging the acupressure points around the eyes can help relieve fatigue; do you recommend doing this? Thank you, Doctor.

Jiang, 10~19 year old female. Ask Date: 2024/04/29

Dr. Gao Pilin reply Ophthalmology


Hello: Eye fatigue is a common issue, especially after prolonged periods of focusing on near objects or using electronic devices.
Based on your description, the tension in the muscles below your eyes may be due to continuous strain or poor posture.
Here are some possible causes and suggestions for improvement:
1.
Causes:
- Prolonged near work: Extended reading, using a smartphone, or working on a computer can easily lead to eye fatigue.
- Poor posture: Maintaining the same position for long periods or having an improper reading posture may cause tension in the muscles below the eyes.
- Overuse of eye muscles: Excessive eye movement can increase the strain on the eye muscles.
2.
Improvement methods:
- Take regular breaks: Rest your eyes every 20-30 minutes by looking into the distance or closing your eyes for a few minutes.
- Adjust your work environment: Ensure that your workspace is well-lit, the screen is at an appropriate height, and avoid looking down at books or screens.
- Wear appropriate glasses: If you have vision problems, you should wear suitable glasses to prevent excessive eye strain.
3.
Acupressure:
- Massaging the acupressure points around the eyes may help relieve eye fatigue, but it requires the correct technique and pressure.
You can try gently massaging the temples, the Yintang point, and the Jingming point.
- Please note that massage should avoid excessive force to prevent injury to the eyes.
If you continue to experience eye fatigue or if symptoms do not improve, it is advisable to see an ophthalmologist to rule out other potential eye conditions.

Reply Date: 2024/04/29

More Info


Eye fatigue, also known as asthenopia, is a common condition that can arise from various factors, particularly in our increasingly digital world. Your experience of discomfort, especially when focusing on near objects or during extensive eye movements, is indicative of several potential causes. Let’s explore these aspects in detail.


1. Causes of Eye Fatigue
The primary reason for your eye fatigue could be related to the overuse of the eye muscles, particularly the ciliary muscles that help in focusing. When you read or look at screens for prolonged periods, these muscles can become strained, leading to discomfort. This is especially true if you are doing so in poor lighting conditions or if your prescription glasses are not up to date.

Additionally, your description of feeling tightness in the muscles below your eyes suggests that you might be experiencing a form of muscle tension. This can be exacerbated by poor posture while reading or using devices, which can lead to additional strain on the neck and shoulders, further contributing to the sensation of fatigue.

Another factor to consider is the environment in which you are reading or working. Dry air, glare from screens, and inadequate lighting can all contribute to eye strain. Furthermore, if you have any underlying refractive errors (like nearsightedness or astigmatism) that are uncorrected, they can also lead to increased fatigue when focusing on near tasks.


2. Remedies for Eye Fatigue
To alleviate your symptoms, consider implementing the following strategies:
- The 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps to relax the ciliary muscles and reduce fatigue.

- Proper Lighting: Ensure that your reading area is well-lit to minimize strain. Avoid glare from screens by adjusting the brightness and contrast settings.

- Adjust Your Posture: Maintain a comfortable posture while reading or using devices. Your screen should be at eye level to prevent unnecessary strain on your neck and eyes.

- Stay Hydrated: Drink plenty of water to keep your body and eyes hydrated. Dry eyes can exacerbate feelings of fatigue.

- Regular Eye Exams: Ensure that your vision is regularly checked, and your prescription is up to date. If you wear glasses or contact lenses, make sure they are appropriate for your current vision needs.


3. Eye Massage Techniques
Regarding the use of massage techniques around the eyes, this can indeed be beneficial. Gentle massage can help to increase blood circulation, relieve tension, and promote relaxation. Here are a few techniques you might consider:
- Gentle Pressure: Use your fingertips to apply gentle pressure to the area around your eyes, including the temples and the area just below the eyebrows. This can help relieve tension.

- Circular Motions: With your eyes closed, use your fingertips to make small circular motions around the eyes. This can help to soothe the muscles and promote relaxation.

- Warm Compress: Applying a warm compress over your closed eyes can also provide relief from fatigue and dryness.


Conclusion
In summary, your eye fatigue is likely due to a combination of muscle strain from prolonged near work, potential refractive errors, and environmental factors. By implementing the 20-20-20 rule, ensuring proper lighting, maintaining good posture, and considering gentle massage techniques, you can significantly alleviate your symptoms. If your discomfort persists, it would be advisable to consult with an eye care professional for a comprehensive evaluation and tailored recommendations. Remember, taking regular breaks and being mindful of your eye health is crucial in our screen-dominated lives.

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