Eye Strain: Why Is One Eye Hard to Open? - Ophthalmology

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What is the issue of being unable to open the eyes?


Hello Doctor, my left eye has been having trouble opening fully compared to my right eye.
It feels like I have to exert more effort to fully open it, and if I don't, it feels like my left eye wants to close on its own, making it appear smaller.
After resting at night, it seems to improve the next day, but sometimes the symptoms return.
Additionally, my left eye occasionally feels itchy, and I have the urge to rub it.
Could you please advise what this might be? I am quite concerned about my eye condition, as my job requires me to read and use a computer.
Thank you for your assistance.

A-Liang, 30~39 year old female. Ask Date: 2010/03/05

Dr. Feng Jiefan reply Ophthalmology


Dear Sir/Madam: If there is a discrepancy in the distance between the two eyes, it may be necessary to check for thyroid eye disease, myasthenia gravis, or diseases affecting the eyelids or eyeballs.
Please visit an ophthalmology clinic for examination.
Sincerely, Dr.
Feng Chieh-Fan, Attending Physician, Department of Ophthalmology, Hsinchu Hospital.

Reply Date: 2010/03/05

More Info


It sounds like you are experiencing some concerning symptoms with your left eye, including difficulty fully opening it, a sensation of it wanting to close, and occasional itching. These symptoms can be indicative of several underlying issues, and it’s important to address them to ensure your eye health, especially given your work requires prolonged periods of reading and computer use.

Firstly, the difficulty in opening your left eye compared to the right could be related to a few factors. One possibility is muscle fatigue or strain. The muscles that control eyelid movement may become fatigued, especially if you are spending long hours focusing on screens or reading. This can lead to a feeling of heaviness or difficulty in fully opening the eye. Additionally, if you have been experiencing any form of eye strain, it can exacerbate this sensation.

Another potential cause could be related to dry eye syndrome. Prolonged screen time can lead to reduced blink rates, which can cause dryness and irritation in the eyes. This might explain the itching sensation you are experiencing as well. When the eye is dry, it can feel uncomfortable, and you may instinctively want to rub it, which can further irritate the eye and lead to more discomfort.

Moreover, if there is any inflammation or irritation in the eye, such as conjunctivitis or blepharitis (inflammation of the eyelid), it could also contribute to the symptoms you are describing. These conditions can cause the eyelids to feel heavy or difficult to open, and they may also lead to itching and discomfort.

Given that your symptoms improve after a good night's sleep, it suggests that rest may be beneficial, but it does not eliminate the need for a thorough examination. It’s essential to consult with an eye care professional who can conduct a comprehensive eye exam. They may check for signs of dry eye, assess the health of your eyelids and conjunctiva, and evaluate the function of your tear film.
In the meantime, here are a few tips that may help alleviate your symptoms:
1. Take Regular Breaks: Follow the 20-20-20 rule while working on the computer: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain.

2. Stay Hydrated: Ensure you are drinking enough water throughout the day, as hydration can impact tear production.

3. Use Artificial Tears: If you suspect dryness, over-the-counter artificial tears can help lubricate your eyes and provide relief from dryness and irritation.

4. Adjust Your Workspace: Ensure that your computer screen is at eye level and that you are using proper lighting to reduce glare.

5. Avoid Rubbing Your Eyes: While it may be tempting to rub your itchy eye, this can lead to further irritation or even injury.

6. Consider Eye Protection: If you are frequently in front of screens, consider using blue light blocking glasses or anti-reflective lenses to reduce strain.

In conclusion, while your symptoms may be manageable at the moment, it is crucial to seek professional advice to rule out any serious conditions and to receive appropriate treatment. Your eye health is vital, especially given your work requirements, and addressing these symptoms early can help prevent further complications.

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