Blurry Vision in One Eye: Causes and Solutions - Ophthalmology

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Blurred vision in the left eye?


Hello, doctor.
I would like to ask you a question.
Recently, I have been feeling that my left eye's vision is somewhat blurry.
When I cover my right eye and look (while wearing glasses), I notice that the letters appear to overlap.
Even when I take off my glasses to look closely, it’s the same.
At the same distance, when I look at the computer screen or read, my left eye is a bit blurry while my right eye is fine.
I already have 50 degrees of astigmatism, and I thought it had worsened, so I went to an optical shop for an eye exam.
The results showed that the astigmatism and myopia in my left eye hadn’t changed.
The staff at the optical shop increased the myopia or astigmatism prescription, but it didn’t help; in fact, it made it blurrier.
This is quite strange—my prescription hasn’t changed, and increasing it didn’t help, yet I still feel that my left eye is blurry.
Could this be due to excessive fatigue, or could it involve a central nervous system issue?

Ryan, 20~29 year old female. Ask Date: 2010/04/24

Dr. Ke Meilan reply Ophthalmology


I kindly request you to schedule an appointment for my outpatient consultation, where I will conduct a thorough examination for you.

Reply Date: 2010/04/24

More Info


Blurry vision in one eye can be a concerning symptom, and it’s important to explore the potential causes and solutions. Based on your description, it seems that your left eye is experiencing a persistent blurriness, which is not alleviated by adjusting your glasses. This situation can arise from various factors, and understanding them can help you address the issue effectively.


Possible Causes of Blurry Vision in One Eye
1. Refractive Errors: Although you mentioned that your prescription hasn’t changed, it’s still possible that there are subtle changes in your vision that aren’t captured during a routine eye exam. Sometimes, the brain can adapt to slight differences in vision, making it difficult to notice changes until they become more pronounced.

2. Astigmatism: You indicated that you have a degree of astigmatism. This condition can cause blurred vision due to the irregular shape of the cornea or lens. If your astigmatism has worsened, it might not have been detected yet, especially if the changes are minor.

3. Eye Fatigue: Prolonged screen time, reading, or other visually demanding tasks can lead to eye strain, also known as digital eye strain or computer vision syndrome. Symptoms include blurred vision, dry eyes, and discomfort. If you’ve been spending more time on screens or studying, this could be a contributing factor.

4. Cataracts: Although more common in older adults, cataracts can develop at any age and lead to blurred vision. They occur when the lens of the eye becomes cloudy, affecting clarity. If you notice additional symptoms like glare or halos around lights, it might be worth discussing with your eye care professional.

5. Retinal Issues: Conditions affecting the retina, such as retinal detachment or macular degeneration, can cause localized blurriness. These conditions often come with other symptoms, such as flashes of light or floaters.

6. Neurological Factors: Blurry vision can sometimes be related to neurological issues, particularly if the vision changes are accompanied by other symptoms like headaches, dizziness, or changes in coordination. Conditions affecting the central nervous system (CNS) can impact visual processing.


Solutions and Recommendations
1. Comprehensive Eye Exam: If you haven’t already, consider scheduling a comprehensive eye exam with an ophthalmologist. They can perform detailed tests to assess your eye health and vision, including checking for any retinal issues or changes in the cornea.

2. Vision Therapy: If your blurry vision is related to eye strain or fatigue, vision therapy exercises may help improve your visual comfort and efficiency. These exercises can strengthen the eye muscles and improve coordination between the eyes.

3. Adjusting Work Habits: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This can help reduce eye strain. Additionally, ensure your workspace is well-lit and that your screen is at a comfortable distance.

4. Proper Eyewear: If your current glasses aren’t providing relief, it may be beneficial to revisit your optometrist or ophthalmologist for a reevaluation. They might suggest different lenses or coatings that can help with glare or enhance clarity.

5. Monitor Symptoms: Keep track of any changes in your vision or additional symptoms that may arise. If you notice worsening blurriness, flashes of light, or other concerning signs, seek immediate medical attention.

6. Stress Management: Since you mentioned feeling overwhelmed, managing stress through relaxation techniques, exercise, or mindfulness can also help alleviate some of the physical symptoms associated with anxiety, including eye strain.

In conclusion, while blurry vision in one eye can stem from various causes, it’s essential to approach the issue systematically. A thorough evaluation by an eye care professional will provide clarity on the underlying cause and guide you toward the appropriate treatment or management strategies. Remember, your eye health is crucial, and addressing these symptoms promptly can help prevent further complications.

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