Struggling with Vision: What to Do When Your Eyes Feel Dim? - Ophthalmology

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My vision is deteriorating rapidly?


Hello, doctor.
Sometimes it feels like I can barely see.
I have had an examination, and the doctor said my eyes are normal.
However, I have been experiencing episodes of near blindness recently.
What should I do? I read for more than twelve hours a day.

JR, 30~39 year old female. Ask Date: 2010/05/27

Dr. Wang Zhangji reply Ophthalmology


Aren't you already aware of the related reasons? (I study for more than twelve hours a day.) Your description is too simplistic and does not provide assistance.
I apologize!

Reply Date: 2010/05/27

More Info


When you're experiencing dim vision or the sensation of not being able to see clearly, especially after long hours of reading or screen time, it's important to consider several factors that could be contributing to your symptoms. Although your eye examination has returned normal results, there are still a few potential causes and solutions to explore.

Firstly, prolonged periods of reading or looking at screens can lead to a condition commonly known as digital eye strain or computer vision syndrome. Symptoms of this condition include blurred vision, dry eyes, headaches, and difficulty focusing. The American Optometric Association recommends the 20-20-20 rule to alleviate these symptoms: every 20 minutes, take a 20-second break to look at something 20 feet away. This helps to reduce eye fatigue and allows your eyes to refocus.

Additionally, if you are spending over twelve hours a day reading or using screens, it’s crucial to ensure that your workspace is ergonomically set up. Make sure that your screen is at eye level and that you are sitting at a comfortable distance from it. Proper lighting is also essential; avoid glare from windows or overhead lights, and consider using blue light filters on your devices to reduce eye strain.

Another factor to consider is your hydration and overall eye health. Dry eyes can significantly impact your vision, making it feel dim or blurry. Ensure you are drinking enough water throughout the day and consider using artificial tears or lubricating eye drops to keep your eyes moist, especially if you are in a dry environment or using screens for extended periods.

If you are still experiencing symptoms despite taking these measures, it may be worthwhile to revisit your eye care professional. They can conduct a thorough examination to rule out any underlying conditions such as refractive errors (like myopia or astigmatism), cataracts, or even early signs of retinal issues. Sometimes, even if initial tests appear normal, further assessments such as visual field tests or retinal imaging may be necessary to get a complete picture of your eye health.

Lastly, consider your overall health and lifestyle. Stress, lack of sleep, and poor nutrition can all contribute to visual disturbances. Ensure you are getting adequate rest, managing stress levels, and consuming a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, which are beneficial for eye health.

In summary, while your initial eye examination may have indicated that your eyes are normal, the symptoms you are experiencing could be related to digital eye strain, dry eyes, or other lifestyle factors. Implementing the 20-20-20 rule, ensuring proper ergonomics, staying hydrated, and maintaining a healthy lifestyle can all contribute to improved eye comfort and clarity. If symptoms persist, a follow-up with your eye care provider is essential to ensure there are no underlying issues that need to be addressed.

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