Vision problems
I was treated for tuberculosis for nine months from September 1997 to June 1998, and I stopped the medication in October 1998.
Since then, my eyes do not seem to have improved.
I am very sensitive to light and bright colors.
Watching television and using the computer easily leads to eye fatigue, which then causes discomfort and a stinging sensation.
I often need to close my eyes to rest, which helps, but I can only manage to do so for 1-2 hours at a time.
After taking a nap, I feel much better, but I have to rest my eyes multiple times a day.
I cannot live normally like I did before the medication.
What should I do? Will my eyes ever return to how they used to be?
jane, 30~39 year old female. Ask Date: 2010/09/01
Dr. Ke Meilan reply Ophthalmology
Hello: Tuberculosis medications may have effects on some patients.
Please see an ophthalmologist promptly, take vitamin B daily, and have a visual field test to monitor visual perception abilities.
Reply Date: 2010/09/01
More Info
Managing eye sensitivity and fatigue, especially after a significant medical treatment like tuberculosis (TB), can be quite challenging. Your experience of increased sensitivity to light and colors, along with fatigue when using screens, is not uncommon among individuals who have undergone long-term medication or treatment for serious illnesses. Here’s a comprehensive approach to managing your symptoms and improving your quality of life.
Understanding Your Symptoms
1. Light Sensitivity (Photophobia): This condition can arise from various factors, including inflammation, dryness, or damage to the eye's surface. Medications, especially those used in TB treatment, can sometimes have side effects that affect the eyes, leading to increased sensitivity.
2. Eye Fatigue (Asthenopia): Prolonged screen time can exacerbate eye fatigue, especially if your eyes are already sensitive. Symptoms include discomfort, blurred vision, and difficulty focusing.
3. Need for Frequent Rest: The necessity to frequently close your eyes and rest indicates that your eyes are not coping well with visual tasks. This could be due to underlying dryness or strain.
Recommendations for Management
1. Consult an Eye Specialist: It’s crucial to have a thorough examination by an ophthalmologist. They can assess for any underlying conditions such as dry eye syndrome, corneal issues, or other complications that may have arisen from your previous TB treatment.
2. Use Artificial Tears: If dryness is contributing to your symptoms, using preservative-free artificial tears can help keep your eyes lubricated. This is particularly important if you spend long hours in front of screens.
3. Adjust Your Environment:
- Lighting: Ensure that your workspace is well-lit but avoid harsh fluorescent lights. Use softer, indirect lighting to reduce glare.
- Screen Settings: Adjust the brightness and contrast of your screens. Consider using blue light filters or glasses designed to reduce eye strain from screens.
4. Implement the 20-20-20 Rule: To combat eye fatigue, take a break every 20 minutes by looking at something 20 feet away for at least 20 seconds. This helps relax the eye muscles and reduces strain.
5. Regular Breaks: Incorporate regular breaks into your routine. If you can, take a few minutes every hour to close your eyes and rest them. This can help alleviate fatigue.
6. Eye Exercises: Simple eye exercises can help improve focus and reduce strain. For example, try focusing on a near object for a few seconds, then switch to a distant object.
7. Consider Nutritional Support: Some studies suggest that vitamins, particularly Vitamin A, C, and E, along with omega-3 fatty acids, can support eye health. Discuss with your healthcare provider about incorporating these into your diet.
8. Protective Eyewear: If you are sensitive to light, consider wearing sunglasses with UV protection when outdoors. Polarized lenses can also help reduce glare.
9. Manage Stress: Stress can exacerbate symptoms of eye fatigue. Engage in relaxation techniques such as meditation, yoga, or deep-breathing exercises to help manage stress levels.
10. Follow-Up Care: Regular follow-ups with your healthcare provider are essential. They can monitor your symptoms and adjust your treatment plan as necessary.
Conclusion
Your experience of eye sensitivity and fatigue following tuberculosis treatment is significant and warrants attention. By implementing these strategies and working closely with your healthcare providers, you can improve your eye comfort and overall quality of life. Remember, it’s important to listen to your body and give yourself the necessary time to rest and recover. If your symptoms persist or worsen, don’t hesitate to seek further medical advice.
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