Blurry Vision in One Eye: Causes and Solutions - Ophthalmology

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My right eye always sees things blurry?


Hello, Doctor: Recently, I sent my lenses for inspection due to a minor issue, and I temporarily got a new pair of glasses.
However, as soon as I put them on, I felt eye strain, and I experienced persistent pain in my forehead and the back of my neck.
The optical shop mentioned that an adaptation period is necessary, but after two to three days, the situation worsened.
I can hardly keep my eyes open when wearing the glasses.
After two days, I noticed a white fog-like appearance and floaters in both eyes.
In my right eye, in addition to the floaters, there is a persistent hazy halo effect (the blurriness improves when I remove the glasses, and my eyes feel less strained).
I went to the hospital for a fundus examination, and everything was normal.
My vision with the glasses measures 1.0 (with a 250-degree difference between both eyes).
Although I can see with my right eye, when I cover my left eye, the right eye appears blurry, and sometimes it is difficult to focus when both eyes are open, making it feel like one eye is not seeing properly (this situation never occurred with my previous lenses).
Therefore, I would like to ask if this issue is related to the lenses or if there might be another problem with my eyes.
Thank you.

Claudia, 30~39 year old female. Ask Date: 2014/06/04

Dr. Wang Zhishun reply Ophthalmology


Hello: Intuitively, there seems to be an issue with the lens.

Reply Date: 2014/06/04

More Info


Understanding blurry vision in one eye can be a complex issue, as it can stem from various causes, including refractive errors, eye strain, or underlying medical conditions. Based on your description, it seems that you are experiencing discomfort and visual disturbances after switching to a new pair of glasses. Here are some potential causes and solutions to consider:

Potential Causes
1. Refractive Errors: The new glasses may not be correctly calibrated for your vision needs. Even a slight difference in prescription can lead to discomfort, blurry vision, and headaches. Since you mentioned a 250-degree difference between your eyes, it’s crucial that the lenses are accurately made to accommodate this disparity.

2. Lens Quality: If the lenses are of poor quality or not suited to your specific visual needs (e.g., anti-reflective coating, lens thickness), they can cause visual distortions. This could explain the "foggy" sensation and halos around lights, particularly in your right eye.

3. Eye Strain: Adapting to new lenses can sometimes lead to eye strain, especially if the prescription is significantly different from what you were previously using. Symptoms of eye strain include discomfort, headaches, and visual disturbances.

4. Underlying Eye Conditions: While you mentioned that your eye examinations have returned normal results, conditions such as dry eye syndrome, retinal issues, or even early cataracts can contribute to blurry vision and discomfort. The presence of floaters (which you referred to as "flying mosquitoes") can also be a normal phenomenon but may indicate changes in the vitreous gel of the eye.

5. Visual Processing Issues: Sometimes, the brain has difficulty processing visual information from two eyes that are not perfectly aligned or have different prescriptions. This can lead to symptoms like double vision or difficulty focusing.


Solutions
1. Re-evaluation of Prescription: It’s essential to revisit your optometrist or ophthalmologist to have your prescription re-evaluated. Ensure that the lenses are made according to the correct specifications and that the fitting is appropriate for your face and eyes.

2. Adaptation Period: While some adaptation to new lenses is normal, prolonged discomfort is not. If you continue to experience issues after a week or so, it’s advisable to seek further evaluation.

3. Consider Lens Options: If your current lenses are causing issues, consider discussing alternative lens options with your eye care provider. This may include different materials, coatings, or even progressive lenses if you have presbyopia.

4. Manage Eye Strain: 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, especially if you spend long hours in front of screens.

5. Stay Hydrated and Use Artificial Tears: If you suspect dry eyes, using lubricating eye drops can help alleviate discomfort. Staying hydrated is also crucial for maintaining eye health.

6. Follow-Up Appointments: Keep regular follow-up appointments with your eye care provider to monitor any changes in your vision and address any new symptoms promptly.


Conclusion
In summary, while the discomfort and visual disturbances you are experiencing may be related to the new glasses, it’s essential to rule out any underlying eye conditions. Regular check-ups and open communication with your eye care provider are key to ensuring your vision remains clear and comfortable. If symptoms persist or worsen, do not hesitate to seek further medical advice. Your vision is vital, and addressing these concerns promptly can help prevent more serious issues in the future.

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