Vision Changes: Dry Eyes and Dynamic Vision Issues - Ophthalmology

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Deterioration of vision?


Doctor, I have dry eye syndrome.
Recently, I've been feeling a lot of eye fatigue and there are many blood vessels in my eyes.
The doctor prescribed me with sodium hyaluronate eye drops, and I have also been doing warm compresses, but I still feel like my dynamic vision has worsened; it feels strange when I look at scrolling text.
Could you please explain what might be happening?
1.
Is this related to my glasses prescription being insufficient? (Because I am highly myopic.) Thank you, doctor.

Mr. Chen, 30~39 year old female. Ask Date: 2014/06/19

Dr. Zhuang Yamin reply Ophthalmology


Hello Mr.
Chen: Dry eye syndrome often presents with a variety of symptoms, such as fatigue, conjunctival hyperemia, and a burning sensation, which are common phenomena.
Additionally, insufficient tear film can lead to unstable visual quality, occasionally resulting in intermittent blurriness.
Severe dry eye syndrome may cause instability in corneal refractive power, particularly with slight fluctuations in astigmatism, which can affect vision.

For self-care, in addition to warm compresses, it is important to ensure adequate sleep, avoid prolonged exposure to fans blowing directly on the eyes, and minimize time spent in air-conditioned environments, as these can exacerbate symptoms.

Regarding medication, there are many types of treatments available for dry eye syndrome.
If you still experience discomfort with your current medication, please discuss this with your prescribing physician for possible adjustments, which should lead to improvement.
If tear stability is achieved but you still experience visual strain, we may need to consider adjusting your glasses prescription based on your situation.

Wishing you good health, Changhua Hospital.
We care about you!

Reply Date: 2014/06/19

More Info


Understanding vision changes, especially in the context of dry eyes and dynamic vision issues, can be quite complex. Your experience of feeling eye fatigue, noticing increased redness, and having difficulties with dynamic vision—such as seeing moving text or objects—can be attributed to several factors, including dry eye syndrome and potential refractive errors.

Firstly, dry eye syndrome is a common condition that occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. This can lead to symptoms such as discomfort, redness, and visual disturbances. The fact that you are experiencing increased redness and fatigue in your eyes suggests that your tear film may not be adequately protecting the surface of your eyes. The use of medications like Sulfacetamide Sodium (commonly known as Sulfacetamide) can help manage inflammation and improve symptoms, but it may not fully address the underlying causes of your dry eyes.

Dynamic vision issues, such as the perception of moving text appearing distorted or "weird," can be linked to several factors. One possibility is that your eyes are struggling to maintain focus on moving objects due to the instability of your tear film. When your eyes are dry, they may not be able to adjust quickly enough to changes in visual stimuli, leading to a perception of blurriness or distortion. This can be particularly noticeable when reading scrolling text or watching fast-moving images.

Regarding your concern about whether these issues are related to your glasses prescription, it is indeed possible. As a person with high myopia (nearsightedness), your eyes may require a specific correction to see clearly at various distances. If your glasses prescription is outdated or not accurately reflecting your current vision needs, it could contribute to visual discomfort and fatigue. Additionally, if you have astigmatism or other refractive errors, these can further complicate your visual experience, especially in dynamic situations.

It's also important to consider the role of visual fatigue in your symptoms. Prolonged screen time, reading, or focusing on near tasks can exacerbate dry eye symptoms and lead to visual discomfort. This is often referred to as digital eye strain or computer vision syndrome. To mitigate these effects, it is advisable to follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice can help reduce eye strain and improve comfort.

In addition to these strategies, you might want to explore other treatments for dry eyes, such as artificial tears, punctal plugs (which help retain tears), or prescription medications that stimulate tear production. Regular follow-ups with your eye care provider are essential to monitor your condition and adjust your treatment plan as needed.

In summary, your symptoms of eye fatigue, redness, and dynamic vision issues are likely interconnected and may be influenced by both dry eye syndrome and the adequacy of your glasses prescription. It is crucial to address both aspects to improve your overall visual comfort. Consulting with your eye care professional about your current symptoms, treatment options, and the need for an updated prescription will be beneficial in managing your condition effectively.

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