Eyelid Pressure: Effects on Astigmatism and Eye Health - Ophthalmology

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Eyelid pressure


Excuse me, doctor.
I would like to ask, if I am already an adult at 28 years old, does eyelid pressure refer to the squinting or forcefully closing my eyes causing changes in astigmatism? Will this lead to a significant increase in the degree of astigmatism? Could it reach high astigmatism? Additionally, aside from causing changes in astigmatism, can the pressure and tension of the eyelids cause internal damage to the eyes? Thank you.

55, 20~29 year old female. Ask Date: 2014/09/15

Dr. Zhuang Yamin reply Ophthalmology


Hello: Examples of astigmatism caused by eyelid pressure affecting vision are mostly seen in children with congenital ptosis.
In adulthood, the corneal condition tends to stabilize, and the impact of eyelid pressure is usually temporary, with minimal changes in prescription.
Additionally, "rubbing the eyes" is another reason for temporary corneal deformation due to pressure, which can cause fluctuations in prescription of about 50 to 100 degrees.
This does not cause internal damage to the eyeball, and the corneal deformation is also temporary, so there is no need to worry! Changhua Hospital Ophthalmology Department cares about you~~

Reply Date: 2014/09/15

More Info


Understanding eyelid pressure and its effects on astigmatism and overall eye health is an important topic, especially for adults who may experience various visual disturbances. When you squint or tightly close your eyes, the eyelids exert pressure on the eyeball, which can lead to temporary changes in the shape of the cornea, the clear front surface of the eye. This pressure can indeed affect vision, particularly in individuals with pre-existing refractive errors like astigmatism.

1. Eyelid Pressure and Astigmatism: When you squint or apply pressure to your eyelids, the cornea can become slightly distorted. This distortion can lead to a temporary increase in astigmatism, which is characterized by an irregular curvature of the cornea or lens. In adults, this change is usually transient and does not result in a permanent increase in astigmatism. However, if you frequently squint or apply pressure to your eyes, it may exacerbate existing refractive errors or lead to visual discomfort.

2. Magnitude of Change: The degree to which eyelid pressure can influence astigmatism varies from person to person. For some individuals, the change may be negligible, while for others, it could be more pronounced. However, it is unlikely that normal eyelid pressure from squinting or closing your eyes would lead to a significant increase in astigmatism to the point of becoming "high astigmatism." High astigmatism typically requires a specific anatomical or pathological condition rather than just external pressure.

3. Potential Internal Damage: While temporary pressure from eyelids is generally not harmful, excessive or prolonged pressure could potentially lead to discomfort or strain. The eye is designed to withstand a certain amount of pressure, but if you are experiencing chronic discomfort or visual disturbances, it may indicate underlying issues such as dry eye syndrome, muscle fatigue, or even conditions like blepharitis. These conditions can lead to inflammation and discomfort but are not typically caused by eyelid pressure alone.

4. Long-term Effects: In adults, the eye's structures are fully developed, and while temporary changes in vision due to eyelid pressure are common, they should not lead to long-term damage if the pressure is not excessive or chronic. However, if you find yourself frequently squinting or experiencing discomfort, it may be beneficial to consult with an eye care professional. They can assess your eye health, check for any underlying conditions, and provide recommendations for managing symptoms.

5. Preventive Measures: To minimize the effects of eyelid pressure on your vision, consider practicing good eye hygiene and taking regular breaks from screens or activities that require intense focus. If you experience frequent eye strain, using artificial tears can help alleviate dryness and discomfort. Additionally, maintaining proper lighting while reading or working can reduce the need to squint.

In summary, while eyelid pressure from squinting or tightly closing your eyes can lead to temporary changes in astigmatism, it is unlikely to cause significant or permanent increases in refractive error. If you have concerns about your vision or experience persistent discomfort, it is advisable to seek a comprehensive eye examination to rule out any underlying conditions and receive appropriate care.

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