Eye Reflection and Dryness in Astigmatism and Weak Vision - Ophthalmology

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The reflectivity of the eyeball?


I have astigmatism and amblyopia, and my eyelashes are slightly inverted.
Recently, I've been experiencing eyelid muscle weakness, and I often feel like my eyelashes fall onto my eyeball.
I rinsed my eye with tap water, touched it with my hand, and finally used the tip of a tissue to gently lift it out.
Now, I feel that since that incident, the reflection of tears on my eyeball is less pronounced and appears dull and dry (I'm not sure if that's the right way to describe it).
I've been using artificial tears, but the eye drops haven't made a difference.
P.S.
The area without the reflective tear sheen is on the white part of the eye under the upper eyelid.

Lurén Jiǎ, 30~39 year old female. Ask Date: 2015/10/03

Dr. Wang Zhishun reply Ophthalmology


Hello, tears are secreted continuously for 24 hours and are not affected by the actions mentioned.
As for the reflection of the eyeball, an ophthalmological examination is necessary to determine if there is any deviation.

Reply Date: 2015/10/03

More Info


Understanding eye reflection and dryness, especially in the context of astigmatism and amblyopia (weak vision), is crucial for maintaining eye health and comfort. Your symptoms, including astigmatism, amblyopia, and the sensation of dryness or lack of reflective light in your eyes, can be interconnected and may require a comprehensive approach to management.

Astigmatism is a common refractive error caused by an irregular curvature of the cornea or lens, leading to blurred or distorted vision. This condition can contribute to visual discomfort and may exacerbate feelings of dryness, especially if the eyes are straining to focus. Amblyopia, or "lazy eye," occurs when one eye does not develop proper vision, often due to misalignment or significant differences in refractive error between the two eyes. This can lead to further visual complications, including difficulties in depth perception and visual clarity.

The sensation of dryness and the absence of reflective light in your eyes may indicate a condition known as dry eye syndrome. This occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. Symptoms of dry eye can include a gritty or sandy sensation, redness, and a feeling of heaviness in the eyes. In your case, the fact that you have been experiencing these symptoms after touching your eyes or washing them could suggest that the mechanical irritation may have disrupted your tear film, leading to increased dryness.

Using artificial tears is a common and effective way to alleviate symptoms of dry eye. These lubricating eye drops can help restore moisture to the surface of the eye, providing relief from dryness and discomfort. However, it is essential to choose preservative-free artificial tears, especially if you find yourself using them frequently, as preservatives can sometimes exacerbate irritation.

Additionally, the presence of inverted eyelashes (trichiasis) can contribute to discomfort and dryness. When eyelashes grow inward, they can irritate the surface of the eye, leading to inflammation and further exacerbating dry eye symptoms. It may be beneficial to consult with an ophthalmologist regarding this issue, as they may recommend treatments such as eyelash epilation or other procedures to alleviate the irritation caused by the misplaced eyelashes.

Eye muscle weakness can also play a role in your visual experience. If the muscles responsible for eye movement are not functioning optimally, it can lead to difficulties in focusing and maintaining clear vision, which may contribute to the sensation of dryness and discomfort. Vision therapy or specific exercises may be recommended to strengthen these muscles and improve overall visual function.

In summary, the interplay between astigmatism, amblyopia, dry eye syndrome, and mechanical irritation from inverted eyelashes can create a complex situation affecting your visual comfort and clarity. It is advisable to seek a thorough evaluation from an eye care professional who can assess your specific symptoms and recommend a tailored treatment plan. This may include corrective lenses for astigmatism, management strategies for dry eye, and potential interventions for any eyelash issues. Regular follow-ups will be essential to monitor your condition and make necessary adjustments to your treatment plan.

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