Eye Issues: Myopia, Floaters, and Screen Time Concerns - Ophthalmology

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Hello Doctor, I am 15 years old and have myopia of about 800 degrees in both eyes.
I started experiencing floaters about a year ago.
Recently, I visited an ophthalmologist who performed a fundus examination, and currently, there are no issues.
However, he did not perform dilation.
I would like to ask: 1.
Is there a difference between having dilation and not? 2.
I see lines on the screen when I look at it; could this be due to my old monitor or is it a problem with my eyes? 3.
I read online that after using your eyes for thirty minutes, you should rest for ten minutes.
However, I usually exceed thirty minutes when using the computer and reading.
Should I just close my eyes and do eye exercises for ten minutes, or should I proportionally increase the rest time based on the duration of use? Thank you for taking the time to answer my questions.
^_^

Xiangxiang, 10~19 year old female. Ask Date: 2015/10/12

Dr. Wang Zhishun reply Ophthalmology


1.
The main difference between dilated and undilated eye exams is the extent of the fundus view during the examination.

2.
If you see lines on every screen, it may indicate an issue with your eyes; however, if you only see lines on one screen, it could suggest that the screen is malfunctioning.

3.
The 10-minute recommendation emphasizes the importance of proper rest, not a specific ratio.

Reply Date: 2015/10/12

More Info


Hello! Thank you for reaching out with your questions regarding your eye health, especially concerning myopia, floaters, and screen time. It's great that you're proactive about your eye care at such a young age. Let's address your concerns one by one.

1. Difference Between Pupil Dilation and Non-Dilation Exams: Pupil dilation is a procedure where eye drops are used to widen the pupils, allowing the eye doctor to get a better view of the retina and other internal structures of the eye. This can help in detecting issues that might not be visible during a regular examination. While your doctor may have conducted a thorough examination without dilation, certain conditions, especially those related to the retina, can be missed without this step. If you have concerns about your eye health, especially with your history of floaters, it might be worth discussing with your eye care provider the possibility of a dilated exam in the future.

2. Screen Issues vs. Eye Problems: If you are seeing lines or distortions on your screen, it could be due to several factors. It might be related to the quality of the screen itself, especially if it is older or has not been calibrated properly. However, visual distortions can also be a sign of eye strain or other underlying issues. Given your high degree of myopia and the presence of floaters, it’s essential to monitor any changes in your vision closely. If these distortions persist, it would be wise to consult your eye doctor for further evaluation.

3. Screen Time and Eye Strain: The 20-20-20 rule is a popular guideline that suggests every 20 minutes of screen time, you should look at something 20 feet away for at least 20 seconds. This helps reduce eye strain. While resting your eyes by closing them or doing eye exercises is beneficial, it’s also important to take regular breaks from screens. If you find yourself using screens for longer than recommended, consider setting a timer to remind you to take breaks. The duration of breaks can vary based on how long you’ve been using your eyes; if you’ve been staring at a screen for an extended period, longer breaks may be necessary.

In addition to these points, here are some general tips for maintaining eye health, especially for someone with high myopia:
- Regular Eye Exams: Continue to have regular check-ups with your eye doctor, especially since you have myopia and floaters. Regular monitoring can help catch any potential issues early.


- Proper Lighting: Ensure that your workspace is well-lit to reduce strain on your eyes. Avoid glare from screens by adjusting the brightness and contrast settings.

- Hydration and Nutrition: Staying hydrated and eating a balanced diet rich in vitamins A, C, and E, as well as omega-3 fatty acids, can support eye health.

- Limit Screen Time: While it may be challenging, try to limit your overall screen time, especially before bed, to help maintain your eye comfort and overall well-being.

- Protective Eyewear: If you spend a lot of time on screens, consider using blue light blocking glasses to reduce potential strain from prolonged exposure.

In conclusion, while your recent eye exam showed no issues, it’s essential to remain vigilant about any changes in your vision. If you experience persistent problems or new symptoms, don’t hesitate to seek further evaluation from your eye care professional. Your eye health is crucial, especially at your age, as your vision will continue to develop. Thank you for your questions, and I hope this information helps you maintain healthy eyes!

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