Eye Pain from Glasses: Causes and Solutions

Wearing glasses causes discomfort and pain?

Hello, doctor.
I have been wearing these glasses for 8 months.
I had them break once at 3 months and again at 5 months, and the original optical shop provided me with an identical frame (with the same lenses).
The first and second pairs of glasses did not have any deformation and I felt no discomfort around my eyes when wearing them.
However, the third pair was given to me with a frame that was not shaped like the original from the start.
One side (the left) is noticeably warped outward.
After several adjustments, although they appear balanced now, I still experience discomfort after wearing them for about 3 to 10 minutes.
This is still the case.
I consulted an ophthalmologist once, who diagnosed me with conjunctivitis and attributed it to excessive eye strain and fatigue.
I believe that is not the correct diagnosis, as I was using my eyes more on the day I got the glasses than I was just a few days before the examination.
Even with breaks after each class and getting a full 8 hours of sleep, the discomfort persists.
Another optical shop suggested that it might be an issue with the material or position of the nose pads.
I switched to silicone pads and adjusted them, but the problem remains.
Recently, I have also felt that my vision is gradually deteriorating.
Additionally, my lenses are shorter in length compared to my face, which is relatively larger than the frame, causing the frame to open up significantly, with the bend exceeding 90 degrees.
The lenses are pressure-reducing, blue light filtering, and UV-protective, with each lens being -7.50 diopters (normal for distance vision, but reduced for near vision).
Currently, my symptoms are as follows: I feel immediate discomfort around my eyes a few minutes after putting on my glasses, and noticeable redness and swelling appear after about half an hour.
However, I do not experience this issue throughout the day after removing the glasses.
But I cannot see the blackboard.
I am currently attending a preparatory school, which requires significant visual effort.
I hope you can help me with this issue.

GunRay, 10~19 year old female. Ask Date: 2016/01/01

Dr. Wang Zhishun reply Ophthalmology

Hello, based on your clear description, it seems that the glasses may be a significant factor.
The pressure-relieving lenses you mentioned are likely similar to multifocal lenses.
I have two suggestions: 1.
First, remove the lenses and wear the empty frame to see if there are any issues.
2.
Try wearing single vision lenses to see if there is any discomfort.
Of course, these should be done at an optical shop or an ophthalmology clinic that has an optical shop.
This should help identify the source of the problem.

Reply Date: 2016/01/01

More Info

Eye pain and discomfort while wearing glasses can stem from various factors, and understanding these can help in finding effective solutions. Based on your description, it seems that the issues you are experiencing may be related to the fit and design of your glasses, as well as potential underlying vision problems.

Causes of Eye Pain from Glasses
1. Improper Fit: The fact that your latest pair of glasses has a noticeably altered frame shape could be a significant factor. If the glasses do not fit properly, they can exert uneven pressure on your face and around your eyes, leading to discomfort and pain. The left side of your frame being deformed outward suggests that it may not be sitting correctly on your nose or ears, which can cause strain on the muscles around your eyes.

2. Lens Type: You mentioned that your lenses are progressive (or multifocal) and that you have a higher prescription for distance than for near vision. Progressive lenses require your eyes to adjust as you look through different parts of the lens, which can lead to eye strain if the lenses are not properly aligned with your line of sight. If the fitting height of the lenses is incorrect, it can exacerbate discomfort.

3. Material and Padding: The material of the nose pads and how they are positioned can also affect comfort. If the pads are too hard or positioned incorrectly, they can cause pressure points that lead to pain. Switching to silicone pads may help, but if the positioning is off, even the best material won't alleviate discomfort.

4. Visual Fatigue: Given that you are in a demanding academic environment, prolonged periods of reading and screen time can lead to digital eye strain or visual fatigue. Symptoms include discomfort, dryness, and blurred vision, which can be exacerbated by improper eyewear.

5. Underlying Vision Issues: If you are experiencing a gradual decline in vision, it may be worth considering that your prescription may have changed. Regular eye exams are crucial, especially if you notice changes in your vision or discomfort that persists.

Solutions and Recommendations
1. Re-evaluate Your Prescription: It is essential to have your eyes checked regularly. If you suspect your vision has changed, a new prescription may be necessary. Ensure that the optometrist or ophthalmologist checks for any underlying conditions that could be contributing to your symptoms.

2. Frame Adjustment: Visit the optical shop where you purchased your glasses and request a thorough adjustment. They should ensure that the frames sit correctly on your face, with even pressure on both sides. If the current frame cannot be adjusted to fit properly, consider getting a new frame that better suits your facial structure.

3. Lens Alignment: Ask the optician to check the alignment of your lenses, especially if they are progressive. The optical center of the lens should align with your pupil when you are looking straight ahead. Misalignment can lead to significant discomfort.

4. Take Breaks: Implement the 20-20-20 rule to reduce eye strain: every 20 minutes, look at something 20 feet away for at least 20 seconds. This practice helps relax the eye muscles and reduces fatigue.

5. Consider Single Vision Lenses: If you primarily need your glasses for reading or close work, you might benefit from single vision lenses instead of progressive lenses, at least temporarily. This can help determine if the multifocal design is contributing to your discomfort.

6. Consult a Specialist: If the pain persists despite adjustments and proper care, consider consulting an ophthalmologist for a more in-depth evaluation. They can rule out any underlying conditions that may be causing your symptoms.

In summary, eye pain while wearing glasses can often be traced back to issues with fit, lens type, or underlying vision problems. By addressing these factors through proper adjustments, regular eye exams, and good eye care practices, you can significantly improve your comfort and visual experience.

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