Managing Eye Pain and Discomfort: Effective Eye Drops and Tips - Ophthalmology

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Use of eye drops for swollen and painful eyes?


Hello Doctor, I am highly myopic (approximately -10.00 diopters) with mild amblyopia in one eye and some photophobia.
Currently, I spend about 6 hours a day on the computer and around 3 hours on my smartphone (often until bedtime, and sometimes even in the dark).
A few days ago, during a holiday at home, I used my laptop to watch videos for about 5 hours, then took a nap for over half an hour.
After a couple of hours, I continued using my phone.
During the video watching, I felt a bit sleepy but managed to stay awake until the end.
I didn’t really fall asleep; I just rested my eyes.
Later, while using my phone, my eyes felt a bit strained and dry.
By 9 or 10 PM, I started to experience a mild headache, and after lying down to sleep, the headache persisted and I even felt nauseous, with a sensation of my eyes being swollen and wanting to pop out of their sockets.
Eventually, I fell asleep wearing a heated eye mask.
The next day, after waking up (I usually sleep normally from 11 PM to 8 AM), my eyes didn’t feel dry but had a slight swelling sensation, along with mild nausea and dizziness.
Throughout the day, I read in the morning and watched videos in the afternoon.
At this point, my eyes felt slightly swollen but otherwise normal, although bending down or shaking my head caused a feeling of nausea.
In the evening, I went to see lanterns.
I had no issues looking at regular lanterns, but when strong beams from a few main lights hit my eyes (others seemed unaffected, but I instinctively closed my eyes when the beam hit me, as I have some photophobia), I started to feel a bit dizzy.
Although I didn’t actually lose my balance while walking down a grassy slope, my head felt somewhat unstable.
That night, I lay down to sleep with a mild headache, feeling nauseous, and my eyes slightly swollen (but not as uncomfortable as the previous night), and I again used the heated eye mask to sleep.

On the third day, my symptoms upon waking were much milder than the previous day, but I still felt slight nausea when shaking my head.
Concerned it might be an eye pressure issue, I visited an ophthalmologist.
They checked my vision and seemed to measure my eye pressure (with a puff test?).
The doctor said my eyes were dry and there was slight inflammation of the cornea.
I was advised to reduce smartphone use and was prescribed Pataday to use every 3 hours, along with Vitamin A ointment to apply before bed.
On the third day, I did not use the computer and spent the morning and afternoon reading (with intermittent smartphone use).
In the evening, I watched about an hour of television and used my phone for about 2 hours before bed.
My eyes felt slightly strained, but there were no other discomforts.

On the fourth day, I also spent the morning and afternoon reading (facing a floor-to-ceiling window with sunlight that wasn’t too strong, which I usually can look at without discomfort; however, after using the eye drops, I couldn’t stare out the window for too long).
In the evening, while using the computer, I suddenly found the screen brightness too intense to look at for long.
Since I read that the eye drops are for dry eyes and as a wash, I would like to ask if using Pataday could cause any dilation effects? Or is my photophobia an issue of my own? If I must use the computer for long periods, would applying the eye drops every 3 hours be too frequent? Although the eye pressure test showed no abnormalities, I still feel a bit of discomfort when shaking my head (which I sometimes experience, but I rarely have headaches).
Could this be an eye issue? Or could it be related to a cold (I had an eye examination over a week ago, but I am almost fully recovered)? Thank you.

Chen, 20~29 year old female. Ask Date: 2016/02/24

Dr. Wang Zhishun reply Ophthalmology


Hello, Patidar is a medication for mild dry eye syndrome and does not cause pupil dilation.
Additionally, you are using digital devices for too long, and it is best to avoid using them before bedtime.
I recommend adjusting your eye usage habits first, and if you still experience discomfort, please return for a follow-up consultation.

Reply Date: 2016/02/24

More Info


Managing eye pain and discomfort, especially for individuals with high myopia and prolonged screen time, can be quite challenging. Your symptoms, including eye strain, headaches, and feelings of nausea, are common among those who spend extended periods in front of screens. Here’s a comprehensive approach to managing your eye discomfort, including the use of eye drops and other strategies.


Understanding Your Symptoms
Your symptoms suggest a combination of eye strain (asthenopia) and possibly dry eye syndrome. High myopia can exacerbate these issues, as the eyes may work harder to focus, leading to fatigue. Prolonged screen time can contribute to dry eyes, as people tend to blink less frequently when staring at screens. This can result in discomfort, redness, and a sensation of heaviness or swelling in the eyes.


Eye Drops and Their Use
You mentioned being prescribed "派滴兒" (likely referring to a lubricating eye drop). These drops are designed to alleviate dryness and provide comfort. Here are some key points regarding their use:
1. Frequency of Use: Using lubricating eye drops every three hours is generally safe and can be beneficial, especially if you are using screens for extended periods. However, if you find that your eyes feel comfortable for longer, you can adjust the frequency accordingly.

2. Potential Side Effects: Most lubricating eye drops do not cause significant side effects like pupil dilation (mydriasis). If you experience increased sensitivity to light (photophobia), it may be due to your underlying eye condition or the effects of prolonged screen exposure rather than the drops themselves.

3. Consult Your Doctor: If you have concerns about the drops or if your symptoms persist, it’s essential to discuss this with your eye care professional. They can provide tailored advice based on your specific situation.


Tips for Managing Eye Discomfort
1. Follow the 20-20-20 Rule: To reduce eye strain, every 20 minutes, take a 20-second break to look at something 20 feet away. This helps relax the eye muscles and reduces fatigue.

2. Adjust Your Workspace: Ensure that your computer screen is at eye level and about an arm's length away. Proper lighting can also help reduce glare, which can contribute to discomfort.

3. Blink Regularly: Make a conscious effort to blink more often, especially when using screens. This helps keep your eyes moist and reduces dryness.

4. Use Artificial Tears: In addition to your prescribed drops, consider using preservative-free artificial tears throughout the day to maintain moisture.

5. Limit Screen Time: If possible, reduce the amount of time spent on screens, especially before bedtime. This can help alleviate symptoms and improve overall eye comfort.

6. Stay Hydrated: Drink plenty of water to help maintain overall hydration, which can also benefit your eyes.

7. Warm Compresses: Applying a warm compress to your eyes can help relieve discomfort and promote tear production.


When to Seek Further Help
If your symptoms persist or worsen despite these measures, it’s crucial to follow up with your eye care provider. They may recommend further evaluation to rule out other conditions, such as potential issues with eye pressure or underlying inflammation.


Conclusion
Managing eye discomfort, especially in the context of high myopia and extensive screen use, requires a multifaceted approach. Utilizing lubricating eye drops as prescribed, adhering to good eye care practices, and making adjustments to your screen time can significantly improve your comfort. Always keep an open line of communication with your healthcare provider to ensure that your treatment plan is effective and appropriate for your needs.

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