Eye drop issues?
Hello, Doctor Gao.
I often feel fatigue in the muscles around my eyes and in my eyes after using the computer for work.
The doctor prescribed two types of eye drops: "Scopolamine" and "Methacholine Sulfate." Can I use these eye drops when my eyes feel sore? Will using them too frequently cause harm to my eyes? Thank you.
TONY, 40~49 year old female. Ask Date: 2016/02/25
Dr. Gao Pilin reply Ophthalmology
Hello TONY:
Sankaba: Vitamin B12
Indication: Eye fatigue
Methylsulfate Neostigmine: Cholinesterase inhibitor
Indication: Improvement of ocular muscle symptoms
These are two different medications, both aimed at alleviating eye fatigue.
Eye drops are typically used 2 to 3 times a day, with a maximum of 4 times; using them more frequently is not advisable.
Taiwan E-Hospital Puzi Hospital Ophthalmology:
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Online responses can only serve as a reference; it is necessary to seek medical attention at healthcare facilities if needed.
I hope to have the opportunity to serve you.
Gao Pilin
Reply Date: 2016/02/25
More Info
When it comes to managing eye strain, especially related to prolonged computer use, it's important to understand both the nature of the medications prescribed and the underlying causes of your symptoms. The two eye drops you've mentioned, "Scopolamine" (散克巴) and "Mestinon" (硫酸甲酯新斯狄明), serve different purposes and should be used with caution.
Understanding the Medications:
1. Scopolamine: This medication is primarily used to prevent nausea and motion sickness, but it can also have effects on the eye muscles. It works by blocking certain signals in the nervous system, which can lead to pupil dilation and reduced accommodation (the eye's ability to focus on near objects). While it may provide some relief from eye strain by reducing the effort needed to focus, it can also cause side effects such as blurred vision and sensitivity to light.
2. Mestinon (Pyridostigmine): This medication is typically used to treat myasthenia gravis, a condition that affects muscle strength. It works by inhibiting the breakdown of acetylcholine, a neurotransmitter that helps muscles contract. While it may help with muscle fatigue, its use in the context of eye strain is less common and should be monitored closely.
Using Eye Drops Safely:
While both medications may provide some relief, it is crucial to follow your doctor's instructions regarding dosage and frequency. Overuse of any medication can lead to adverse effects. For instance, excessive use of Scopolamine can lead to prolonged blurred vision and discomfort, while Mestinon can cause muscle twitching or cramping if not used properly.
General Recommendations for Computer-Related Eye Strain:
1. Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye fatigue and allows your eye muscles to relax.
2. Adjust Your Workspace: Ensure that your computer screen is at eye level and about an arm's length away. Proper lighting can also reduce glare and strain.
3. Use Artificial Tears: If your eyes feel dry, consider using preservative-free artificial tears. These can help lubricate your eyes and alleviate discomfort without the risks associated with prescription medications.
4. Regular Eye Exams: Regular check-ups with an eye care professional can help monitor your eye health and adjust your prescriptions as needed.
5. Consider Blue Light Filters: If you spend long hours in front of screens, blue light filtering glasses or screen protectors may help reduce eye strain, although the scientific evidence on their effectiveness is still evolving.
6. Stay Hydrated and Maintain a Healthy Diet: Proper hydration and a diet rich in omega-3 fatty acids, vitamins A, C, and E, and minerals like zinc can support overall eye health.
Conclusion:
In summary, while the medications prescribed may offer some relief from eye strain, it's essential to use them as directed and be aware of potential side effects. Incorporating lifestyle changes and preventive measures can significantly enhance your comfort and reduce the risk of developing chronic eye strain. If you continue to experience discomfort, it’s advisable to consult your eye care provider for further evaluation and tailored recommendations.
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