11 March 2018

Eye strain is not entirely due to digital screens

Disclaimer: I'm not a doctor. To get medical advice, please consult a doctor.



My eye strain had become chronic in 2012 and I haven't fully recovered yet. During these years of crippling strain, I've been able to note subtle details which people ignore because their strain hasn't yet become serious. Also follow the links in "Other medical conditions" below.
Some facts:

Fact 1: Yes; reading text causes more strain to the eye compared to tasks that don't require extreme analysis on tiny areas. This doesn't mean that digital screens cause more strain. Reading a book can cause just as much strain. Watching a movie is much less strenuous. Digital screens have been falsely implicated as the cause of eye strain.

Fact 2: The strain by itself is not an issue. It happening on a daily basis is not the real issue either. The real issue is that (assuming you don't have other medical problems) no matter how much you claim that you are getting enough sleep, you actually aren't. If you get sleep your eye muscles will recover while sleeping and your strain won't build up to a stage where it hampers you.

Fact 3: When your eyes are strained, washing your eyes or wearing special spectacles or looking at far away objects or exercising your eye muscles do not help AT ALL. What helps is keeping your eyes closed for 5 to 10 minutes and relaxing your neck and face muscles.


What to check for:

  • Sleep: If you are confident that you are getting enough sleep, that's your biggest mistake. Very seriously and thoroughly evaluate yourself on whether you are getting a minimum of 7 to 8 hours of continuous sleep every night. I stress on the word "continuous". Waking up at night to pee or being woken up by noise (even if you go back to sleep immediately) or sleep apnea or waking up due to stomach discomfort or waking up after 4 hours of sleep and being unable to go back to sleep etc. are signs that you aren't getting enough sleep. Keep a diary where you write the approximate time you slept and woke. You'll be surprised. Feeling sleepy many times during the daytime is a clear indication that you lost sleep at night. Lying in bed awake with your eyes closed does not count as sleep.
  • Other medical conditions: Astigmatism or deficiencies leading to dry eye (the beginning stages of eye strain can make you feel like your eyes are dry. It does not necessarily mean you have dry eye) or other medical conditions might be a problem, but verify your sleep sufficiency before blindly accepting what the doctor says. Getting second opinions is not guaranteed to give you the right diagnosis. I met thirteen ophthalmologists who didn't have a clue on what caused my eye strain and how to cure it. I have been shocked and disappointed at the lack of competence of doctors at diagnosing the actual cause of eye strain (also reported by another person, though I don't agree with his diagnosis). There are some doctors though, who actually are experienced enough to identify the problem and carefully examine your medical history and symptoms before they come to a conclusion. Find these doctors. The general physician or ophthalmologist is not knowledgeable to identify certain highly specific conditions certain people go through. Some examples are hereherehereherehereherehereherehere and here.
  • Food and water: It's medically known that stomach problems cause sleep problems and sleep problems cause stomach problems. Both of these wreck havoc on the rest of the body. I've listed what precautions to take with food in this post.
  • Plastic lenses: I'm not referring to contact lenses. I'm referring to plastic/polycarbonate lenses of spectacles. They do not provide visual acuity that is as good as a glass lens. I've tried the top world-class brands, tried lenses with special coatings...all useless when it comes to eye strain. Simply looking through a spectacle lens (glass/plastic/polycarbonate) itself is a bit strenuous for the eye. Plastic/polycarbonate lenses are very strenuous. Glass is much less strenuous. I believe it has to do with the better visual acuity it provides. Having special coatings on the lens does not help reduce eye strain. Using cheap, ordinary glass lenses without any special coatings gave me the most relief and I eventually started using the computer without wearing spectacles as much as I could. Haven't tried contact lenses and am definitely not going for Lasik inspite of the rebuttal because the focus should be on proper food, rest and sleep; not on surgery.


How to fix your fatigue-induced eye strain
  • Step 1: It'll take a while for you to verify the cause of the strain. During that time, you can use eye drops or Lacrigel (after consulting a doctor) to give you some relief. Use Lacrigel only if your strain is chronic. Remember: The eye drops or Lacrigel are only for a few weeks of use just to give you some initial relief. They won't solve your problem and they are not meant to be used forever. Make sure you close your eyes for 5 to 10 minutes every hour. 
  • Step 2: Rule out medical conditions. A dry eye specialist tried convincing me I had dry eyes and recommended a vitamin B12 test at an affiliate lab and a followup consultation, but a Schirmer's test at another hospital ruled out dry eyes. Computerized eye tests at two hospitals and three ophthalmologists said I had astigmatism because I mentioned eye strain, but those glasses caused unbearable strain and two other ophthalmologists later ruled out astigmatism. Basically, get opinions from multiple doctors to ensure that you have been diagnosed correctly and ensure you verify if you really have a medical problem or if it's just plain fatigue related strain. Ophthalmologists themselves have told me that vision correction is not an exact science and that mistakes are possible.
  • Step 3: Examine what food you eat. If you eat from an office/college canteen, bakery, stall or a restaurant, chances are very high that you are eating food that is either not fully cooked or has burnt particles in it or is of poor quality. Trust me, a majority of people in this world (including you) are very very poor judges of food quality. Drinking youghurt/curd after dinner helps give some relief and your sleep should improve with time (probably because curd has Tryptophan) as you change your food habits to eating properly cooked food. More here.
  • Step 4: Make sure you get 8 hours continuous sleep every night. Don't let people or a phone wake you unnecessarily. Don't let your job make you lose sleep. Make sure you have a quiet, dark, comfortable environment for sleeping. And please take Step 3 very seriously.
  • Step 5: Make it a point to close your eyes and relax your face muscles everytime you feel even a slight bit of strain. Don't push yourself to work harder unless you have got your rest first. No job, boss, career, pay or recognition is worth as much as health. I learnt that the hard way.
  • Step 6: Get a good amount of exercise. Exercising does not help reduce eye strain at all. It however does help in maintaining good health which could give you slightly improved sleep and general body function.


All you really have to know is that unless you have some underlying medical condition, simple fatigue-induced eye strain can be cured just by getting your eight hours of sleep and a ten minute rest when your eyes are tired.  It can take a few months/years to recover (and nothing other than rest+sleep can help speed up the recovery), but that's all there is to it. You don't have to spend a fortune on special spectacles or medication. Take care.



Remember: Your primary focus should be on getting well cooked food, rest and sleep.




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