What is eye strain (asthenopia)?

Eye strain, also known as asthenopia, is a very common condition. It is caused by intense use of your eyes and can be caused by reading without a break, using digital devices for long periods of time or driving long distances.

It can be uncomfortable, but eye strain isn’t usually a serious condition and there are many things you can do to reduce or prevent eye strain. Sometimes it can be caused by dry eyes, muscle fatigue, or focusing issues. However, if your eye strain isn’t relieved by the use of eye drops or by making some behavioural changes, it could be a symptom of something more serious than eye fatigue. So always make sure you get your eyes checked by an optometrist to prevent it leading to permanent eye damage.

What are the symptoms of eye strain?

The symptoms of eye strain are varied and the combination of symptoms will differ from person to person.

The different symptoms of eye strain include:

  • Sore, tired, burning or itchy eyes
  • Red, watery eyes
  • Twitching eyelids
  • Dry eyes
  • Difficulty focusing
  • Headaches
  • Light sensitivity
  • Eye discomfort
  • Blurred vision

Causes

Eye strain is usually caused when your eyes are intensely focused on a task for a prolonged period of time. Tasks such as intense work on a screen or reading for long periods of time are very common causes.

A woman looking stressed at her desk.

Common causes of eye strain include:

  • Stress
  • Fatigue
  • Computer and digital screen use
  • Driving for long periods of time
  • Reading without resting your eyes
  • Exposure to bright light
  • Straining to see in dim lighting

Presbyopia and eye strain

It’s common for adults around the ages of 40-55 to experience eye strain as a result of presbyopia. Presbyopia is a common condition when ageing where the lens in your eye loses flexibility.

If you’re between the ages of 40 and 55, are having trouble seeing things up close, need to hold reading materials farther away to focus on them, and have headaches, alongside eye strain, it’s a good idea to book an eye test.

Prevention and treatment

When it comes to eye strain, prevention is key. Make sure you book regular eye tests to keep track of your overall eye health. And use the following methods to help stave off eye strain.

Rest your eyes

Young woman sitting and looking through window.

20:20:20 Rule

The 20:20:20 rule is an easy method to follow that really helps to reduce the risk of eye strain, especially if you work with screens.

Take a break every 20 minutes, focusing on something 20 feet away for 20 seconds.

Reduce glare

Light glare from light-coloured painted walls or shiny surfaces, as well as reflections on your computer screen, can cause eye strain.

  • Installing an anti-glare screen to your monitor can help.
  • Cover windows or use a computer hood over the monitor to reduce any external light.
  • If you wear glasses, use lenses with an anti-reflective coating to reduce glare. Most opticians offer this for a small additional cost.
  • Make sure you have good lighting. Most issues of monitor glare occur when the background illumination is significantly different from the screen.

Upgrade your display

If you have an old CRT computer monitor, upgrading to a newer LCD model can reduce eye strain as they are easier on the eyes and have a matt finish to reduce glare.

Modify your workstation

Make sure you have an ergonomic workstation to reduce the risk of eye (and body) strain.

  • Introduce a document holder at eye level so you don’t have to keep looking up and down from a screen to look at paper or physical documents.
  • Ensure your desk and chair are at the right height. Improper posture while working on your computer can also add strain.
  • Your computer screen should be an arms length away from your eyes with the top of the screen in line with your eyes.

Wear lenses specifically for computers

If you need glasses, make sure your prescription is up to date and is designed for working with screens. Your optician should ask if you use computers and offer glasses appropriate for this use.

Selective focus on transparent clear blue light computer glasses and computer screen glowing on the background in home or office.

If you wear contact lenses, consider wearing glasses when on your computer as contact lenses can become dry and uncomfortable during sustained computer work.

Screen work reduces the rate at which we blink. So try to make a conscious effort to blink more often or consider the use of an ocular lubricant.

Learn more about avoiding computer eye strain with our helpful guide.

Takeaway

Eye strain is a very common issue. Especially if you tend to work with computers, drive long distances, or do a lot of intense reading without a break. Thankfully, eye strain is easily avoided with some simple measures. Making sure your workstation is set up correctly, reducing glare, and practising the 20:20:20 method are all ways you can avoid straining your eyes.

If you suspect you have eye strain, book an appointment with your local Leightons branch for an eye test.

FAQs

To relieve eye strain, make sure you are working in good lighting and reducing glare where possible. Ensure your prescription is up to date and consider wearing glasses when working on the computer rather than contact lenses. And use lubricating eye drops when working with screens – we blink a lot less during screen work which can cause dry eyes and eye strain.

According to experts, more than 2 hours of screen time a day is considered excessive. Which isn’t an option for those of us who work with screens for a living. So to help reduce the risk of eye strain, make sure you’re taking a 20 second break every 20 minutes to look at something 20 feet away.

If one of your eyes is misaligned, this can cause eye strain in just one eye. Make sure you are still practising the same techniques to reduce eye strain as outlined above.

Yes, eye strain isn’t just limited to screen use. Stress and anxiety can also be contributing factors to strained eyes.

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The sudden onset of pain and blindness can be scary and worrying. A retinal migraine is a rare condition that affects the eyes. They involve repeated bouts of short-lasting diminished vision or blindness. They can be a cause for concern and impact your daily life. So if you have concerns or are just curious, read on to learn more about retinal migraines, what causes them, and how to treat them. What Are Retinal Migraines? Retinal migraines, also known as visual or ocular migraines, are a type of migraine that affect your eyes. They can cause temporary vision loss in one eye and might be accompanied by other eye symptoms such as blurry vision, sparkling lights, and blind spots alongside headaches or nausea. They are thought to occur when the blood vessels in your eye suddenly narrow, restricting the blood flow. 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Visual disturbances or aura such as flashing lights, zigzag patterns or coloured spots or lines. Feeling sick or being sick. Sometimes you can get the eye symptoms without having a headache. Diagnosing Retinal Migraines To diagnose you with retinal migraines, the examining clinician will ask you about your symptoms, family history, and examine your eyes. This is why keeping a note of your migraines and symptoms will be useful. Your clinician will try to rule out other conditions that could cause similar problems, such as: Amaurosis fugax (transient darkening) – temporary blindness due to a lack of blood flow to the eye. It can happen because of a blockage in an artery that leads to the eye. Spasms in the artery that brings blood to the retina Giant cell arteritis – a problem that causes inflammation in blood vessels. It can lead to vision problems and blindness. Other blood vessel problems related to autoimmune diseases Substance use disorder or overusing illicit drugs Conditions that keep your blood from clotting normally, like sickle cell disease and polycythemia Stroke or transient ischemic attack (TIA) At Leightons, we offer an Optomap Eye Examination (also part of our Ultimate Eye Examinations) to patients of all ages. This enhanced examination allows us to see more than ever before with 2D and 3D imaging (OCT) of the inside of your eye which can help identify and diagnose eye conditions and rule out conditions with similar symptoms as retinal migraines. Treatment Options Treatment for retinal migraines is not usually needed if you do not have them very often but if you do get them frequently, your doctor might suggest some treatments to help. Lifestyle changes If you have noticed that a particular food or activity makes your symptoms worse, you may need to consider reducing your exposure to help ease your migraines. 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