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Eye strain, also medically termed as asthenopia (), is a common
eye An eye is a sensory organ that allows an organism to perceive visual information. It detects light and converts it into electro-chemical impulses in neurons (neurones). It is part of an organism's visual system. In higher organisms, the ey ...
condition characterized by non-specific symptoms such as
fatigue Fatigue is a state of tiredness (which is not sleepiness), exhaustion or loss of energy. It is a signs and symptoms, symptom of any of various diseases; it is not a disease in itself. Fatigue (in the medical sense) is sometimes associated wit ...
, pain in or around the eyes,
blurred vision Blurred vision is an ocular symptom where vision becomes less precise and there is added difficulty to resolve fine details. Temporary blurred vision may involve dry eyes, eye infections, alcohol poisoning, hypoglycemia, or low blood pressur ...
,
headache A headache, also known as cephalalgia, is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of Depression (mood), depression in those with severe ...
, and occasional double vision. These symptoms tend to arise after long-term use of
computers A computer is a machine that can be programmed to automatically carry out sequences of arithmetic or logical operations ('' computation''). Modern digital electronic computers can perform generic sets of operations known as ''programs'', ...
, staring at phone screens, digital devices, reading, or other activities that involve extended visual tasks. Various causes contribute to eye strain, including uncorrected vision problems, digital device usage, environmental factors, and underlying health conditions. When concentrating on a visually intense task, such as continuously focusing on a book or computer monitor, the ciliary muscles and the extraocular muscles are strained, also contributing to the symptoms. These symptoms are broadly classified into external (related to the ocular surface) and internal symptom factors (related to eye muscles). Treatment involves environmental modifications, visual aids, and taking periodic breaks. The experience of eye strain when reading in dim light has given rise to the common misconception that such an activity causes permanent eye damage.Rachel C. Vreeman, Aaron E. Carroll, "Medical Myths", '' The British Medical Journal'' (now called ''The BMJ'') 335:1288 (December 20, 2007),


Causes

Asthenopia can result from various factors. These causes can be categorized as ocular issues, digital use patterns, environmental factors, or underlying health conditions, including: * Uncorrected
refractive errors Refractive error is a problem with focus (optics), focusing light accurately on the retina due to the shape of the eye and/or cornea. The most common types of refractive error are myopia, near-sightedness, hyperopia, far-sightedness, astigmatis ...
(
astigmatism Astigmatism is a type of refractive error due to rotational asymmetry in the eye's refractive power. The lens and cornea of an eye without astigmatism are nearly spherical, with only a single radius of curvature, and any refractive errors ...
,
hyperopia Far-sightedness, also known as long-sightedness, hypermetropia, and hyperopia, is a condition of the eye where distant objects are seen clearly but near objects appear blurred. This blur is due to incoming light being focused behind, instead o ...
,
anisometropia Anisometropia is a condition in which a person's eyes have substantially differing refractive power. Generally, a difference in power of one diopter (1D) is the threshold for diagnosis of the condition. Patients may have up to 3 diopters of anis ...
, etc.) * Eye movement coordination * Accommodative and
vergence A vergence is the simultaneous movement of both eyes in opposite directions to obtain or maintain single binocular vision. When a creature with binocular vision looks at an object, the eyes must rotate around a vertical axis so that the proj ...
stress *
Glare Glare may refer to: * Glare (vision), difficulty seeing in the presence of very bright light * Glaring, a facial expression of squinted eyes and look of contempt * A call collision in telecommunications * GLARE, Glass reinforced aluminium, an ...
* Flickering lights *
Allergy Allergies, also known as allergic diseases, are various conditions caused by hypersensitivity of the immune system to typically harmless substances in the environment. These diseases include Allergic rhinitis, hay fever, Food allergy, food al ...
* Close viewing distance * Dry-eye *
Fatigue Fatigue is a state of tiredness (which is not sleepiness), exhaustion or loss of energy. It is a signs and symptoms, symptom of any of various diseases; it is not a disease in itself. Fatigue (in the medical sense) is sometimes associated wit ...
* Upward gaze * Prolonged reading from smartphone


Symptoms

Eye strain's symptoms can be broken into two groups: Internal Symptom Factors (ISF) and External Symptom Factors (ESF). ESFs consist of symptoms related to dry-eye such as burning and irritation, seemingly linked to the ocular surface. ISFs are related to pain and ache sensations behind the eye and are linked to accommodative and vergence stress, caused by poor visual conditions. Symptoms of eye strain can include: *
blurred vision Blurred vision is an ocular symptom where vision becomes less precise and there is added difficulty to resolve fine details. Temporary blurred vision may involve dry eyes, eye infections, alcohol poisoning, hypoglycemia, or low blood pressur ...
* headache * sore, irritated, burning, or
itching An itch (also known as pruritus) is a sensation that causes a strong desire or reflex to scratch. Itches have resisted many attempts to be classified as any one type of sensory experience. Itches have many similarities to pain, and while both ...
eyes * dry eyes or watery eyes * eye discomfort * difficulty concentrating * sensitivity to bright lights


Therapy

Given that asthenopia is caused by different factors, treatment may involve the work environment or visual conditions. One known method of relieving strain of the ocular muscles is taking periodic breaks by closing the eyes and blinking frequently. Often found in connection to Digital Eye Strain (DES), eye strain can be reduced by following the 20-20-20 rule, which consists of looking at something 20 feet away for 20 seconds every 20 minutes.


See also

*
Eye examination An eye examination, commonly known as an eye test, is a series of tests performed to assess Visual acuity, vision and ability to Focus (optics), focus on and discern objects. It also includes other tests and examinations of the human eye, eyes. ...
* Light-on-dark color scheme * Ocular neurosis *
Photophobia Photophobia is a medical symptom of abnormal intolerance to visual perception of light. As a medical symptom, photophobia is not a morbid fear or phobia, but an experience of discomfort or pain to the eyes due to light exposure or by presence o ...
*
Vision therapy Vision therapy (VT), or behavioral optometry, is an umbrella term for alternative medicine treatments using eye exercises, based around the pseudoscientific claim that vision problems are the true underlying cause of learning difficulties, partic ...
* Visual looming syndrome


References

{{Authority control Visual disturbances and blindness Dislocations, sprains and strains Eye injury