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Trouble focusing eyes, blur vision. How to get cured? - Online Doctor Chats

Date : 14-Mar-2013
User rating for this question
Very Good Posted in: Vision and Eye Disorders
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:Hello, my name is XXXXXXX and I have an eye issue that I would like to address a Optometrist. Would you be able to assist me with this matter?
Doctor:Yes, please proceed
User:About 5 days ago, I been having trouble focusing my eyes. When both yes are open, everything seems out of focus and blurry. The best way to describe this is starting at something for so long and noticing your eyes lose focus. When i shut one eyes, my vision looks ok, and vise-versus.
Doctor:May i know your age ?
User:I'm 27 years old, athletic and never had any eye problems. I have 20/20 vision, but my right eyes is a slight weaker then my left.
Doctor:do u mean to say, your vision is blurred ?
Doctor:do u have any trouble reading newspapers or books ?
Doctor:or do u have issues with long distance vision ?
User:Yes, my vision is blurred when both eyes are open. But more or less it feels like a focusing issue. Sometimes my eyes can focus and sometimes they cant. I apologize for my misspelling, I'm having trouble reading and typing due to my eye issue.
Doctor:so u can view things far away, and there is no blurring with that ?
User:Long distance and short-distance is effected
Doctor:so both are affected , according to you .
User:if a object is directly in front of me, then its not so bad.
Doctor:have you been working since the start of this issue ? is this caused difficulty to work ?
User:if I place a hand over one eye, the vision doesn't seem blurred as much. It when they are both open it seems that things are blurred an out of focus, almost overlapping images.
Doctor:may i know your occupation ?
Doctor:so the problem is due to weakness of the ocular muscles , or due to weakness of the suspensory ligaments of the lens , resulting in weakness of accomodation
User:I'm currently a private security contractor living in Baghdad Iraq. I been in this occupation since May 2009 and primary working in austere environments such as Iraq. Prior to this, I served 4 years in the US marines. I had a few injuries along the way, but have recovered almost 100% from them. Injuries such as minor concussion and broken bones.
Doctor:ok, i understand
Doctor:may i know when was your eyes last checked by a optometrist ?
User:I have no major medical history, no medication, no diseases, no depression, no allergies
User:I can't recall the specific date on my last eye check, but I believe it was around XXXXXXX 2009 for a work physical (basic eye examine)
Doctor:your description of your eye problems , indicate you to have refraction errors , due to weakness of eye muscles
User:can this be cause by being on the computer and watching tv for long periods of time?
Doctor:you will need a refraction test, to determine that, as well as a slit lamp examination, to see the structures like the cornea,
Doctor:yes, long periods of concentrated work can cause people predisoosed to have such conditions
Doctor:but, in some cases, genetic or familial predisposition is also a cause
Doctor:just to confirm, the blurred vision, has not changed or improved over the past 5 days, ?????
User:I started noticing this issue after I didnt sleep for one night due to long hours doing school homework and work. I was up for probably over 24 - 30 hrs before I got a good night rest
Doctor:has taking rest, helped to improve your vision ??
Doctor:the cause of my questions, is due to the fact that, refraction errors, do not present suddenly
Doctor:they take time and progress over time
User:well ever since this issue, I been sleeping over 08 hours a day
Doctor:but in some cases, due to injury, severe stress or sudden onset weakness, the ligaments and muscles of the eyes, can weaken
Doctor:and this can present as blurred vision
User:sometimes it feels like my eyes are getting better, but I think it got a slight bit worse...also, typing on the computer doesn't help much.
Doctor:I would advise a few days rest for the time being, so that, you can get time to get better
Doctor:but if it does not improve, you will need a refraction test, estimation of eye pressures (to rule out glaucoma) and slit lamp examination ,
Doctor:these will help to know the exact range of eye refraction defect
Doctor:treatment will be with eyeglasses or contact lenses
User:i also been getting a slight migraine from trying to focus
Doctor:yes, the more, you try to stress your eyes, the more your symptoms will increase
Doctor:hence rest will be very essential
User:ok, thank you...I saw a medical doctor, but the doctor recommended me try some eye drops first before proceeding with a full eye examine. Since I'm overseas the examine will be conducted in Iraq but will be evaluated by doctors at Miami University.
Doctor:I understand
Doctor:you can try the drops and take absolute rest for a few days.
Doctor:I hope you get proper and effective treatment , soon
Doctor:Thanks for consulting us here
Doctor:please let me know if you have any other questions
User:I just hope its nothing serious, throughout my life I been put to numerous stressful situations and as a college student, I had starred numerous hours on the computer with no eye problem. I just think this is new and unusual, especially for my age.
User:thanks for your help, take care
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