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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11309
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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Lately I've noticed my vision seem blurry at the end of a

Resolved Question:

Hi, lately I've noticed my vision seem blurry at the end of a work day (my job primarily involves working at a computer screen all day). I used to wear contacts/glasses for myopia with slight astigmatism (glasses were always better for looking at a computer, but the contacts were better for distance). Uncorrected I was -1.25 and -2.25. I got LASEK (Laser-Assisted Sub-Epithelial Keratectomy) in May 2008, correcting me to better than 20/20 in both eyes and have been very happy with the results so far. But since I've been staring at a computer more recently, I've noticed the issue with blurry vision, and difficulty focusing at the end of a work day. After the weekend (when I don't spend any time at a computer), my vision is much better... perfectly clear, no problems focusing.
Am I damaging my eyes by working in front of a computer so much? Is there anything I can do to prevent this situation?
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. Rick replied 6 years ago.
Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Hi. First off let me assure you that you are not going to damage your eyes by working in front of a computer......

Dr. Rick :

Well It sounds like you have a couple of things going on. First is allergies, second dry eyes and third blepharitis.

When it comes to allergies it is almost impossible to pin down the offending agent(s) and, therefore, treatment needs to focus on controlling the symptoms. Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose.

Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk.

The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.

Baby shampoo lid scrubs will also help to wash away allergens and stimulate tear production, thereby addressing all three of your issues. Remember, this is not an instant fix. While you are waiting for the lid scrubs to have affect you can use over the counter allergy pills such as Travist, dimetapp or Zyrtec.

Should your symptoms get worse, your vision become significantly affected or things just not get better in 3 weeks or so you should have a complete eye examination by your local ophthalmologist to look for other, less common, causes of your symptoms.

Dr. Rick :

I would venture a guess that your primary issue, especially after lasek, is dry eyes followed closely by blepharitis. Give the above treatment at least 3 weeks to kick in before giving up and starting to call me bad names :o)

Dr. Rick :

I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

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Expert:  Dr. Rick replied 6 years ago.
Have a good day.
Customer: replied 6 years ago.
Hi thanks for the information. I will try the natural tears and the baby shampoo lid scrubs. I do use an eye lotion (,default,pd.html) as i tend to have problems with dry skin around my eyes... is it ok to continue to use this on both my upper and lower eye lid?
Expert:  Dr. Rick replied 6 years ago.
Hi. Thanks for the link to information about the lotion. It should be fine to continue using that product.