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WTH is wrong with me?? The soul crushing UBER eyestrain:

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Zeze

Lifer
The Soul-Crushing UBER Eyestrain

Description:
When I stare at a computer screen for an extended period of time, I begin to feel constricting pain on my eyeballs. When it gets worse, it turns into a hard, throbbing, physical pain on my very eyeballs. Again, it is physically painful- as if the focusing muscles inside the eyes are overworked. Unless I stop what I’m doing and close my eyes, it worsens to what I call ‘the point of no return’.
When ‘TPONR’ occurs, I am finished. The throbbing of my eyeballs are so severe, I can no longer function. This is now accompanied by equally severe headache, nausea, fatigue, and photosensitivity. At this point, nothing alleviates the symptoms- whether I stare at something far, go outside, or close my eyes. The ONLY way for this to go away is for me to SLEEP- nothing else.
Again, TPONR is debilitating. I am absolutely miserable- the pain scale is high as 9 out of 10. While trying to fall asleep with my eyes closed, the throbbing and all the symptoms persist. Only after a 2-4 hour nap/sleep, I am back to normal.

How does it happen?
I’ve dealt with this over 10 years now- spanning across various computer/notebook screens, lighting conditions, and many pairs of glasses/prescriptions. TPONR would occur about once every 1-3 months. I just assumed this was typical eye strain. Now that it’s gotten more frequent to several times in a single month in last 3-4 years. As you can imagine, this is impacting my daily life now. I also realized a simple eye strain doesn’t exhibit all these crazy symptoms.

* It almost always happens when I stare at a computer screen or rarely reading books- so it’s when my eyes are focused on close view.
* When it happens is not consistent. Sometimes I can stare at my PC for 12+ hours with no issues. Sometimes, my eyes decide to say ‘screw it’ and it happens as fast as in 3-4 hours. Both on same screen/lighting/area.
* My vision never becomes blurry nor do I see double vision. I can always see fine even during TPONR, but the pain/nausea/headache/fatigue is so so bad.

The search for answer:
I first mentioned this to my optometrist 2 years ago during a routine glasses fitting. He had no idea nor has come across anything like this. Last week, I called my insurance’s nurse hotline. They told me to go see an optometrist right away. So I did- with a different optometrist. She thought it may be ‘accommodative infacility’ and prescribed reading glasses (only good for close-up) which should relax my eye muscles vs my regular all-purpose pair. I will order this pair soon. She also mentioned if this does not fix it, make an appointment with a neuro-ophthalmologist.
I will also bring this up to my Primary Care Physician this month; see what he says.

Details about myself:
An otherwise healthy/normal male in his 30s. Wears glasses; has astigmatism. A slight hypertension which was only found last year. Everything else seems normal- the pupil dilation tests done at eye exam all pass with no problems. I don’t take any medications. Nothing really changed about me over a decade.

I am now posting this in various forums. What is wrong with me; anyone else experience this?

Any other forums I shoud post this at? WebMD? Yes, I am seeing a doctor soon.
 
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Get a pair of glasses that is +1 from your normal prescription. So if your normal prescription is -7.5 (like mine -- I have really poor vision due to close reading with glasses all throughout my childhood which progressively ruined my eyes as they adapted to the higher and higher prescriptions), get a -6.5 for computer use. I have been doing this for years and it has saved me huge amounts of eyestrain. I can use the computer all day and my eyes feel just peachy. Before switching to this, or when I can't use my -6.5 glasses, I would feel symptoms very similar to yours.

Really any lesser powered prescription should be good, but I find +1.0 diopter over my standard prescription to be ideal. Normal computer screen distances (2-3 feet) are right at the far edge of my clear focus range (i.e., right where the focusing muscles are most relaxed). I can walk around the house or office and do everyday tasks with the -6.5, but everything outside of the 2-3 foot range is slightly fuzzy. They are just fine for daily purposes within an enclosed environment like a house or office, but if you try to read small text like stock tickers or sports scores on a TV screen 7-8 feet away then you will have problems. I have even tried them for short periods of driving and really I can see everything just fine -- other cars, lines in the road, stop signs and signals, etc. (but obviously not good for seeing small debris in the road, or trying to read street signs in unfamiliar areas -- I wouldn't do this normally but I have been fine for short 1-2 minute tests). But you might want to experiment with +0.5, +0.75, +1.0, +1.25, +1.5 diopters and see what works for you.

Go to zennioptical.com and you can get a multitude of glasses very cheaply. Like around $10 a pair, shipped. They are only for your personal use while you sit at your computer, so the looks don't matter.
 
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