Answers and questions on ophthalmology

Good afternoon, I spend a lot of time at the computer, my eyes get very tired in the evening, I checked my eyesight, they said that everything is in order, but it would be better to order glasses for working on PC. I wonder if there is any benefit or harm?
Answer: 28.09.2021

Hello! There is no harm, but if you spend 10-12 hours at the computer, the glasses will not save you from feeling tired and uncomfortable. When working at a computer for a long time, it is recommended to give eyes a rest, to carry out the simplest exercises for the eyes, all these recommendations can be given by ophthalmologist after the examination.

Rylkov Alexander Vitalievich
Ophthalmologist. Work experience 5 years.
Hello. For two weeks I was constantly wearing a lens that did not fit me, and my vision deteriorated. Now I can hardly see small text and focus on objects for a long time. The lens was worn to protect the eye on the doctor’s instructions. Is there any way to fix this?
Answer: 28.09.2021

Hello! You need to see an ophthalmologist as soon as possible to exclude acute pathology. During the visit, the doctor will conduct a full examination, make an accurate diagnosis and then be able to give recommendations, prescribe treatment if necessary.

Rylkov Alexander Vitalievich
Ophthalmologist. Work experience 5 years.
Hello. Left eye – atrophy of the central zone of the retina, vision cannot be corrected. But peripheral vision is normal. Right eye -2, most often corrected with contact lenses. Will I be able to get a driving license of category B, provided that the vision of the right eye is corrected with a lens to 100% of vision?
Answer: 28.09.2021

Hello! To answer your question, the first thing is to know the visual acuity of the left eye, the second is to check whether your vision is binocular. For this, it is recommended to consult an ophthalmologist, during the visit the doctor will conduct a full examination, and only then will he/she be able to answer your question.

Rylkov Alexander Vitalievich
Ophthalmologist. Work experience 5 years.
Good afternoon! I have moderate myopia in both eyes, progressive. I was ordered to wear glasses for distance -1.75. I want to wear contact lenses. Can I wear them?
Answer: 28.09.2021

Hello! In this case, there are no contraindications so that lenses cannot be worn. You need to see an ophthalmologist who can help you choose your lenses.

Rylkov Alexander Vitalievich
Ophthalmologist. Work experience 5 years.
Hello! I'm 17. In the summer of 2019, I had an operation to eliminate the converging concomitant strabismus (right eye squint). Now the vision of the right eye is 0.2. Recently I noticed that my left eye also squints a little (inward). What to do in this case?
Answer: 28.09.2021

Hello! First, it is necessary to undergo examination, exclude neurological pathology, examination by an ophthalmologist, since to understand the cause it is necessary to “see” a person. And if the cause of the deviation is in refraction, you can do without surgery. In addition, it is necessary to see a specialist periodically in order to prevent a worsening of the situation.

Gaivanyuk Olena Anatoliyivna
Children's ophthalmologist. Work experience 31 years.
Can you please tell me what to do? My eyelids are swollen and there is a burning sensation. I was tested for allergies and nothing was found. What tests do I need to take? How to ease swelling and burning?
Answer: 12.10.2020

With the appearance of edema of the eyelids and burning sensation, it is necessary to do the test for demodex and flora inoculation from the conjunctiva. If the tests are negative, it may be Meibomian gland dysfunction. Then it is necessary to refer to massage of eyelids and treat the eyelids with antiseptics (Blefaklin wipes), wipe the eyelids, drops to moisturize the eyes – Vidisik gel, Super optic complete.

Litvinova Liliya Vladimirovna
Ophthalmologist. The highest category, associate professor, candidate of medical sciences. Work experience 20 years.
I have vision problems and I have heard about lenses that can only be worn at night and removed during the day. It means that at night they will correct the retina. I am interested in such lenses and would like to know what examinations I need to undergo and can I wear such lenses?
Answer: 12.10.2020

Apart from the daytime contact lenses, there are also hard night lenses. One wears them at night and must be on the cornea for at least 8 hours. In order to understand whether you can wear such lenses, you need to visit an ophthalmologist for examination - to determine refraction, examine the fundus, and also examine the anterior segment (biomicroscopy) to detect dry eye syndrome. And a mandatory examination is the topography of the cornea to determine keratoconus. If there are no contraindications, you can wear night lenses.

Litvinova Liliya Vladimirovna
Ophthalmologist. The highest category, associate professor, candidate of medical sciences. Work experience 20 years.
If I eat a lot of carrots and blueberries, will my vision deteriorate over time? What other products would you recommend to keep my eyesight from deteriorating? And how much should you eat?
Answer: 12.10.2020

Carrots and blueberries are vision-enhancing foods that can be consumed in large quantities, as well as foods such as grapes, spinach, red fish, broccoli, cauliflower, pine nuts, yellow, red, and green fruits and vegetables.

Litvinova Liliya Vladimirovna
Ophthalmologist. The highest category, associate professor, candidate of medical sciences. Work experience 20 years.
By the end of the working day, my eyes start hurting, the fact is that I work at the computer for 10 hours a day. What to do to relieve eye strain? Maybe some exercises are needed or drops? I won't be able to change my job.
Answer: 12.10.2020

It is necessary to observe the visual load. Continuous work at the computer shall not exceed 1 – 1.5 hours. It is necessary to rest for 10-15 minutes every hour, as there can be a spasm of ciliary muscles, there is accommodation disorder (spasm). Rest should be about relaxing your muscles, that is, scrolling the phone is not rest. Some drops will be prescribed to relieve spasms of ciliary muscles (mydriatic), only the advisability of using these drugs should be decided by a narrow specialist, since there may be several causes of eye fatigue. Also, due to the constant work at a computer, a pathology arises, which is called “Computer Syndrome” in the modern world, it is necessary to use tear substitutes, drops that relieve eye irritation and fatigue.

Litvinova Liliya Vladimirovna
Ophthalmologist. The highest category, associate professor, candidate of medical sciences. Work experience 20 years.
How to improve vision with exercises? Will eye exercises help? Tell me what exercises to do to improve vision?
Answer: 27.02.2020

Eye exercises are recommended for visual impairment in childhood and in case of age-related changes. You can improve your vision with the help of Narbekov and Zhdanov gymnastics, which includes a set of exercises to relax eyes muscles.

Litvinova Liliya Vladimirovna
Ophthalmologist. The highest category, associate professor, candidate of medical sciences. Work experience 20 years.
What shall I do – my eye is watery, a feeling that something has got into my eye and it hurts to blink. Can I rinse my eye with saline?
Answer: 31.01.2020

Lacrimation can occur due to allergic conjunctivitis, dry eye syndrome, dysfunction of meibomian glands. For treatment, special drops are used as prescribed by a doctor. Grains of sand and debris from the eye surface are removed by jet washing with water or saline. Other foreign bodies are removed only by an ophthalmologist. Attempts to cope with this task on your own can lead to eye infection or further injury to its structures.

Litvinova Liliya Vladimirovna
Ophthalmologist. The highest category, associate professor, candidate of medical sciences. Work experience 20 years.
A baby (11 months old) has a watery eye, and only outdoors – there is no such thing at home. Tell me how to deal with this?
Answer: 04.10.2019

Perhaps this is a normal variant. Then this condition will occur less often and disappear with age. And if lacrimation and discharge from a conjunctival cavity is observed from the first days of a baby's life, it is necessary to consult an ophthalmologist to exclude pathology.

Zaharchuk Irina Nikolaevna
Pediatrician ophthalmologist. The highest category. Work experience 25 years. Work experience in children's optics is 11 years.