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A MyLupusTeam Member asked a question 💭
Alberta, Canada

I used to read voraciously up to a book a day. For the past 5 or 6 years I find I can only read for a very short time even though the optometrist says everything ok. I can’t really explain why I can’t read anymore which doesn’t help my case. The best I can come up with is my eyes get tired and feel jittery???? Anyone else have this or better yet a solution?

March 17
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MyLupusTeam

Can lupus cause vision problems even when your optometrist says everything looks okay?

Yes, lupus can absolutely cause vision issues that might not show up in a standard eye exam. What you're describing—tired, jittery eyes that make reading difficult—sounds frustrating, especially when you used to love reading so much.

Show Full Answer

Can lupus cause vision problems even when your optometrist says everything looks okay?

Yes, lupus can absolutely cause vision issues that might not show up in a standard eye exam. What you're describing—tired, jittery eyes that make reading difficult—sounds frustrating, especially when you used to love reading so much.

Several lupus-related issues could explain your symptoms:

Dry eye syndrome affects about 16-20% of people with lupus and can cause:
- Eyes that feel tired or irritated
- A scratchy or burning sensation
- Blurred vision that makes reading difficult
- Tearing or sensitivity to light

Lupus fog can also affect your ability to focus and concentrate, which might make reading feel exhausting even if your eyes themselves are physically healthy.

Retinal problems from lupus don't always cause pain but can affect vision quality. These issues are often related to lupus disease activity.

A MyLupusTeam member shared similar concerns: "My eyes are burning and itching." Another mentioned having "irritated eyes" and headaches.

Here's what might help:

Consider seeing an ophthalmologist (not just an optometrist) who has experience with lupus patients. They can do more specialized testing for lupus-related eye conditions.

Ask your rheumatologist about your symptoms—they might be related to lupus activity or medication side effects.

Try artificial tears or lubricating eye drops for dry eyes, and take frequent breaks when reading.

March 17

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