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Blurry vision after working long hours.

I work 12hrs in the medical field & get blurry vision when reading small items up close later in the shift. I have to resort to readers or bifocals but use them sparingly because when I remove them everything is blurry including computer,& things far away like a dry erase board. I have lupus & my dr insists that glasses will be useless & to use drops for dryness. I understand this is fatigue but couldn't I get glasses for just during those times & not use them all the time. I feel desperate because I don't want to make a critical mistake & I have to really slow down to try & make out patient data. the drops feel great but doesn't really help my vision. I don't feel like my dr is listening because I need this solved. Thanks

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