I used to have terrible headaches about 20 years ago when I started spending a lot of time in front of the screen. I went to an optometrist who tested my eyes and told me I could get low prescriptions (.5) but warned me that there's no way back and that many people are fine with my current vision, choosing not to get a prescription. Luckily I figured out that it was blue light that was bothering me and once I turned it down I haven't had any problems since. I'm in my mid 40s and my vision has naturally deteriorated a bit but I am still fine with no prescriptions.
And I don't believe this to be placebo. Every time I stare at a regular screen for longer than 5 minutes I get eye strain. At the same time I suspect this doesn't help everyone, but at least to me this is a great solution that still works.