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I don't know if the reason for your trouble is the same or not, but it could be worth trying. You can try opening up Documents\My Games\Skyrim\SkyrimPrefs.ini and changing the value bDoDepthOfField=0
GTA also has motion blur as well as depth of field, so my initial guess might well be on the mark. I recommend that you at least try turning off DoF like I said previously.
Well if this isn't some thinly veiled troll thread trying to say "LOL vanilla graphics sux!" and/or the OP trying to take advantage of users' attempts to help (for the "lolz") then I'll echo what Remlish said: it could be all manner of things.
Do you have any pre-existing issues with your eyes? If so then maybe adjusting/disabling things like Depth of Field, Field of View, and Brightness/Gamma may help.
If not then it could be a life-style factor.
Do you spend your school/work day in front of a computer screen? Do you spend all your free time playing video games, watching TV/movies, and otherwise in front of a computer screen? Are you trying to play the game in a dark room (this actually hurts my eyes after awhile no matter what game)? Are you playing the game at 4 AM after being up for 18 hours? Is your face 2 inches away from the screen? Are you poking yourself in the eyes to simulate combat damage?
My end-all advice would be to do three things:
1. Mess around with the aforementioned DoF, FoV, and Brightness/Gamma settings.
2. If that doesn't work see if your eyes hurt while playing after getting a good night's rest and in a well-lit room.
3. If 1 and 2 fail it might be a good time to go to the optomitrist and get your eyes checked out. It might seem/feel weird to ask him/her about your issue but I'm sure they'll have some insight/knowledge as to the effect of computer/television screens on your eyeballs.
*unsubs