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Computer Vision Syndrome

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Computer Vision Syndrome - Dr James Beatty

Computer Vision Syndrome - Dr James Beatty

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  • 1. Computer Vision Syndrome Dr James Beatty
  • 2. Overview  Introduction  Symptoms (Ocular, extraocular)  Diagnosis (Ocular, extraocular)  Treatment  Children
  • 3. Introduction  Increased use of computers in the workplace has brought about the development of a number of health concerns.  Eye related symptoms are the most frequently occurring health problem in computer uses.  Many individuals who work at a computer video display terminal (VDT) report high levels of job-related complaints and symptoms, including ocular discomfort, muscular strain and stress.
  • 4. Introduction  The level of discomfort appears to increase with the amount of VDT use, and symptoms appear to be different to other near- point workers.  Up to 90% of the 70 million US workers using computers for more than 3hrs per day experience it in some form.  Based on current evidence it is unlikely that the use of VDTs causes permanent changes or damage to the eyes or visual system.  However, some workers may experience continued impaired or reduced visual abilities, such as blurred distance vision, even after work
  • 5. Introduction  The extent to which an individual may experience symptoms is largely dependent upon his/her visual abilities in relation to the visual demands of the task being performed  High visual demands of VDT work make many individuals susceptible to the development of eye and vision-related symptoms  Uncorrected vision conditions, poor VDT design and workplace ergonomics and a highly demanding visual task can all contribute to the development of visual symptoms and complaints  These visual and ergonomic problems can often significantly affect worker comfort and ultimately performance.
  • 6. Symptoms  Eyestrain (Non-specific ocular discomfort)  Blurred distance vision  Fatigue  Headache  Blurred near vision  Double vision
  • 7. Symptoms  Ocular surface: Dry eyes, watery eyes, irritated eyes, contact lens problems.  Ergonomic: Neck pain, back pain, shoulder pain.
  • 8. Diagnosis  Visual dysfunction – Accommodative disorders – Presbyopia – Hyperopia – Myopia – Astigmatism – Binocular vision dysfunctions  Ocular surface mechanisms  Extraocular mechanisms
  • 9. Visual dysfunction  Uncorrected or undercorrected myopia, hyperopia and astigmatism which under normal circumstances are harmless become manifest  Underlying accommodative disorders can lead to decreased amplitude of accomodation or infacility of accommodation  Presbyopic patients may have have an improper add prescribed or spectacle design is incorrect (no intermediate distance, segment height)  Binocular visual problems can become manifest with deviation of phorias and strabismus  Transient induced myopia from excessive near work..
  • 10. Visual dysfunction  Mostly after prolonged usage.  Transient phenomenon, may continue long after use.
  • 11. Ocular Surface Mechanisms  Enviromental factors (fans, ventilation, static, dust)  Reduced blink rate (up to 60% reduction).  Increased staring  Increased exposure (horizontal gaze with wider palpebral fissure).  Systemic or ocular cause for dry eye.
  • 12. Extra ocular mechanisms  Contrast and resolution of the display – Maximum contrast (black letters on white background) – Radiation exposure is extreemly low and not harmful.  Viewing distances and angles – the top of the screen should be below the horizontal eye level of the operator and tilted back slightly (10o -20o ) away from the operator. – VDT at arms length
  • 13. Extra ocular mechanisms  Room lighting – General workplace lighting, glare and images reflected on the VDT screen. – ? The value of filters – Compromise required between that amount of light needed to enhance VDT screen visibility and reduce reflections and glare and that needed to perform other office reading and work tasks. Older individuals will generally require more light than younger individuals to perform the same tasks comfortably – Do not place computers in front of windows
  • 14. Treatment – Enviromental factors (fans, air conditioning, dust, humidifiers) – Ergonomics (chair, table, keyboard, VDT positioning) – Lighting, anti-glare filters, display quality – Regular work breaks – Lubrication – Glasses (NB presbyopes) – By far the most common cause is Dry Eye
  • 15. Children and computers  Children often have a limited degree of self-awareness.  Children are very adaptable.  Children are not the same size as adults.  Children often use computers in a home or classroom with less than optimum lighting.
  • 16. Management  Have the child's vision checked.  Strictly enforce the amount of time that a child can continuously use the computer.  Carefully check the height and arrangement of the computer.  Carefully check the lighting for glare on the computer screen.  Reduce the amount of lighting in the room to match the computer screen.
  • 17. References  Blem, Vishnu, Khattak, Mitra, Yee. Computer vision syndrome. Survey of ophthalmology, Vol 50, No. 3, May-June 2005.  www.aoa.org (american optometric association)