Computer Vision Syndrome Dry Eye Syndrome and other Eye problems due to use of computer , Laptop and Mobile phone. A Presentation By Surya Prajapat
Computer Vision Syndrome
Dry Eye Syndrome and other Eye problems due to use of computer , Laptop and Mobile phone.
A Presentation By Surya Prajapat
What is Computer Vision Syndrome?
Computer Vision Syndrome (CVS) is the general term
used to describe a variety of vision related symptoms
that may be aggravated by regular use of a computer
for two or more hours a day.
The longer the use of computer
leads to a decrease in blink reflex.
• This means that while working using a computer, we tend not to blink as often as we should.
• Normal Blink rate : 16-20 per minute.
• During computer use, blink rate : to 6-8 per minute.
Blinking is critically important for spreading of tears to form an even film on the eye surface and also in refreshing this tear film.
Thus in the absence of adequate blinking, eyes become dry and irritated.
Why Computer & like devices are culprit????
• When we look in the distance, our eyes are relatively relaxed and at rest.
• But when we look at computer continuously :
Characters (pixels) on computer screen do not have well defined edges. They are brightest at the center and diminish in intensity towards the edges.
• This makes it very difficult for eyes to maintain focus.
Extensive focusing does not give much opportunity to the eye muscles to move and this leads to eye strain, burning, tired – eyes feeling.
Other contributing factors
Constant gazing at a near distance at the monitor (which leads to convergence fatigue).
• Fixed posture while working long hours
• The eye muscles do not get much opportunity to move.
• Uncorrected visual defects
• Glare from lighting in the work place and direct light coming in from the exterior
Prevention or Things to be done to minimize CVS• To begin, anyone who suspects CVS should have a
Thorough eye examination by an Ophthalmologist
• Apart from this, a few additional steps can help reduce CVS
Blink more OftenComputer users should make a conscious effort to blink more often:
• They should try the suggested formula
20 : 20 : 20
Every 20 mins : look 20 feet : for 20 secs
Adjusting height of the seat and Computer screen distance from eye
Adjust the height of the desk or chair so that the middle of the computer screen is about 20 degree below eye level.
Reduce glare
• Direct the overhead lights away from computer screens.
• Position your monitor so that all windows are to the side rather than to the back or front.
• Adjust window blinds so that sunlight is away from screen and your eyes
Take a BreakComputer users can reduce fatigue by taking breaks from work and can benefit from taking a five minute break for every 30 mins of work.
Avoid air draftsAvoid siting in front of an air conditioner facing its air
draft while working on computer.
Dry Eye due to Computer Vision SyndromeWhen working on Computer or mobile phone for a longer duration, following eye problems may occur :
1. feeling of dryness, grittiness, burning, itchiness or scratchiness of the eyes
2. sensitivity to light
3. blurred vision
4. excessive tear flow (caused by an imbalance in the tear film)
• This usually happens because of a deficiency in the aqueous component of the tear film or an increase in tear evaporation, or a combination of these events.
The normal tear film The dry eye tear film
Clinical Test of Severity Units Parameters Reported
Functional TestsEvaporimetry g/cm2/sec Evaporation rate
Schimer Test mm Tear productionOptical scattering OSI Visual stability
TBUT seconds Tear StabilityInterferometry um Lipid Layer thicknessBlink rate blinks/min Tear Stability (indirect)
Molecular Tests
Tear Osmolarity mOsm/L Tear concentration and stabilityMMP-9 ug/ml inflammation
Cytokine profiles (IL-1, etc) pg/ml inflammation
Lactoferrin/Lysozyme mg/ml Tear production
Subjective Tests
Corneal staining grade 0-4 Damage (mucin deficiency)Conjunctival staining grade 0-4 Tissue Damage
MGD grading grade 0-28 Gland obstruction and inflammation
Symptoms (OSDI) score 0-100 Discomfort
Diagnosis Various Clinical Biomarkers of Dry EyeDisease Severity