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home  > health and wellness > what is computer vision syndrome?

Health and Wellness Articles
November / December 2005

What is Computer Vision Syndrome?

By: Rebecca J. Sims, Florida Eye Centers

Almost 90% of people who work with computers and/or video screens experience eyestrain known as computer vision syndrome (CVS). CVS is not a clinical disease but a reaction to a computer-centered office environment. Symptoms are not related to the type of computer work but to the duration of the computer work. More time spent at the computer leads to longer lasting complaints, even after the work is completed.

Symptoms of computer vision syndrome (CVS) include the following:

  • Eye fatigue

  • Dry, sore eyes

  • Glare or light sensitivity

  • Blurred vision or difficulty changing focus

  • Headaches

  • Double vision

  • Contact lens discomfort

  • Neck, back and shoulder pain or stiffness

Listed below are several simple steps to combat computer-induced eyestrain. Follow these recommendations to notice a drastic and significant reduction in visual discomfort.

1. Adjust the Monitor

Poor ergonomic set-up could be contributing to your computer vision problems. Your work area could be rearranged for improved comfort. Adjust the computer screen so it sits slightly below eye level – about 10-20 degrees below horizontal. The screen should be 20-26 inches from your eyes. Consider using an adjustable copy holder to hold documents at the same level as the computer screen. Fortunately, newer LCD monitors offer better definition, allowing more comfortable prolonged viewing, than earlier VDT models. Higher refresh rates (i.e. 300 Hz) decrease perceived flicker. Additionally, high-resolution monitors are recommended (90 dpi or greater). Don’t forget to keep the monitor screen free of dust and smudges.

2. Minimize Glare

Adjust lighting to minimize glare and reflections. A non-glare screen filter could be used. Working at a computer does not require a very bright light. Put the blinds down on a sunny day. Turn the monitor so the window is at its side rather than directly in front or back. If your office remains too bright, consider a tinted pair of computer glasses. Adjust the brightness of the monitor, while keeping the contrast high. Adjust the font size of the page you are viewing. Additionally, color inversion can be used to make dark or busy backgrounds more viewer-friendly. When possible, print pages for reading rather than using the screen. Printed text is read 25% faster than text from a computer screen and is much less stressful.

3. Take Breaks

Give the eyes a break by alternating computer activities with other tasks. Relax and look at a distant target. The flexing of the eyes’ focusing muscles can exhaust your eyes. Divert your gaze from the screen as often as possible. The key is not long breaks, but frequent breaks. Additionally, a 10-minute break away from the computer is recommended for every 50 minutes spent at the computer. Use this time to move around the room and stretch your neck and back.

4. Lubricate Your Eyes

The rate of blinking is reduced approximately 40% in computer users. Decreased blinking will cause increased tear evaporation. Consequently, computer users have a significant increase in the incidence of dry eye syndrome. It is difficult to force more frequent blinking; therefore, close the eyes every time you are waiting for the machine to do a task. Use artificial tears to moisten eyes every 30 minutes during computer use. If you wear contact lenses, go for quality lenses, not discounted prices. Decreased blinking can worsen contact lens related dryness. New contact lens technology offers options specifically designed for the dry eye patient. Extra warnings may be warranted for patients with previously diagnosed dry eye syndrome and those having undergone refractive surgery (i.e. LASIK, RK).

5. See Your Eye Doctor

Consult an eye doctor for annual examinations. He or she can determine the quality of the tear film, adjust the spectacle or contact lens prescription, and make additional recommendations to improve the eye muscle balance. Wearing an incorrect prescription can increase the stress on your eyes. Consider a pair of glasses specifically for computer tasks. Often, computer glasses offer more comfortable vision than bifocals or progressive lenses. Ultra violet protection, anti-glare lenses, and scratch coating are worth the extra investment.

Computer use is a risk factor for ocular discomfort. This discomfort will increase as computer use increases. Addressing the aforementioned suggestions can help achieve successful treatment. Many of these problems are relatively easy to treat. You should notice that you are not as exhausted and your eyes feel more comfortable.


Rebecca J. Sims, O.D., is a certified optometric physician who practices locally at Florida Eye Center. She is a member of the American, Florida, and Pinellas County Optometric Associations. She is active with the American Diabetes Association and is team optometrist for the Tampa Bay Devil Rays.   Visit www.FloridaEyeCenters.com for more information.


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