J Nur Today. e-issn Computer Vision Syndrome Chris Thomas 1 *, Maneesh Sharma 2, Harish Nair 3, and Alexander Christapher 4

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RESEARCH ARTICLE www.jolnt.com e-issn 2456-1630 Computer Vision Syndrome Chris Thomas 1 *, Maneesh Sharma 2, Harish Nair 3, and Alexander Christapher 4 1,2 Assistant Professor,Saroj Lalji Mehrotra Global Nursing College, Aburoad, Rajasthan, India 3,4 Lecturer, Saroj Lalji Mehrotra Global Nursing College, Aburoad, Rajasthan Received: 12.07.2016 Edited : 25.07.2016 Accepted: 13.08.2016 Published: 15.09.2016 Greentree Group 2016 Greentree Group jolnt J Nur Today 2016 Vol. 2 Issue 1 www.jolnt.com 67

ABSTRACT J Nur Today Computer Vision Syndrome, also referred to as Digital Eye Strain, describes a group of eye and vision-related problems that result from prolonged computer, tablet, e-reader and cell phone use. Many individuals experience eye discomfort and vision problems when viewing digital screens for extended periods. Treatment requires a multidirectional approach combining ocular therapy with adjustment of the workstation. Proper lighting, anti-glare filters, ergonomic positioning of computer monitor and regular work breaks may help improve visual comfort. Lubricating eye drops and special computer glasses help relieve ocular surface related symptoms. KEYWORDS Computer vision syndrome, Digital eye strain INTRODUCTION Computers are now an integral part of our day. This advancement of science has brought about a vast change in our lives that we wonder what life would have been without it. With all its benefits come certain health related issues, awareness of which is minimal. But the shift from paper to computers has been so rapid and strong that the eye has not adapted to the new demands put on it to work at near in a new visual environment for extensive hours and in stressful environments. In the world it has been estimated that nearly 60 million people experience vision problems as a result of computer use. This computer related ocular condition is called Computer Vision Syndrome (CVS) 1. What is Computer Vision Syndrome? (CVS) Computer Vision Syndrome, also referred to as Digital Eye Strain, describes a group of eye and vision-related problems that result from prolonged computer, tablet, e- reader and cell phone use. Many individuals experience eye discomfort and vision problems when viewing digital screens for extended periods. The level of discomfort appears to increase with the amount of digital screen use2.etiology & Risk Factors of CVS Age more than 40 years Xeropthalmia-(dry eyes) is a medical condition in which the eye fails to produce tears. It may be caused by a deficiency in vitamin A Dry environment Lens use History of vision problem Farsightedness & Near sightedness Person who work with computer more than three hours/day Dry eye syndrome- Normal blinking rate= 16-22 times per minute. During computer use humans blink only 4 J Nur Today 2016 Vol. 2 Issue 1 www.jolnt.com 68

to 6 times per minute. Lower blinking rates cause eye moisture to evaporate. Heat the air quality is poor in many offices. Dust - contact with dust and dust particles. Air-conditioning poor air conditioning leads to dry environment. Pathogenesis of CVS 4 Cigarette smoking- Incidence of CVS is more among cigarette smokers. Use of hair dryers, which can make eyes dry. Mental status can also interfere with normal vision 3 Figure 1 Pathogenesis of computer vision syndrome Symptoms of CVS 5 Eyestrain (sore or fatigued eyes)- Due to glare from surrounding lamps and lights. Neck, back & shoulder pain Headache Eye irritation (burning, dryness, redness) J Nur Today 2016 Vol. 2 Issue 1 www.jolnt.com 69

Diagnosis of CVS Usual ophthalmic examination Eye health evaluation Evaluation of arrangement of computer workstation Testing how the eyes focus, move and work together Treatment of CVS According to National Institute of Occupational Safety and Health (NIOSH), computer users should have an eye examination before they start working on a computer and every year thereafter The work environment should have proper lighting. Have a break: Full time computer users should take 10 minutes break every hour to reduce strain. Refocus your eyes. Look away from your computer every 10 to 15 minutes and focus for 5 to 10 seconds on a distant object outside or down the hallway. Blink more often to cool your eyes Adjust your workstation to a correct height Match the computer screen to the brightness of the environment Use eye lubricants Try to position your monitor about 20 to 26 inches away. Breathing regularly will bring more oxygen to your eyes and reduce stress on your vision. Tips for Eye-Exercise Take off your glasses or contact lenses, you will then feel more comfortable and relaxed. Blinking helps if you have dry eyes. Splashing improves blood circulation. Near - far focus improves eye flexibility. Hydrotherapy improves blood circulation. Head rolls relax your neck, head and face muscles and shoulder tension. Clockwise rotation exercises will stretch your extra ocular muscles 6 Self- Care General diet rich in vitamins and minerals is recommended. Drink lots of water, at least 8 to 10 glasses of purified water daily. Avoid carbonated, caffeinated and alcoholic beverages. Manage your stress meditate, take a walk in nature, practice yoga, visualisation technique or prayer on a daily basis. Exercise daily, do at least 20 minutes of aerobic exercise daily like walking and swimming. J Nur Today 2016 Vol. 2 Issue 1 www.jolnt.com 70

Eye exercises can help to bring energy and blood to the eyes thereby helping to drain away toxins or congestion in the eyes. Figure 2 Tips to remember J Nur Today 2016 Vol. 2 Issue 1 www.jolnt.com 71

REFERENCES 1. Saman Wimalasundera. Computer vision syndrome. Galle Medical Journal ; Vol 11: No. 1, September 2006 2. Computer vision syndrome. American Optometric Association. available at http://www.aoa.org/patients-andpublic/caring-for-your-vision/protectingyour-vision/computer-visionsyndrome?sso=y 3. Dr S Jose PH Xavier,Prof V Bastin Jerome. Computer & Health - Computer vision syndrome. Health Action, New Delhi. March 2007. p. 28-30 4. Ajit Kumar Hazarika, Prodip Kumar Singh. Computer Vision Syndrome. SMU Medical Journal, Volume 1, No. 2, July 2014 5. Computer Vision Syndrome - Official Journal of TNAI Kerala Branch, Vol 2, No. 1, Jan-March 2007 Computer Vision Sy J Nur Today 2016 Vol. 2 Issue 1 www.jolnt.com 72