Use Of Visual Display Terminals Research Articles

Ocular surface changes during COVID-19 pandemic among university faculty members with dry eye disease in northern India: A longitudinal study

ObjectiveThe pandemic has brought a paradigm shift in pedagogical modalities throughout the world, with a resultant increase in screen time and ultra-violet light exposure among both students and teachers. The current study was conducted to analyze ocular surface changes in university faculty members with dry eye disease (DED) during the second wave of COVID-19 pandemic in India. MethodsA cross-sectional study was conducted among university faculty members of a medical university in India. An online questionnaire was sent via social media from December 2020 to January 2021, which consisted of questions on demographic details, DED symptoms and use of visual display terminals. All those participants who had DED based on Ocular Surface Disease Index (OSDI) score were followed-up after one month when the pandemic had subsided. ResultsOut of the 150 faculty members in the university, 130 completed the survey (response rate 86.7%). The number of participants with symptomatic DED based on OSDI score was 111 (85.3%). All these participants showed a statistically significant change in subjective measurement of DED symptoms after one month, using OSDI questionnaire. ConclusionDED symptoms increased during the pandemic and there was a statistically significant change in the OSDI scores suggestive of ocular surface damage and a positive relationship with increased digital screen time. The finding has implications as targeted interventions need to be undertaken to mitigate the effects of increased screentime, especially among populations with more duration of near work using digital screens.

EFFECT OF “SENAM PERMATA-KU” COMPARED WITH WARM COMPRESS ON THE AMPLITUDE OF ACCOMMODATION IN COMPUTER VISION SYNDROME PATIENTS

Introduction and Objective: The COVID-19 pandemic has virtually made many work activities, resulting in increased use of Visual Display Terminals (VDT) at work and home. Excessive close-range activities due to the use of VDT causes Computer Vision Syndrome (CVS). Various therapies, such as ocular yoga and warm compress, have been created to reduce CVS-related complaints. Diponegoro University developed “Senam PERMATA-KU” as an alternative therapy to reduce complaints related to CVS. This study compares the effect of “Senam PERMATA-KU” and periocular warm compress on the amplitude of accommodation (AA) value in patients with CVS.
 Methods: The study subjects were divided into “Senam PERMATA-KU” group (22 people) and periocular warm compress group (20 people) with each treatment for two weeks. CVS score was measured using CVS-Questionnaire and AA using Prince’s rule. Both variables were assessed before and after treatment. Data were collected and analyzed using a statistical computer program.
 Result: “Senam PERMATA-KU” group experienced a significant increase in monocular and binocular AA (p<0.001 and p=0.006), while periocular warm compress did not show a significant difference (p=0.982 and p=0.483). The mean delta of monocular and binocular AA between groups differed significantly (p=0.001 and p=0.034). The mean CVS scores in both groups have significant improvement (p<0.001), while the mean delta CVS scores between groups was not significant (p=0.522).
 Conclusion: “Senam PERMATA-KU” for two weeks significantly increased monocular and binocular AA, while periocular warm compress showed no significant difference. “Senam PERMATA-KU” and periocular warm compress can significantly reduce CVS score, whereas the difference between the two is insignificant.

Description of Computer Vision Syndrome (CVS) Knowledge in PSSK Students of Medical Faculty Udayana University

Computer Vision Syndrome (CVS) is a group of visual and extraocular symptoms associated with the continuous use of visual display terminals caused by the use of devices with a long-time intensity. This study was conducted to determine the description of the knowledge of undergraduate medical students of the Faculty of Medicine, Udayana University Class of 2020 regarding Computer Vision Syndrome (CVS) and the complaints they feel. This study used a cross-sectional descriptive method in collecting data. The research subjects were selected using a simple random sampling technique, consisting of 83 students enrolled in the Undergraduate Medical Study Program, Faculty of Medicine, Udayana University, Class of 2020. Data collection was carried out by distributing quizzes online to assess knowledge about Computer Vision Syndrome (CVS). The collected data were analyzed using SPSS software version 27. The study found that 45 subjects (54.2%) had a good level of knowledge, 32 subjects (38.6%) had a sufficient level of knowledge, and 6 subjects (7.2%) had a poor level of knowledge. The description of the knowledge of undergraduate medical students of the Faculty of Medicine, Udayana University, Class of 2020 regarding Computer Vision Syndrome (CVS) is mostly in the good category. Education through lectures, seminars or workshops needs to be carried out in order to increase awareness and the importance of Computer Vision Syndrome (CVS) and treatment efforts need to be implemented. Keywords: Computer Vision Syndrome, CVS, knowledge, medical students

Prevalence of dry eye disease among visual display terminal office users in Uyo, Nigeria

Context: Dry eye disease (DED) results from loss of tear film homeostasis. Increase use of visual display terminals (VDT) by individuals and professionals increases the risk of DED.
 Objective: This study is aimed to determine the prevalence of dry eye disease among office workers who use visual display terminals in Uyo.
 Methods: A descriptive, cross-sectional study of VDT office workers aged 19-65 years. Multi-stage sampling technique was used to recruit participants. Self-administered Impact of Dry Eye on Everyday Life (IDEEL) questionnaire and ocular examination was done to gather data; such data was analyzed using SPSS version 22.0
 Results: Prevalence of dry eye disease (DED) was 5.8% (95% CI 3.44 - 8.16). Mean Schirmer’s 1 was 21.60 ± 9.29mm, mean TBUT was 9.74 ± 2.48s, mean IDEEL score was 76.15 ± 25.47. There was a statistically significant association between DED and educational level 7.56(p-value 0.02), hours of visual display terminal use per day 10.72(p-value 0.013), and use of air conditioning 7.66(p-value 0.006). Multivariate regression analysis to identify predictors of dry eye was statistically significant for module 1(Symptom bother) of the dry eye questionnaire (p-value 0.01, odds ratio 12.71,), tear break up time in the left eye (p-value 0.00, odds ratio 38.67), and Schirmer 1 test in the right eye (p-value 0.00, odds ratio 30.83)`.
 Conclusion: The prevalence of DED increases with the number of hours spent on VDT Periodic medical and psychological evaluation of VDT users to identify office workers most at risk should be carried out by employers of labour.

Perceived Eye-Related Symptoms and Influencing Factors in Hospital Nurses.

Nurses are at risk of eye discomfort due to the increasing use of visual display terminals and wearing masks, which may worsen eye-related symptoms. This study was conducted in South Korea to identify the factors influencing eye-related symptoms among hospital nurses on/off duty. The study included 154 nurses who completed a self-reported questionnaire that assessed demographic characteristics, perceived health status, dry-eye symptoms, occupational stress, and eye-related symptoms. The results showed that nurses complained of more eye-related symptoms on duty than off duty, with female sex and dry-eye symptoms being the factors influencing eye-related symptoms on duty. On the other hand, computer use time (≥4 h) and dry-eye symptoms were the factors influencing eye-related symptoms off duty. The study suggests that assessing dry-eye symptoms can facilitate early interventions to relieve eye-related symptoms in hospital nurses, and they should pay attention to eye health during working hours as well as off hours.

Evaluation of Prevalence and Associated Factors of Dry Eye Syndrome among Medical Students Exposed to Visual Display Terminal in Health Campus, Universiti Sains Malaysia

Introduction: Dry eye syndrome (DES) has become a public health concern, especially during the COVID-19 pandemic. Medical students are at risk due to an increase in visual display terminal (VDT) exposure given the transition to full-time online lectures. The presence of reduced blink rate and tear film instability in VDT users causes an increase in tear evaporation leading to symptoms of DES. This study helps us to learn about the associated factors of VDT use and DES among the young generation. This study aims to determine the prevalence and associated factors of DES among medical students exposed to VDT at the health campus, Universiti Sains Malaysia (USM). Methods: A cross-sectional study involving 140 undergraduate medical students aged 22 to 29 years old who were VDT users. Factors analysed are age, gender, race and duration of VDT usage. Data collection included both subjective assessment (OSDI questionnaire) and objective assessment (TBUT and Schirmer’s test). Statistical analysis was conducted using Statistical Package for the Social Science (SPSS Inc Version 24). Results were analysed using descriptive analysis and multivariate logistic regression. Results: Most of the medical student cohort was female and Malay. Most of the students use VDT for less than 8 hours. A high incidence of DES was noted among medical students (92.1%). None of the factors showed significant association with positive findings DES by subjective and objective assessment and duration of VDT usage. Conclusion: DES is common among VDT users. This study showed a high prevalence of DES among medical students in USM. The factors analysed did not show a significant association between DES and duration of VDT usage. This study may help to recognize the problem and will raise awareness of their daily practice and implement preventive measures to avoid VDT-related DES.

Comparison of mucin levels at the ocular surface of visual display terminal users with and without dry eye disease

BackgroundThe long-term use of visual display terminals (VDT) is linked to an increased risk of dry eye disease (DED). Numerous studies have indicated that ocular mucins play a vital role in the pathogenesis of DED. Therefore, we aimed to evaluate (1) whether mRNA levels of membrane-associated mucins (MAMs), including MUC1, MUC4, MUC16, and MUC20, as well as MUC5AC are altered in conjunctival cells of VDT users with and without DED and (2) the relationship between mucin levels and subjective and objective tests of DED in VDT users.MethodsSeventy-nine VDT users were enrolled and divided into DED (n = 53) and control (n = 26) groups. All participants were evaluated for parameters of DED using the Ocular Surface Disease Index (OSDI) questionnaire, tear breakup time (TBUT), corneal fluorescein staining (CFS), lissamine green (LG) staining, and tear meniscus height (TMH). Based on the conjunctival impression cytology (CIC) method, differences in MUC1, MUC4, MUC16, MUC20, and MUC5AC mRNA expression levels were observed between the DED and control groups, and between symptomatic and asymptomatic participants.ResultsThe DED group showed significantly decreased MUC1, MUC16, and MUC20 expressions (all P < 0.05) compared to the control group. In addition, these mucin levels were lower in subjects with frequent ocular symptoms (foreign body sensation, blurred vision and painful or sore eyes) than in asymptomatic participants (all P < 0.05). Correlation analysis revealed that MUC1, MUC16, and MUC20 levels in VDT users were positively correlated with TBUT or TMH, or both. However, no significant relationship was found between MUC4 and MUC5AC levels and the DED parameters.ConclusionVDT users with an increased frequency of ocular discomfort or a diagnosis of DED had a decreased MUC1, MUC16 and MUC20 mRNA expression in their conjunctival cells. MAMs deficiency in the conjunctival epithelium may be one of the mechanisms leading to tear film instability and DED in VDT users.

Improving Visual Comfort during Computer Gaming with Preservative-Free Hyaluronic Acid Artificial Tears Added to Ergophthalmological Measures.

Digital asthenopia (DA) or Computer Vision Syndrome can occur after prolonged use of digital devices and is usually managed with ergophthalmological measures and the use of artificial tears. This prospective, controlled study evaluated the use of hyaluronic acid artificial tears on the signs and symptoms of DA in participants of a videogame convention. Subjects (n = 56) were randomized into a control group (CG, n = 26), which followed ergophthalmological measures, and a study group (SG, n = 30), which followed ergophthalmological measures and instilled 1 drop of artificial tears with hyaluronic acid 0.15% four times a day. Subjects were evaluated before and after playing for three consecutive days for eye dryness (SPEED questionnaire), conjunctival hyperemia, corneal fluorescein staining, conjunctival lissamine green staining, tear breakup time, Schirmer I test, near convergence and accommodation, and using questionnaires for DA symptoms. After 3 days of intense videogaming, the SPEED score of CG increased significantly (p = 0.0320), while for the SG it was unchanged. Similarly, the CG presented significant increases in ocular fatigue (p = 0.0173) and dryness (p = 0.0463), while these parameters decreased significantly in the SG (p = 0.0149 and p = 0.00427, respectively). This study confirms the protective effect of hyaluronic acid artificial tears against DA symptoms associated with prolonged visual display terminal use.

The relationship between visual display terminal usage at work and symptoms related to computer vision syndrome.

Although it is well known that the usage of visual display terminal (VDT) at the workplace causes computer vision syndrome (CVS), previous studies mainly focused on computer use and the health of white-collar workers. In this study, we explored the relationship between the usage of VDT including various devices, and symptoms related to CVS in a large population including pink-collar workers and blue-collar workers. 21,304 wage workers over the age of 20 years were analyzed from the 6th Korean Working Conditions Survey. To investigate the association between VDT use at work and symptoms related to CVS among wage workers, odds ratios (ORs) and 95% confidence interval (CI) were calculated by multivariate logistic regression models. In the group with the highest VDT usage at work, the OR of headache/eyestrain was 2.16 (95% CI: 1.86-2.52). The OR of suspected CVS patients was significantly increased in the highest group of usage of VDT at work (OR: 1.69; 95% CI, 1.39-2.06). Compare with the reference group, the OR for headache/eyestrain in the highest group of VDT usage was 2.81 (95% CI: 2.13-3.70) in white-collar workers, 1.78 (95% CI: 1.32-2.40) in pink-collar workers, and 1.59 (95% CI: 1.18-2.15) in blue-collar workers. We observed a relationship in which the use of VDT in the workplace increases the risk of headache/eyestrain regardless of occupational classification. Our findings emphasize the importance of paying attention to the health of VDT workers and making plans to improve their working conditions.

Prevalence of Computer Vision Syndrom and Predisposing Factors Among Engineering Students in Hawass University Institution of Techenology Campus, Hawassa, Ethiopia, 2019

Objective: Lack of detail information about the magnitude of the computer vision syndrome (CVS) and the factors which predominantly cause CVS. This study has an importance for further studies as a baseline data. The purpose of this study was to assess the magnitude of CVS and associated factors on students of Hawassa university institution of technology, Hawassa, Ethiopia, 2019. Methodology: Institution based cross sectional study design was used from March 30 to May 2019. A multi stage sampling was used. Four departments were selected by using simple random sampling. Among each selected departments students was selected by using systematic random sampling and calculating proportion (K) on each selected department based on the proportion of the number of students in each department. And the final sample size was 896. Each student was assessed whether he/she was exposed to any kind of visual display terminal (VDT). Face to face interview, ocular examination and observation during VDT use was performed by five optometrists from March 30 to May 2019. After collected data was cleaned and coded, EPI info 2002 for data entry and SPSS version 16.0 software for data analysis was used. Odds ratio with a 95% CI will be used to display results. P value less than 0.05 in multivariate logistic regressions was used to show statistical significance. Results: The prevalence of Computer vision syndrome is 41.7% and urban(OR =1.66; CI = (1.14, 2.43)), no glass use(OR = 6.01 ; CI = (1.67, 21.63)), reading playing game with VDT (OR = 2.33; CI = (1.33, 4.08)), reading and watching movies with VDT (OR = 1.49; CI = (1.02, 2.18)), using Smartphone (OR = 0.60; CI = (0.38, 0.95)), remote NPC (OR= 3.19; CI = (1.64, 6.25)) and moderate size of VDT (OR = 0.63; CI = (0.41, 0.96)) were significantly associated with CVS. There is 0.39Ds reduction of amplitude of accommodation in students who has CVS. Conclusion: The prevalence of CVS was high in engineering students, mostly having symptoms of tearing. It is better to avoid using VDT like Smartphone for multiple activities like reading, playing game and watching movies and need an eye examination and protective glass to prevent CVS.

Risk Factors Affecting Dry Eye Symptoms among Visual Display Terminal Users

Introduction: Dry eye symptoms are the common ocular complaints that are found at the ophthalmologic outpatient services. This research’s main purposes were to study the risk factors associated with dry eye symptoms and to evaluate the severity of dry eye among Visual Display Terminal (VDT) users. Methods: This study was a descriptive observational study involving 104 VDT users in 3 branches of the Social Security Offices and the Bureau of Labor Protection and Welfare in Samutprakarn province, Thailand. The study instruments used were: (1) questionnaires associated with VDT use and dry eye symptoms that were evaluated by using the Ocular Surface Disease Index (OSDI) and (2) Lux meter for desk-brightness and the angle of gaze measurement during VDT use. Data were analyzed using a Chi-square test and multiple logistic regression. Results: The results found that VDT users had severe dry eye symptoms, accounting for 51.9%, and experienced moderate and mild dry eye symptoms in the same number, which was 24.0%. In addition, dry eye symptoms were related to VDT use for 5-7 hours/day with statistically significant value. Other VDT use factors, including the desk-brightness or the angle of gaze during VDT use, were related to severe dry eye symptoms with no statistically significant difference. Conclusion: Based on the findings, VDT users should use VDT no more than 5 hours/day in order to reduce VDT-related dry eye symptoms. these factors were not statistically significant for the occurrence of severe dry eye symptoms.

Assessing the Risk Factors For Diagnosed Symptomatic Dry Eye Using a Smartphone App: Cross-sectional Study

BackgroundDry eye (DE) is a chronic inflammatory disease of the ocular surface of the eye that affects millions of people throughout the world. Smartphone use as an effective health care tool has grown exponentially. The “Dry eye or not?” app was created to evaluate the prevalence of symptomatic DE, screen for its occurrence, and provide feedback to users with symptomatic DE throughout Thailand.ObjectiveThe purpose of this study was to compare the prevalence of symptomatic dry eye (DE), blink rate, maximum blink interval (MBI), and best spectacle-corrected visual acuity (BSCVA) between people with and without symptomatic DE and to identify risk factors for symptomatic DE in Thailand.MethodsThis cross-sectional study sourced data from the “Dry eye or not?” smartphone app between November 2019 and July 2020. This app collected demographic data, Ocular Surface Disease Index (OSDI) score, blink rate, MBI, BSCVA, and visual display terminal (VDT) use data. The criterion for symptomatic DE was OSDI score ≥13.ResultsThe prevalence of symptomatic DE among individuals using this smartphone app in Thailand was 85.8% (8131/9482), with the Northeastern region of Thailand having the highest prevalence, followed by the Northern region. Worse BSCVA (median 0.20, IQR 0.40; P=.02), increased blink rate (median 18, IQR 16; P<.001), reduced MBI (median 8.90, IQR 10.80; P<.001), female sex (adjusted OR 1.83; 95% CI 1.59-2.09; P<.001), more than 6 hours of VDT use (adjusted OR 1.59; 95% CI 1.15-2.19; P=.004), and lower than bachelor’s degree (adjusted OR 1.30; 95% CI 1.03-1.64; P=.02) were significantly associated with symptomatic DE. An age over 50 years (adjusted OR 0.77; 95% CI 0.60-0.99) was significantly less associated with symptomatic DE (P=.04).ConclusionsThis smartphone DE app showed that the prevalence of symptomatic DE in Thailand was 85.8%. Signs and risk factors could be also evaluated with this smartphone DE app. Screening for DE by this app may allow for the development of strategic plans for health care systems in Thailand.

Review on the possible pathophysiological mechanisms underlying visual display terminal-associated dry eye disease.

Visual display terminal (VDT) use is a key risk factor for dry eye disease (DED). Visual display terminal (VDT) use reduces the blink rate and increases the number of incomplete blinks. However, the exact mechanisms causing DED development from VDT use have yet to be clearly described. The purpose of the study was to conduct a review on pathophysiological mechanisms promoting VDT-associated DED. A PubMed search of the literature investigating the relationship between dry eye and VDT was performed, and relevance to pathophysiology of DED was evaluated. Fifty-five articles met the inclusion criteria. Several pathophysiological mechanisms were examined, and multiple hypotheses were extracted from the articles. Visual display terminal (VDT) use causes DED mainly through impaired blinking patterns. Changes in parasympathetic signalling and increased exposure to blue light, which could disrupt ocular homeostasis, were proposed in some studies but lack sufficient scientific support. Together, these changes may lead to a reduced function of the tear film, lacrimal gland, goblet cells and meibomian glands, all contributing to DED development. Visual display terminal (VDT) use appears to induce DED through both direct and indirect routes. Decreased blink rates and increased incomplete blinks increase the exposed ocular evaporative area and inhibit lipid distribution from meibomian glands. Although not adequately investigated, changes in parasympathetic signalling may impair lacrimal gland and goblet cell function, promoting tear film instability. More studies are needed to better target and improve the treatment and prevention of VDT-associated DED.

Prevalence of symptomatic dry eye disease with associated risk factors among medical students at Chiang Mai University due to increased screen time and stress during COVID-19 pandemic.

Dry eye disease (DED) is one of the most common ophthalmological disorders, resulting from several systemic and ocular etiologies including meibomian gland dysfunction (MGD). During the COVID-19 pandemic, medical students are among the high-risk group for DED, mainly due to the increasing use of a visual display terminal (VDT) for online lectures and psychological stress from encountering several changes. Our study aimed to explore the prevalence of DED using the symptom-based definition and potential risk factors in medical students. This is a prospective cross-sectional study that included medical students at Chiang Mai University between November 2020 and January 2021. All participants were assessed using the Ocular Surface Disease Index (OSDI) questionnaire, the Thai version of the 10-Item Perceived Stress Scale-10 (T-PSS-10), the LipiView® II interferometer, and an interview for other possible risk factors. Overall, 528 participants were included in the study; half of the participants were female. The prevalence of DED was 70.8%. In the univariate analysis, female sex, contact lens wear, and T-PSS-10 stress scores were significantly higher in the DED group (P = 0.002, 0.002, and <0.001, respectively). Moreover, participants with severe DED were likely to have higher meibomian gland tortuosity but not statistically significant. In the multivariate analysis, contact lens use and T-PSS-10 score were significant risk factors associated with the severity of DED. In conclusions, the prevalence of DED in medical students was as high as 70.8%. Contact lens use and psychological stress evaluated using the T-PSS-10 questionnaire had a significant correlation with a risk of DED. Female gender and duration of VDT use were also associated. Most of the risk factors were modifiable and may be used as initial management in patients with DED.

Influence of Prolonged Visual Display Terminal Use on Physical and Mental Conditions among Health Care Workers at Tertiary Hospitals, Taiwan.

This study aimed to examine the effects of prolonged VDT working time on physical and mental health disadvantages among health care workers (HCWs) in tertiary hospitals based on their work characteristics, age, and sex. Included in the study were 945 and 1868 participants in the non-doctor/nurse and doctor/nurse groups, respectively. The questionnaire included VDT usage-related information, the Nordic Musculoskeletal Questionnaire (NMQ), computer vision syndrome (CVS), perceived occupational stress, burnout, the Brief Symptom Rating Scale-5 (BSRS-5), and self-rated health (SRH). After adjustment, multiple logistical regression analysis revealed that the two groups showed that the longer the VDT working time, the higher the risk of muscle pain, severe headaches, severe job stress, and self-assessed bad sleep quality. This showed that the condition of the doctor/nurse group was more severe than that of the non-doctor/nurse group. According to the stratified analysis by sex and age, in the group of women under the age of 30, the adjusted odds ratio value of physical and mental conditions increased with longer VDT working time and was statistically significant. The result show that it is important to reduce daily VDT exposure for doctor, nurses, and women under 30.

Computer vision syndrome and its determinants: A systematic review and meta-analysis

Computer vision syndromes are becoming a major public health concern. Inconsistent findings existed on computer vision syndrome. This systematic review and meta-analysis aimed to estimate the pooled prevalence of computer vision syndrome and identify its determinants. In this study, the review was developed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Online electronic databases, including PubMed/Medline, CINAHL, and Google Scholar, were used to retrieve studies from 1 December to 9 April 2022. Quality assessment of the studies was performed using the JBI-MAStARI. RevMan and STATA 14 software were used for statistical analysis. A total of 725 studies were retrieved, and 49 studies were included. The pooled prevalence of computer vision syndrome was 66% (95%, Confidence interval: 59, 74). Being female (Odd Ratio = 1.74, 95% Confidence interval [1.2, 2.53]), improper body posturing while using electronic devices (Odd Ratio = 2.65, 95% Confidence interval [1.7, 4.12]), use of electronic devices out of work (Odd Ratio = 1.66, 95% CI [1.15, 2.39]), no habit of taking breaks (Odd Ratio = 2.24, 95% Confidence interval [1.13, 4.44]), long duration of visual display terminal use (Odd Ratio = 2.02, 95% Confidence interval [1.08, 3.77]), short distance screen (Odd Ratio = 4.24, 95% Confidence interval [2.33, 7.71]), and general ergonomic practice (Odd Ratio = 3.87, 95% Confidence interval [2.18, 6.86]) were associated with increased odds of computer vision syndrome. However, good knowledge (Odd Ratio = 4.04, 95% Confidence interval [2.75, 5.94]) of computer vision syndrome was associated with decreased odds of computer vision syndrome. Nearly two in three participants had computer vision syndrome. Being female, improper body posturing, use of electronics devices out of work, no habit of taking a break, long-hour duration of visual display terminal use, short-distance screen, and general ergonomic practice were associated with increased odds of computer vision syndrome.

Prevalence and Associated Factors of Computer Vision Syndrome Among Academic Staff in the University of Gondar, Northwest Ethiopia: An Institution-Based Cross-Sectional Study.

Introduction:Computer vision syndrome (CVS) is the leading occupational hazard of the 21st century, which causes the critical public health issues in the present era. In developing countries, including Ethiopia, data on the proportion and the causes of CVS are scarce among academic staff for policy conclusions. Accordingly, this study was conducted to determine the prevalence and factors associated with CVS among academic staff at the University of Gondar.Methods:Institution-based cross-sectional study design was conducted from March to April, 2021. A simple random sampling technique was used to select 525 study participants. Data were collected using a pre-tested self-administered structured questionnaire. The collected data were then entered into EpiData version 4.6 and analyzed using STATA version 14 software. The association between dependent and independent variables was computed with a binary logistic regression.Results:The prevalence of CVS was found to be 78.8% out of a total of 500 participants [95% CI (74.95, 82.30)], of which the majority (71.60%) of them were males. Using a computer for more than 9 years [AOR = 1.65, 95% CI (1.01, 2.71)], using visual display terminals [AOR = 2.63, 95% CI (1.60, 4.32)], and working in improper illumination levels (300 and >500 lux) [AOR = 2.47, 95% CI (1.47, 4.33)] increased the risk of CVS, whereas, Using eye droplets [AOR = 0.30, 95% CI (0.15, 0.58)] and taking rest breaks [AOR = 0.55, 95% CI (0.34-0.92)] were protective factors.Conclusion:This study disclosed that CVS was common among academicians. In the current study, the manifestation of CVS was affected by years of computer use, visual display terminals use, workplace illumination level, rest breaks, and eye droplets. Taking rest breaks in between the work, reducing exposure to display screens, use of eye drops, and optimizing workplace illumination levels are recommended to reduce the problem.

Provocation of dry eye disease symptoms during COVID-19 lockdown

To assess the impact of COVID-19 lockdown measures on dry-eye symptoms in a community-based population, a cross-sectional study was conducted during the first wave of the COVID-19 outbreak in Thailand. An online survey was distributed via social media between June and July 2020. The questionnaire elicited information on demographics, dry-eye symptoms, use of visual display terminals, and mental health status. There were 535 respondents. Thirty-seven percent reported having been diagnosed with dry-eye disease (DED). During the lockdown, the mean dry-eye symptom score (DESS) of overall participants dropped significantly from 81.6 ± 15.9 to 79.8 ± 17.4 (P < 0.001). The mean, daily, visual display terminal (VDT) usage increased from 10.55 ± 5.16 to 13.08 ± 5.65 h (P < 0.001). A negative correlation between age and VDT usage was observed in both the normal and lockdown situations. One-quarter of all participants had an abnormal mental health status. The female gender (OR 1.86; 95% CI 1.14–3.04) and increased VDT usage during the lockdown (OR 5.68; 95% CI 3.49–9.23) were independently associated with worsening dry-eye symptoms. The lockdown measures abruptly altered the behaviors and lifestyles of the overall population. Excessive exposure to VDTs were associated with deteriorated dry-eye symptoms, and it possibly contributed to the increased DED incidence in the surveyed population.

The association between visual display terminal use and dry eye: a review.

Dry eye disease (DED) is a multifactorial disease of the tear film and ocular surface. It causes ocular symptoms, reduced quality of life and a considerable economic burden on society. Prolonged use of visual display terminals (VDTs) has been suggested as an important risk factor for DED. This review aims to study the association between DED and VDT use with an emphasis on the prevalence of DED among VDT users and harmful daily duration of VDT use. A PubMed search was conducted and yielded 57 relevant articles based on a set of inclusion and exclusion criteria. The studies were subclassified according to study design. The far majority of the studies showed an association between VDT use and DED or DED-related signs and symptoms. The prevalence of definite or probable DED in VDT and office workers ranged from 26% to 70%, with as few as 1-2 hr of VDT exposure per day being associated with DED. VDT use is strongly associated with DED. VDT-associated DED is prevalent, but the exact prevalence needs to be further elucidated using standardized DED diagnosis criteria. Furthermore, a safe lower limit of daily VDT use has yet to be established. More research is needed on the effect of digitalization and digital transformation, which are particularly high during the time of the COVID-19 pandemic.

Excessive Blinking in Children and Its Association with Dry Eyes and Visual Display Terminal: A 200 Case-Control Study

Objective: To identify the cause of excessive blinking in apparently healthy children, and to evaluate its association with visual activities including visual display terminal use. Material and Methods: The present study was a descriptive cross-sectional case-control study included 200 children aged 6 to 14 years with chief complaints of excessive blinking (study group) and routine eye check-up visits (control group). All participants underwent a complete eye examination including blink rate and tear break-up time measurement. Parents were asked to answer questionnaires regarding tic disorder and duration of visual activities. Results: One hundred children in the study group (mean age 7.9±2.0 years) and 100 children in the control group (mean age 9.5±2.3 years) were enrolled. Participants in the study group were predominantly male (77% versus 44%) and had a higher blink rate (30 versus 9 blinks/minute) compared to the control group. In the study group, there was a significantly higher percentage of participants diagnosed with dry eyes (73% versus 6%, p&lt;0.001), allergic conjunctivitis (41% versus 0%, p&lt;0.001) and tic disorder (19% versus 9%, p 0.042) than in the control group. One third of the participants in the study group had mixed diagnoses of dry eyes and allergic conjunctivitis. There was no significant difference in the duration of visual activities including visual display terminal use between groups. Conclusion: Excessive blinking occurred more commonly in boys. The most common associated disorders with excessive blinking in children were dry eyes, followed by allergic conjunctivitis and tic disorder. There was no association between excessive blinking in children and duration of visual display terminal use. Keywords: Blinking; Excessive blinking; Dry eyes; Visual display terminal