Our modern world has become undeniably tethered to digital devices. Indeed, the last decade has seen a massive surge in digital device usage across all age groups. This constant connectivity has brought with it a significant health concern: digital eye strain.
Digital eye strain, also known as computer vision syndrome (CVS), is a cluster of ocular, musculoskeletal and even behavioral problems triggered by extended exposure to digital screens, including blurred vision, tired eyes, headaches and neck pain.
As we rely more and more on screens, understanding digital eye strain and how to mitigate its effects becomes increasingly important. The good news is that research is providing valuable insights into both the causes and solutions for this widespread issue.
Many Factors Contribute to Digital Eye Strain
A review published in the journal Medicina explored the environmental, visual and physical factors that contribute to digital eye strain.1 The aim of this review was to consolidate the latest scientific findings to better equip eye care professionals and individuals with effective strategies to manage this widespread condition.
The review of numerous studies highlighted that asthenopia, a condition commonly known as eye strain or eye fatigue, is remarkably prevalent among people who regularly use visual display terminals like computer screens. In fact, studies show that anywhere from 55% to as high as 81% of screen users experience asthenopia.
Interestingly, while some research is still unclear on whether age directly impacts asthenopia during computer use, there’s evidence suggesting that starting screen use at a young age makes asthenopia more likely.
Furthermore, people over 30 are more prone to developing dry eyes specifically related to digital screen use. It’s also worth noting that women appear to report asthenopia more frequently than men, suggesting sex may play a role in the experience of these symptoms.
Beyond general eye strain, the Medicina review emphasized that using screens for extended periods disrupts various aspects of vision and eye function. For instance, prolonged close-up work on devices like cellphones has been linked to a condition called acute acquired comitant esotropia (AACE), particularly in younger individuals. This condition, where the eyes turn inward, leads to double vision and, if persistent, results in amblyopia, also known as lazy eye.
The type of device and how you use it also significantly influences the degree of eye strain. The review points out that prolonged smartphone and computer use is associated with higher levels of myopia, or nearsightedness, compared to using tablets or watching TV. Intriguingly, studies examining the link between screen use and intraocular pressure (IOP), the pressure inside your eye, have also yielded important findings.
One study discovered a small but notable increase in IOP linked to smartphone use, and this pressure change became more pronounced in low-light conditions. This is particularly relevant for individuals with conditions like normal tension glaucoma, where using smartphones in dim settings could elevate IOP further.
Environmental factors at your workspace also have a considerable impact on eye comfort while using screens, according to the review. Overhead lighting that shines onto the screen reduces text contrast, leading to increased eye fatigue and discomfort. Conversely, adjustable task lighting has been shown to provide relief for both visual and muscle strain, while also improving posture.
Work and Lifestyle Habits Affect Digital Eye Strain
Work habits, particularly the duration of screen use, play a key role in digital eye strain. The Medicina review highlights that extended hours spent on screens correlate directly with more pronounced visual symptoms. To counteract this, structuring computer work with frequent breaks is essential.
Schedules incorporating short breaks, such as micro-breaks every 15 minutes or five-minute breaks every 30 minutes, not only boost work efficiency but also help reduce eye and muscle discomfort.
Furthermore, excessive screen time, especially smartphone use, significantly affects sleep quality, leading to shorter sleep duration and reduced sleep efficiency. Studies have confirmed that this disruption of sleep patterns is just one of many physical and psychological side effects associated with too much screen time. It’s also been found that spending more than four hours a day on screens significantly increases the risk of developing dry eye syndrome, especially in older adults.
Additionally, lifestyle choices such as smoking introduce further risk, as smoking is a known risk factor for various eye conditions, including dry eye and cataracts, further complicating digital eye strain. Device-related factors, such as screen angle and display quality, also matter. Improper viewing angles, particularly screens positioned too high, are identified as a major risk factor for digital eye strain.
Poor screen resolution and screen glare exacerbate eye strain severity, with small screens and font sizes increasing eye strain due to focus issues. Furthermore, 3D stereoscopic displays and virtual reality headsets introduce additional strain on accommodation, convergence and tear dynamics, causing symptoms like motion sickness and fatigue, especially in women using VR headsets.
Digital Screen Use Affects Your Eyes and Overall Health
The health of your eye’s surface is just one area impacted by digital screen use. The Medicina review discusses how prolonged screen use impairs spontaneous blinking, leading to increased tear film evaporation and ocular discomfort. Reduced blinking frequency and duration contribute to dry eye disease.
To combat this, the review suggests preventive measures such as taking eye rest breaks, practicing blinking exercises and modifying environmental factors like humidity. Blinking exercises, like closing your eyes for short durations and squeezing eyelids, help reduce dry eye disease symptoms and improve tear film quality. Using desktop humidifiers also enhance tear film stability and eye comfort.2
Digital eye strain extends beyond just your eyes, however. People who spend up to 12 hours daily on digital screens can experience headaches, sleep disturbances and musculoskeletal issues, including neck, shoulder and back pain. Improper posture, screen position and non-ergonomic furniture contribute to these musculoskeletal problems.
Smartphone use, in particular, often leads to abnormal neck bending, increasing muscle fatigue and pain. Furthermore, prolonged screen use also affects wrists, arms and hands, leading to carpal tunnel syndrome due to pressure on wrist tendons. Some individuals also develop “screen dermatitis,” a skin condition characterized by redness and irritation.
Nutrition Is a Key Component in Easing Digital Eye Strain
Can what you eat actually help your eyes cope with all that screen time? That’s the question explored in a compelling review published in the journal Nutrients.3 This research dives into the role of nutrition, specifically certain micronutrients found in supplements and foods, to lessen the symptoms of digital eye strain.
Oxidative damage and ongoing inflammation are major culprits in why digital eye strain develops. According to the Nutrients review, eating the right nutrients is a way to ease those bothersome eye symptoms. For instance, anthocyanins are the pigments that give berries and colorful vegetables their vibrant hues, and they’re celebrated for their antioxidant, anti-inflammatory and immune-boosting abilities.
Studies included in the review indicate that anthocyanins improve eye muscle function, which is key for focusing and reducing eye strain. Specifically, bilberry extract, rich in anthocyanins, has been shown to enhance the responsiveness of eye muscles after short periods of screen use, suggesting these nutrients could help eyes recover from the strain of digital devices.
Furthermore, anthocyanins also alleviate those subjective feelings of tired eyes and blurred vision that are common complaints among heavy screen users.
Another set of powerful nutrients discussed in the review are carotenoids, especially lutein and zeaxanthin. These are macular carotenoids, meaning they are highly concentrated in the macula, the central part of your retina responsible for sharp, central vision. Lutein and zeaxanthin act as a natural defense against blue light, the high-energy light emitted from digital screens, by filtering it out and neutralizing harmful free radicals produced by blue light exposure.
The review points out that maintaining good levels of these carotenoids is linked to better visual performance, reducing glare sensitivity, improving contrast and lessening overall visual fatigue — all symptoms associated with digital eye strain. These carotenoids aren’t just beneficial for vision; research suggests they also play a role in reducing psychological stress and improving sleep quality, which are often disrupted by excessive screen time.
Practical Tips to Prevent and Relieve Digital Eye Strain
Dealing with digital eye strain in our screen-filled lives can feel like an unavoidable part of the day, but it doesn’t have to be that way. The good news is, there are straightforward steps to ease the strain and make your eyes more comfortable. By making a few simple adjustments to your habits and environment, you lessen the impact of digital devices on your vision and overall well-being. Let’s get into some practical ways to start protecting your eyes today.
1. Embrace regular eye breaks — If you’re spending hours in front of a screen, taking regular visual breaks is paramount. While the 20/20/20 rule — look 20 feet away for 20 seconds every 20 minutes — is a common recommendation, recent studies suggest that even this isn’t sufficient for everyone and longer breaks are necessary.4,5
Try to take a five-minute break for every hour of screen time. During these breaks, make sure you’re not just switching to another screen. Instead, get up, walk around, stretch and let your eyes completely relax from focusing up close. This is important for giving those tired eye muscles a rest and letting your blink rate return to normal, which helps keep your eyes properly moisturized.6
2. Avoid blue light exposure before bed — It’s really important to manage your exposure to blue light from screens, especially in the hours leading up to bedtime. Screen use before bed interferes with sleep, and lack of good sleep worsens eye strain.
To help with this, try to avoid screens after sunset. Also, in the evenings, dimming the lights in your home and using warmer light sources instead of bright, cool lights makes a difference. If you absolutely must use screens at night, consider using blue light filters on your devices or wearing blue light-blocking glasses.
3. Limit your overall screen time — One of the most direct ways to reduce digital eye strain is simply to cut down on screen time. Think about how much time you actually need to spend looking at screens for work and leisure. Are there areas where you can reduce usage?
Consider setting specific times for checking emails or social media, rather than constantly being connected. Perhaps swap some screen-based leisure activities for hobbies that don’t involve screens, like reading a physical book, going for a walk or spending time with friends and family face-to-face.
4. Optimize nutrition for eye health — Anthocyanins, the colorful pigments in berries, help reduce eye fatigue and improve muscle function. Lutein and zeaxanthin, carotenoids found in leafy green vegetables and egg yolks, act like internal blue light filters and antioxidants.
Your eyes are also highly susceptible to and damaged by polyunsaturated fats (PUFAs) such as linoleic acid (LA), so avoid consuming seed oils (also known as vegetable oils) and stay clear of processed foods, fast food meals and most restaurant food, which typically contain them.
5. Spend more time outdoors — Getting outside more often is beneficial for your eyes. When you’re outdoors, you’re naturally looking at things in the distance, which gives your eye muscles a break from the constant close-up focus required by screens.
Sunlight is also different from artificial indoor lighting and screen light, and this has a positive effect on eye health. Plus, spending time outdoors is great for overall well-being, reducing stress and improving mood, which indirectly helps with physical symptoms like eye strain. Make an effort to incorporate regular outdoor time into your day, even if it’s just a walk during lunch breaks.
Frequently Asked Questions About Digital Eye Strain
Q: What exactly is digital eye strain, and how do I know if I have it?
A: Digital eye strain, also known as computer vision syndrome, is what happens when your eyes get tired and strained from too much screen time. You might notice symptoms like blurry vision, dry or irritated eyes, headaches, and even neck and shoulder pain. If you’re spending a lot of time on digital devices and experiencing these discomforts, it’s likely digital eye strain. It’s a common issue in our tech-heavy world.
Q: Why do screens cause my eyes to feel so tired and blurry?
A: Screens cause eye strain for a couple of main reasons. First, you blink much less when you’re focused on a screen, which dries out your eyes — blinking is like your eye’s natural windshield wiper.7 Second, the muscles in your eyes get tired from constantly focusing on a fixed, close-up point for extended periods. These factors combined lead to that blurry, fatigued feeling you get after prolonged screen use.
Q: Are children more susceptible to digital eye strain than adults, and are their symptoms different?
A: Children are in the high-risk group for digital eye strain, and it’s something to really keep an eye on. Children often spend even more time on screens than adults, and their eyes are still developing, which makes them more vulnerable.
Some studies suggest screen use in children could be linked to nearsightedness.8 Unlike adults who often self-manage, children might not always express their discomfort clearly, or understand why they’re feeling it, making proactive management important.
Q: Besides just eye breaks, are there changes I can make to my workspace setup to ease eye strain?
A: How set up your workspace makes a difference in reducing eye strain. Your screen position should be about arm’s length away and slightly below eye level. Adjustable task lighting is also great because, unlike overhead lights that cause glare, it lets you direct light where you need it without shining directly on your screen. Small ergonomic tweaks add up to a more comfortable screen-using experience.
Q: Can my diet play a role in managing digital eye strain?
A: Yes, what you eat supports your eye health in the face of digital eye strain. Specific nutrients like anthocyanins and carotenoids as especially beneficial. Anthocyanins help reduce eye fatigue and carotenoids improve visual performance and protect against blue light. Your eyes are highly susceptible to and damaged by polyunsaturated fats (PUFAs) such as linoleic acid (LA) in seed oils, so eliminate the processed foods that contain them.
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