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VDTs and vision

Vision
Overview   |   Workstation aspects   |   Your eye   |   Eye care   |   Vision checklist

Your eye
Excessive realignment (vergence) and movement of the eyes from one fixed point to another (e.g., from screen to source document) can lead to fatigue and visual difficulty. This effect could be minimized by keeping the various objects that need to be viewed (the display screen, the documents, etc.) at equal distances from the eye. Normal vergence movements that occur with reading do not ordinarily produce noticeable fatigue. The effort required for convergence with lateral movements appears to produce less visual discomfort than do up and down movements.

The lens and ciliary apparatus
The lens is responsible for refraction of light, and its refractive power is varied under the influence of the muscles of the ciliary apparatus in a process known as accommodation. Comfortable viewing depends on appropriate accommodation such that the retinal image is no more than 0.5 diopter out of focus and no more than two-thirds of the potential accommodation capacity is expended. Under certain circumstances, such as shifting to infinity following prolonged near viewing, accommodating ability may be temporarily inadequate leading to a transient but noticeable myopia. (However, under normal static viewing conditions, the accommodated lens remains in constant motion.) Under normal viewing conditions, visual fatigue would not be expected to result from a frequent changing of accommodation, and in fact, none has been demonstrated.

The pupil
Pupil size is determined by the opposing actions of constricting and dilating muscles and is influenced by light levels. Pupil size is also related to accommodation, and, with typical VDT usage, changes in pupil size are more likely to be due to differences in viewing distances than to variable luminances. Visual acuity is related to pupil size because, with increasing light levels, the pupil becomes smaller reducing the eye's refractive error. The point at which visual acuity ceases to improve is reached rapidly, but the depth of focus continues to increase requiring less accommodative effort. The effect on visual acuity is only of importance for low-light levels. The loss of depth of field with increased pupil size is a problem at low-light levels. Even under constant illumination, the pupil is in a state of continuous movement. Thus, in its resting state, the average diameter of the pupil is constantly changing within the range of plus or minus 10 percent, at a rate of approximately twice a second. Under normal circumstances, changes in light levels are presented to the eye at a rate in harmony with pupillary responsiveness, and pupillary fatigue does not seem to occur. With faster changes (more than three per second), the pupil responds inadequately, and can become fatigued and result in discomfort.

The retina
The cells of the retina translate light signals into electrical signals that are sent to the brain for further processing into the perceived visual image. In general, there is no visual fatigue related to low versus high levels of retinal illumination because the rate and level of retinal receptor signal generating activity is not subject to a fatigue phenomenon. There is actually much less metabolic activity by a factor of two or three in bright light as compared to dark. Proper lighting on the job will reduce visual fatigue.

General considerations
Extensive research has concluded that VDT use does not harm the eyes and long-term studies have found no indication of visual impairment. Reading from a display is essentially similar to other reading tasks. With prolonged, intensive use temporary visual discomfort can develop. However, this is frequently related to improper workstation design, lighting problems, or inadequately corrected vision for the work to be performed. In many cases, visual discomfort may be ameliorated by appropriate attention to workstation and visual considerations, for example, keeping the display screen clean.

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