from Hacker News

Computer Vision Syndrome

by ericbarnes on 9/26/16, 2:05 PM with 156 comments

  • by giberson on 9/26/16, 3:48 PM

    I use to get headaches every day (the kind that seem to originate behind the bridge of the nose). One day in effort to reduce the ache (a desperation move I didn't know would work out not) I reduced the brightness level in my monitor to the lowest possible setting. It slightly helped me cope with the rest of the day at work, but I forgot to reset the monitor. The next day I didn't get a headache. Turning down the brightness to the lowest level is now something I do with every monitor I use. Coworkers always comment the first time the see my screen "how do you see anything on that?" But the truth is you adjust really fast and don't even notice it's so dark. Best of all, I don't get headaches anymore.

    This may not have been CVS, but I felt it was related to looking at screens all day so I wanted to share.

    I frequently hear coworkers complaining about headaches and recommend they decrease their screen brightness. They always provide their own reasoning for the headache cause that makes it unavoidable. I shrug because I can't make them try my suggestion. But it would be interesting to have someone else try and get some feedback if the solution works for others (identifying my problem as a work hazard rather than a personnel condition).

  • by atourgates on 9/26/16, 7:48 PM

    Eye Health (not unlike other areas of health) has a lot of FUD around it.

    A lot of the recent "awareness" of CVS is based off people who want to sell you blue light blocking glasses.

    This infographic is one of my favorite examples: http://vspblog.com/blue-light-infographic/

    There's lots of numbers and statistics there, but none of it is actually scientific. The closest you get is that "VSP Optometrists report a 50% increase in digital eye strain and the effects of blue light exposure."

    But I can promise you as someone on the receiving end of VSP's marketing to eye care professionals, that they're marketing the bejeezus out of their blue light blocking technology to their eye care professionals.

    So, if you're an optometrist and you have a financial incentive to sell blue-light blocking coatings, and you're getting tons of marketing about the epidemic of digital eye strain in your inbox and mailbox and the publications you read, of course you're going to notice an increase of its incidents in your patients.

    If you're experiencing discomfort from using your computer for hours every day, you should absolutely do things to alleviate that discomfort. But the thing that all this marketing and FUD leaves out, is that there's no evidence that blue light exposure (from digital devices) or CVS or digital eye strain or whatever they'll be calling it in a week causes any long-term damage to your eyes.

    From the American Academy of Ophthalmology[1]: "Staring at your computer screen, smartphone or other digital devices for long periods won’t cause permanent eye damage, but your eyes may feel dry and tired."

    [1]: http://www.aao.org/eye-health/tips-prevention/computer-usage

  • by mod on 9/26/16, 3:12 PM

    My retired optometrist friend recommended that I wear reading glasses with a very low power at all times while using the computer, and I do that now. They're .75x or 1x, I can't remember. I don't need them--nothing is blurry without them--but they help your lenses to relax by doing some of their work at close distances.

    The condition he wants me to avoid is called nearpoint stress, but sounds very similar to me (a layperson). It culminates in your eyes lenses becoming "stuck," unable to fully relax to focus properly on things at a distance. I guess the reason is that your cilliary muscles (that alter the shape of the lens) become overworked to the point of a spasm.

    One symptom of that is looking up from your computer and objects being blurry for a few seconds, but then coming into focus.

  • by dudeget on 9/26/16, 3:29 PM

    one of the most essential pieces of software in my opinion:

    flux: https://justgetflux.com/

    and now that I've been running linux, redshift: http://jonls.dk/redshift/

    I find it hard to use a computer without these now

  • by djb_hackernews on 9/26/16, 3:14 PM

    I have seen a few ophthalmologists seeking treatment for a condition resulting from computer use. I think CVS is a catch all that makes sense on the surface but doesn't really address the damage that has been done. There is some interesting research being done in this area, but it has taken a while for the eye health community to catch up.

    My story goes back over 4 years ago, one day like the flick of a switch I could barely keep my eyes open. Now I live with it but it is extremely uncomfortable and distracting and I no longer hack on anything outside of work. My issue isn't so much dry eyes but strained and fatigued eyes. Imagine the most tired and strained eyes you've ever experienced. Multiply that by 10 and that is how my eyes feel starting from the moment I wake up. Luckily I still have 20/20.

    Basically, let this be a warning not to take for granted your eye health.

  • by ksml on 9/26/16, 3:35 PM

    I looked into break timers a while back, but I wanted something really simple that I didn't need to install. I wrote a blog post about how to make a simple break timer with OS X notifications and AppleScript: https://reberhardt.com/blog/2016/02/09/a-dead-simple-break-t...
  • by dazmax on 9/26/16, 3:03 PM

    Anyone know of a break-taking app that watches your activity and can wait until you've lost focus on your work before reminding you to take a break?

    Something like the alarms that wake you up at the right point in your sleep cycle.

    It would probably need to have a cut-off eventually, but I'd hate to be interrupted in the middle of tracing some complex logic if there's a perfect stopping point 10 minutes later.

  • by AJ007 on 9/26/16, 3:33 PM

    I think there is something with reading angle too: http://onlinelibrary.wiley.com/doi/10.1111/aos.13148/abstrac...

    "Reading in a sitting posture at myopia onset predicted the greatest myopic progression to adulthood and reading face up on one's back the lowest. Reading with eyes on turned more downwards was slightly connected with greater myopic progression."

    I had some major vision problems a couple of years ago, to the point I didn't touch a computer for about 4 months. iPad and iPhone screens weren't bothering me so I got to keep working.

    My suggestion to people having severe problems is to strip apart every variable and test. A few things I have suspicions about which I have rarely seen addressed:

    - switching between low & high DPI screens

    - lights/screens which are not on the same frequency

    - viewing angle (referring back to the myopia study.) Prior to a standing desk I would always lean back in my chair - going back to when I was like 11 years old.

    From my opinion, if you took best practices and worst practices, and then like did all the worst ones you would be fucked pretty quickly. You could take someone in great health and give them chronic pain in weeks or a few month. Doctor's advice shouldn't be ignored, especially when something fatal may be occurring, but in many cases they may have no helpful advice.

    Ergonomic / RSI / Carpel tunnel issues apply here as well. I've mentioned before I had severe RSI with chronic, 24/7 pain for years, and exhaustive attempts to fix it eventually cured it. Unfortunately as I get older I've also had to acknowledge that our bodies get less and less capable of fixing themselves. At the least we can try really hard to do things which aren't aggravating the decline.

  • by ojbyrne on 9/26/16, 3:02 PM

    Surprised this article doesn't mention Bias lighting: http://www.howtogeek.com/213464/how-to-decrease-eye-fatigue-...
  • by pmoriarty on 9/26/16, 3:06 PM

    "He recommended I use a hot compress at least once a week for 10 minutes and to look away from the screen in a method called the 20-20-20-20 rule. Every 20 minutes take 20 seconds to look at an object at least 20 feet away and blink 20 times."

    Is there any evidence that this treatment actually works?

  • by collyw on 9/26/16, 4:49 PM

    I am thinking my habit of drinking lots of water / tea / yerba mate helps. Means I get up and go for a piss every hour at least. Drinking lots of water is generally seen as a good thing.
  • by kazinator on 9/26/16, 7:08 PM

    One thing I discovered through an ad hoc anecdotal experiment involving only myself, over a quarter century ago, was the effect of font size. As a CS undergrad I was working like crazy in the lab for many hours a day. The display-hardware was B&W X window terminals (cathode ray, of course) with 19" screens. I had this idea: if I make things easier to read even when my eyes are tired, I can boost my endurance, right? So I switched to using large fonts. This had exactly the opposite effect; my fatigue symptoms became worse, because I was able to ignore the status of my eyes and keep going (without even consciously realizing it). If the fonts are big enough, you don't even have to blink any more; you can still read if your eyes dry out, ha! A that point I experienced an "aha" moment, and tried it the opposite way: I used a smaller font than the default. Like magic, my fatigue symptoms soon went away. I hypothesized that this is because small fonts create a negative feedback. When your eyes start to lose focus, you cannot read the screen any more. Firstly, you are forced to blink more often to keep your eyes moist. Second, you have no choice but to relax and not squint or strain. When the feedback mechanism does break, you're forced to take a break simply because you cannot ignore the fact that you're having trouble reading what's on the screen.

    Since that time, I have always used small fonts and haven't had any problems. Plus, when CRT's started to disappear around the turn of the century, that was a fantastic change. Solid-state screens are much easier on the eyes.

  • by DanielleMolloy on 9/26/16, 4:29 PM

    What about good old dark editor themes or, better: Inverting of screen colours? Staring at a bright computer screen for hours is a recipe for tired, red eyes. And all operating systems offer negative screen colours. On OS X it is an accessibility option and has the standard shortcut control+option+command + 8.

    Android and iOS also can do this. On iOS it's again an accessibility option, press the home button three times after it is activated and you will be able to read HN much longer (also, a black+blue HN is nice).

    I am using this option so much that I finally switched from Ubuntu to OS X on the desktop after an Ubuntu upgrade at that time eliminated negative screen colours (and hibernation, but this is a different story), and it was impossible to bring it back.

    I also like Flux darkroom, but after some time it gives you the feeling of being in a horror movie.

  • by rubidium on 9/26/16, 3:05 PM

    Here's the 2014 article referenced (it's a good summary): http://www.academicjournals.org/journal/MPR/article-full-tex...

    After a particularly intense few weeks of work of computer-based work, I started getting double vision every time I tried to read or type at a computer screen. Initially it was rather disturbing.

    Recovery was 3 days away from screen time and time outdoors (focusing eyes on far away things). I've definitely reformed my habits to spend time looking out the window more.

    Also, flux is a requirement for any screen I use.

  • by toyg on 9/26/16, 3:43 PM

    This is one of those cases where it's important to remember that not all equipment is born the same when it comes to ergonomics, even when it features similar specs.

    I have a 2012 MBP Retina, in retina mode (scaled at half the native resolution).; I can look at it for hours and hours without any problem. I also have a larger 4K screen from Iiyama, also "in retina mode"; after about an hour staring at it, my eyes are so dry that they are forced to cry, and headaches are much more frequent when I stick to that.

    Somebody should do for monitors what Hermann Miller did for chairs.

  • by hawski on 9/26/16, 3:38 PM

    From what I understand VR goggles have collimator to focus eyes of the user at infinity. I was wondering: are there collimator spectacles? Would they help? Would they interfere with text reading?
  • by carapace on 9/26/16, 8:32 PM

    The irony of light grey body text on this article.

    Here is the "You Hate Your Readers' Eyes" quiz. Is your body typeface...

    * Sans-serif?

    * Thin?

    * Gray, the lighter the better?

    Good work! You hate your readers' eyes!

  • by otto_ortega on 9/26/16, 11:51 PM

    I suffer of CVS big time, I had to apply tons of eye-drops every few hours due the dry and burning sensation on my eyes and some days I won't even catch much sleep because my eyes hurted so badly and keept me awake.

    What helped me a lot was a pair of Gunnar glasses (cristaline version) plus taking short brakes every 25min (Podoro Technique helps with this). The Gunnar glasses alone took me to cut down my use of eye-drops to 1 or 2 times a day.

    So I honestly recommend the glasses, but wait for the style you like to be on sale (I bought mines 30% off) and if you are not sure about the meassures of your head, go with the Sheadog ones, I have a big head, and those fit me perfectly and are very light weight.

  • by striking on 9/26/16, 2:55 PM

    That's a pretty plausible explanation for why my eyesight has gone down the drain in the past couple years. And I'm young, I can't be losing my vision just yet.

    I suppose I should ask my optometrist about this.

  • by orbitingpluto on 9/26/16, 4:20 PM

    My advice is don't mancave or cubicle if you have an option. Fight for that window seat at work. I'd rather have a window cubicle than a windowless office. Enjoy the view every couple minutes.
  • by athenot on 9/26/16, 3:54 PM

    I don't know if this is good or bad but wearing contact lens while on the computer does help me notice much faster when my eyes dry up. That prompts me to blink and look around.
  • by methodover on 9/26/16, 5:08 PM

    I'm sure it's not true but... Once I got a high refresh rate IPS monitor, a lot of my eye problems (dry, red, tired) went away. Hmm.
  • by fenollp on 9/26/16, 9:49 PM

    I have been using https://chrome.google.com/webstore/detail/deluminate/iebboop... to invert webpages colors (as they are often very bright), it has worked mostly well.
  • by fhackenberger on 9/26/16, 9:41 PM

    I also had issues with my eyes, which fit the symptoms described. I solved it by wearing glasses with a varying dioptric up and below the centre.

    That way your eye has to re-focus as you look up and down on the screen.

    The glasses also have a tinted glass that's supposed to help.

    Mine are from the company starting with Gu... when searching for "computer screen glasses".

  • by johnydepp on 9/28/16, 6:05 PM

    I am not sure if this is the place to show code, but here's a small script which can help you remind about looking away from monitor and follow 20-20 rule (only for MAC-OS):

    while : do

      for run in {1..5}
      do
          sleep 1
          tput bel
          echo "Eye Beep"
      done
    
    
      sleep 1200
    
    done
  • by toomanybeersies on 9/26/16, 8:49 PM

    One of the best things that's happened for my eyes in regards to looking at compute screens all day was getting upgraded from a 1366x768 laptop to a 13" Retina Macbook Pro. Even though the text is way smaller on my MBP, everything is so easy to read.
  • by vdnkh on 9/26/16, 8:24 PM

    I made a tiny website that implements the 20-20-20 rule via Notifications API.

    Another thing that has helped a lot: get a better monitor.

    https://johnbartos.github.io/eyebreak/

  • by whamlastxmas on 9/26/16, 3:31 PM

    It's hard to take articles like this seriously when they end with affiliate links.
  • by vermontdevil on 9/26/16, 4:29 PM

    I occasionally see screens change shape from the typical rectangle to trapezoid. That's when I would just shut down and go outside or do something else.

    This effect could last the rest of the day/evening for me.

  • by Houshalter on 9/26/16, 9:31 PM

    I thought this would be about how computer vision is distracting AI researchers from other areas of AI. I guess computer vision has multiple definitions now.
  • by gr3yh47 on 9/26/16, 4:00 PM

    over the last 10 years of being on a computer for at least 10 hours a day my distance vision has been obliterated. i used to have 20/15 vision and now i have 20/50 vision.

    I'm positive the screens are the issue. My toddler nieces stand a foot away from tvs and every time i see it i beg their parents to not let them subject their developing eyes to that.

  • by Hydraulix989 on 9/26/16, 7:45 PM

    The person who advised developers to turn on the television in order to distract them all day obviously isn't a developer.
  • by Globz on 9/26/16, 5:27 PM

    Flux + EyeLeo is the way to go for me, I know my job already damaged my eyes but this helps reduce head aches and dry eyes.
  • by motyar on 9/26/16, 5:07 PM

    In case you have this problem. Flexseed is very helpful.
  • by husamia on 9/28/16, 4:34 PM

    I bought a pair of Gunnar computer glasses
  • by dimino on 9/26/16, 4:47 PM

    I feel incredibly lucky that I don't suffer from any of these symptoms, as I sit, and have sat, in front of my computer for ~14 of my available waking hours each day for the past... 10 years?

    8 hours a day at work, and I then come home and game for 3 or 4 more, sometimes as much as 9 or10 additional hours, and have not yet felt anything as described here.

    I may do these exercises naturally, as part of my existing habits, because I'm fairly easily distracted.

  • by Pica_soO on 9/26/16, 4:33 PM

    Against dry eyes,a micro controller and two airbrush pistols with natrium-destilled water solution. Its a shame there is no ready made solution built into or upon glasses...

    PS: Huge glasses that cover the eyes also protect against moisture loss.

  • by justinlardinois on 9/26/16, 8:18 PM

    > Computer vision syndrome or CVS (not to be confused with Concurrent Versions System)

    It remains an open question which CVS is more harmful to software developers.

  • by JoeAltmaier on 9/26/16, 3:11 PM

    This is another pointless diagnosis of a cluster of issues centered on an activity. Instead of, you know, centered on the disease. Kind of like diagnosing bad software with "HeadUpButt Developer Syndrome". Cute, a cocktail party line, but not the same as medicine.
  • by excalibur on 9/26/16, 3:02 PM

    YOU get SSI, and YOU get SSI... and YOU, and YOU. Disability checks all around!

    EDIT: Thanks for all the downvotes guys, it's good to know that humor has no place here.