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Digital Eye Strain Among Radiologists: A Survey-based Cross-sectional Study

      Background

      Computers have become a fundamental part of clinical radiology departments. Radiologists tend to spend long hours in front of computers, reading and analyzing medical images. This prolonged use of computers is associated with digital eye strain. Therefore, this study aimed to estimate the prevalence of digital eye strain among radiologists and determine its contributory factors.

      Methods

      An online survey was sent to radiologists practicing in hospitals in the Eastern Province of Saudi Arabia. The survey addressed demographic information, workload and workstation environment, personal eye care, and evaluation of digital eye strain symptoms as well as the strategies employed to reduce these symptoms. Results were analyzed descriptively using Chi-square tests and logistic regression analyses.

      Results

      The survey was completed by 198 participants (111 men and 87 women), including residents (40.9%), senior registrars (27.3%), and consultants (27.3%). Most participants (71.2%) were aged below 40 years. Most participants tend to spend 7–9 hours daily reviewing medical images. Overall, 50 participants (25.3%) take a break from work once daily only. A total of 53 participants (26.8%) reported undergoing an eye examination within the past year and 100 participants (50.5%) reported experiencing digital eye strain. Multivariate logistic regression analysis revealed that female sex (odds ratio [OR] = 3.9; 95% confidence interval [95% CI]: 1.6–10.0) and the practice of taking breaks once a day (OR = 15.1; 95% CI: 2.4–94.1) or twice a day (OR = 5.5; 95% CI: 1.1–28.4) only were associated with higher rates of digital eye strain symptoms.

      Conclusion

      Digital eye strain is a prevalent condition among radiologists regardless of their subspecialty. It is more commonly seen among radiology residents. Being a female and not taking frequent breaks were associated with higher rates of digital eye strain.

      Key Words

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      References

      1. Association AO. Computer Vision Syndrome (CVS). Dostupné z:http://www.aoaorg/x5374xml[cit 2017-01-22]. 2013.

        • Halpenny D
        • O'Driscoll D
        • Torreggiani W
        Ocular health among radiologists in the age of PACS: is it time for our profession to open its eyes to this issue in light of existing European legislation?.
        Br J Radiol. 2012; 85: e1309-e1e11
        • Bhargavan M
        • Kaye AH
        • Forman HP
        • et al.
        Workload of radiologists in United States in 2006-2007 and trends since 1991-1992.
        Radiology. 2009; 252: 458-467
        • Rohatgi S
        • Hanna TN
        • Sliker CW
        • et al.
        After-hours radiology: challenges and strategies for the radiologist.
        AJR Am J Roentgenol. 2015; 205: 956-961
        • Waite S
        • Kolla S
        • Jeudy J
        • et al.
        Tired in the reading room: the influence of fatigue in radiology.
        J Am Coll Radiol. 2017; 14: 191-197
        • Jansen ME
        • Begley CG
        • Himebaugh NH
        • Port NL
        Effect of contact lens wear and a near task on tear film break-up.
        Optom Vis Sci. 2010; 87: 350-357
        • Patel S
        • Henderson R
        • Bradley L
        • et al.
        Effect of visual display unit use on blink rate and tear stability.
        Optom Vis Sci. 1991; 68: 888-892
        • Portello JK
        • Rosenfield M
        • Bababekova Y
        • et al.
        Computer‐related visual symptoms in office workers.
        Ophthalmic Physiol Opt. 2012; 32: 375-382
        • Krupinski EA
        • Berbaum KS
        Measurement of visual strain in radiologists.
        Acad Radiol. 2009; 16: 947-950
        • Krupinski EA
        • Berbaum KS
        • Caldwell RT
        • et al.
        Long radiology workdays reduce detection and accommodation accuracy.
        J Am Coll Radiol. 2010; 7: 698-704
        • Krupinski EA
        • Berbaum KS
        • Caldwell RT
        • et al.
        Do long radiology workdays affect nodule detection in dynamic CT interpretation?.
        J Am Coll Radiol. 2012; 9: 191-198
        • Waite S
        • Scott J
        • Gale B
        • et al.
        Interpretive error in radiology.
        AJR Am J Roentgenol. 2017; 208: 739-749
        • Maeda E
        • Yoshikawa T
        • Hayashi N
        • et al.
        Radiology reading-caused fatigue and measurement of eye strain with critical flicker fusion frequency.
        Jpn J Radiol. 2011; 29: 483-487
        • Vertinsky T
        • Forster B
        Prevalence of eye strain among radiologists: influence of viewing variables on symptoms.
        AJR Am J Roentgenol. 2005; 184: 681-686
        • McDonald RJ
        • Schwartz KM
        • Eckel LJ
        • et al.
        The effects of changes in utilization and technological advancements of cross-sectional imaging on radiologist workload.
        Acad Radiol. 2015; 22: 1191-1198
        • Sen A
        • Richardson S
        A study of computer-related upper limb discomfort and computer vision syndrome.
        J Hum Ergol (Tokyo). 2007; 36: 45-50
        • Blehm C
        • Vishnu S
        • Khattak A
        • et al.
        Computer vision syndrome: a review.
        Surv Ophthalmol. 2005; 50: 253-262
      2. Digital Eye Strain | The Vision Council. Available at: https://www.thevisioncouncil.org/content/digital-eye-strain. Accessed July 5, 2019.

        • Coles Brennan C
        • Sulley A
        • Young G
        Management of digital eye strain.
        Clin Exp Optom. 2019; 102: 18-29
        • Hagan S
        • Lory B
        Prevalence of dry eye among computer users.
        Optom Vis Sci. 1998; 75: 712-713
        • Portello JK
        • Rosenfield M
        • Bababekova Y
        • et al.
        Computer-related visual symptoms in office workers.
        Ophthalmic Physiol Opt. 2012; 32: 375-382
        • Ranasinghe P
        • Wathurapatha WS
        • Perera YS
        • et al.
        Computer vision syndrome among computer office workers in a developing country: an evaluation of prevalence and risk factors.
        BMC Res Notes. 2016; 9: 150
        • Rahman ZA
        • Sanip S
        Computer user: demographic and computer related factors that predispose user to get computer vision syndrome.
        Int J Bus Humanit Technol. 2011; 1: 84-91
        • Subratty A
        • Korumtollee F
        Occupational overuse syndrome among keyboard users in Mauritius.
        Indian J Occup Environ Med. 2005; 9: 71
        • Guillon M
        • Maissa C
        Tear film evaporation–effect of age and gender.
        Cont Lens Anterior Eye. 2010; 33: 171-175
        • Courtin R
        • Pereira B
        • Naughton G
        • et al.
        Prevalence of dry eye disease in visual display terminal workers: a systematic review and meta-analysis.
        BMJ Open. 2016; 6 (e009675-e)
        • Wang MT
        • Craig JP
        Investigating the effect of eye cosmetics on the tear film: current insights.
        Clin Optom (Auckl). 2018; 10: 33-40
        • Fillingim RB
        • King CD
        • Ribeiro-Dasilva MC
        • et al.
        Sex, gender, and pain: a review of recent clinical and experimental findings.
        J Pain. 2009; 10: 447-485
        • Al Shammari M
        • Hassan A
        • Al Dandan O
        • et al.
        Musculoskeletal symptoms among radiologists in Saudi Arabia: a multi-center cross-sectional study.
        BMC Musculoskelet Disord. 2019; 20: 541
      3. Frequently Asked Questions | The Vision Council. Available at:https://www.thevisioncouncil.org/frequently-asked-questions.

        • Anshel JR
        Visual ergonomics in the workplace.
        AAOHN J. 2007; 55: 414-420
        • Rosenfield M
        Computer vision syndrome: a review of ocular causes and potential treatments.
        Ophthalmic Physiol Opt. 2011; 31: 502-515
        • Wiggins NP
        • Daum KM
        • Snyder CA
        Effects of residual astigmatism in contact lens wear on visual discomfort in VDT use.
        J Am Optom Assoc. 1992; 63: 177-181
        • Wiggins NP
        • Daum KM
        Visual discomfort and astigmatic refractive errors in VDT use.
        J Am Optom Assoc. 1991; 62: 680-684
        • Logaraj M
        • Madhupriya V
        • Hegde S
        Computer vision syndrome and associated factors among medical and engineering students in chennai.
        Ann Med Health Sci Res. 2014; 4: 179-185
        • Henning RA
        • Jacques P
        • Kissel GV
        • et al.
        Frequent short rest breaks from computer work: effects on productivity and well-being at two field sites.
        Ergonomics. 1997; 40: 78-91
        • Thomson WD
        Eye problems and visual display terminals–the facts and the fallacies.
        Ophthalmic Physiol Opt. 1998; 18: 111-119
      4. Books H. Work with display screen equipment. 2003.

        • Grandjean E
        • Vigliani E
        Ergonomic aspects of visual display terminals: proceedings of the international workshop, Milan, March 1980.
        Taylor & Francis, Inc., 1980
        • Misawa To
        • Yoshino K
        • Shigeta S
        An experimental study on the duration of a single spell of work on VDT (visual display terminal) performance.
        Sangyo Igaku. 1984; 26: 296-302
        • Izquierdo J
        • Garcia M
        • Buxo C
        • et al.
        Factors leading to the computer vision syndrome: an issue at the contemporary workplace.
        Bol Asoc Med P R. 2007; 99: 21-28
        • Jackson AJ
        • Barnett ES
        • Stevens AB
        • et al.
        Vision screening, eye examination and risk assessment of display screen users in a large regional teaching hospital.
        Ophthalmic Physiol Opt. 1997; 17: 187-195
        • Goyal N
        • Jain N
        • Rachapalli V
        Ergonomics in radiology.
        Clin Radiol. 2009; 64: 119-126
        • Rechichi C
        • Scullica L
        Asthenopia and monitor characteristics.
        J Fr Ophtalmol. 1990; 13: 456-460
        • Munshi S
        • Varghese A
        • Dhar‐Munshi S
        Computer vision syndrome—a common cause of unexplained visual symptoms in the modern era.
        Int J Clin Pract. 2017; 71: e12962
        • Siddiqui KM
        • Chia S
        • Knight N
        • et al.
        Design and ergonomic considerations for the filmless environment.
        J Am Coll Radiol. 2006; 3: 456-467
        • Reddy SC
        • Low CK
        • Lim YP
        • et al.
        Computer vision syndrome: a study of knowledge and practices in university students.
        Nepal J Ophthalmol. 2013; 5: 161-168
        • Guillon M
        • Maissa C
        • Pouliquen P
        • et al.
        Effect of povidone 2% preservative-free eyedrops on contact lens wearers with computer visual syndrome: pilot study.
        Eye Contact Lens. 2004; 30: 34-39
        • Helland M
        • Horgen G
        • Kvikstad TM
        • et al.
        Do Background Luminance Levels or Character Size Effect the Eye Blink Rate During Visual Display Unit (VDU) Work–Comparing Young Adults with Presbyopes?.
        in: International Conference on Ergonomics and Health Aspects of Work with Computers. Springer, 2007: 65-74
        • Cardona G
        • Gomez M
        • Quevedo L
        • et al.
        Effects of transient blur and VDT screen luminance changes on eyeblink rate.
        Cont Lens Anterior Eye. 2014; 37: 363-367