The Impact of Visual Digital Unit Exposure on Ocular Symptoms of Computer Vision Syndrome Among Selangor Office Workers

Authors

  • Suneta Atika Halim Hulu Langat District Health Office, 41200 Kajang, Selangor, Malaysia. Department of Environmental Health, Faculty of Health Sciences, MAHSA University, Bandar Saujana Putra, 42610 Jenjarom, Selangor, Malaysia.
  • Nur Azalina Suzianti Feisal Department of Diagnostic and Allied Health Science, Faculty of Health and Life Sciences, Management and Science University, 40150 Shah Alam, Selangor, Malaysia.
  • Wai Yan Cheah Centre of Research in Development, Social and Environment (SEEDS), Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, 43600 UKM Bangi, Selangor Darul Ehsan, Malaysia.
  • Tengku Nilam Baizura Tengku Ibrahim Faculty of Health Sciences, Universiti Teknologi MARA, Cawangan Pulau Pinang, Kampus Bertam, 13200 Kepala Batas, Pulau Pinang, Malaysia. Occupational Health and Safety Risk Management (OHSeRM) Research Initiative Group, Universiti Teknologi MARA, 42300 Puncak Alam, Selangor, Malaysia.
  • Murni Amirra Aminuddin Center of Environmental Health and Safety, Faculty of Health Sciences, Universiti Teknologi MARA, 42300 Puncak Alam, Selangor, Malaysia.
  • Nursalfarina Abdul Samat Department of Environmental Health, Faculty of Health Sciences, MAHSA University, Bandar Saujana Putra, 42610 Jenjarom, Selangor, Malaysia.
  • Noor Haziqah Kamaludin Center of Environmental Health and Safety, Faculty of Health Sciences, Universiti Teknologi MARA, 42300 Puncak Alam, Selangor, Malaysia. Occupational Health and Safety Risk Management (OHSeRM) Research Initiative Group, Universiti Teknologi MARA, 42300 Puncak Alam, Selangor, Malaysia.

DOI:

https://doi.org/10.31584/jhsmr.20241106

Keywords:

computer vision syndrome (CVS), ocular symptoms, office workers, Video display units (VDUs)

Abstract

Objective: Computer Visual Syndrome (CVS) is a common condition characterized by a range of ocular symptoms resulting from excessive screen time. As visual digital unit (VDU) usage has skyrocketed across all age groups, CVS has become a prevalent issue in both personal and professional life. Therefore, this study aimed to investigate the association between the impact of VDU and ocular symptoms of CVS among office workers in Selangor.
Material and Methods: In this cross-sectional study, 46 office workers completed a self-reported Computer Vision Syndrome (CVS) assessment using a questionnaire adapted from a previous study. The questionnaire includes 9 questions about ocular symptoms, rated on a 5-point scale: none, slight, moderate, severe, and very severe. Computer screen illumination was measured using a lux meter. To account for potential confounding factors, environmental conditions were also assessed. These included the number and type of light sources, window presence and size, window treatments, lighting fixture placement, and overall workspace cleanliness, following the guidelines on occupational safety and health for working with video display units by the Malaysia Department of Occupational Safety and Health.
Results: Among all participants, the majority (93.5%) did not use anti-glare screen monitors and 20% had inadequate lighting with less than 450 lux. Of the respondents, 63% of the respondents reported experiencing eye strain and eye fatigue (60.9%) during work hours. Eye fatigue was the most commonly reported ocular symptom, with 24% of respondents experiencing it more than six times per week. Lighting reflector was found to be 3.5 times more prevalent to cause eye redness (odds ratio (OR)=3.50; 95% confidence interval (CI)=0.50–24.33). The likelihood of experiencing eye strain due to the absence of an anti-glare was 1.8 times higher and the absence of a lighting reflector increased the likelihood by 1.7 times.
Conclusion: The alarmingly high prevalence of Computer Vision Syndrome (CVS) among office workers underscores the critical need for immediate and effective ergonomic interventions. This research is imperative to identify specific risk factors and develop targeted strategies to mitigate the detrimental effects of prolonged VDU use on ocular health.

References

Ranasinghe P, Wathurapatha WS, Perera YS, Lamabadusuriya DA, Kulatunga S, Jayawardana N, et al. Computer vision syndrome among computer office workers in a developing country: an evaluation of prevalence and risk factors. BMC Research Notes 2016;9:1–9.

Parihar JKS, Jain VK, Chaturvedi P, Kaushik J, Jain G, Parihar AKS. Computer and visual display terminals (VDT) vision syndrome (CVDTS). Med J Armed Forces India 2016;72:270–6.

Gupta N, Moudgil T, Sharma B. Computer vision syndrome: prevalence and predictors among college staff and students. IOSR J Dental Med Sci 2016;15:28–31.

Boadi-Kusi SB, Adueming PO, Hammond FA, Antiri EO. Computer vision syndrome and its associated ergonomic factors among bank workers. Int J Occup Saf Ergon 2022;28:1219-26.

Lee JW, Cho HG, Moon BY, Kim SY, Yu DS. Effects of prolonged continuous computer gaming on physical and ocular symptoms and binocular vision functions in young healthy individuals. Peer J 2019;1–14.

Venkatesh SH, Girish AT, Shashikala PK, Mannava S, Rajarathnam R. A study of computer vision syndrome at the workplace - prevalence and causative factors. Int J Contemp Med Res 2016;157:53-9.

Felix N, Chizurumoke M, Emmanuel E. Measurement of magnetic fields from liquid crystal display (LCD) computer monitors. Int J Curr Res 2013;5:1771–3.

Mowatt L, Gordon C, Santosh AB, Jones T. Computer vision syndrome and ergonomic practices among undergraduate university students. Int J Clinical Practice 2018;72.

Akinbinu TR, Mashalla YJ. Medical practice and review impact of computer technology on health: computer vision syndrome (CVS). Academic J 2014;5:20–30.

Anggrainy P, Ashar T, Lubis RR. Difference in computer-attributed vision problem between laptop and desktop users. The International Conference on Public Health Proceeding Surakarta: Master's Program in Public Health Graduate School, Universitas Sebelas Maret; 2018.

Pandey R, Gaur S, Kumar R, Kotwal N, Kumar S. Curse of the technology-computer related musculoskeletal disorders and vision syndrome: a study. Int J Res Med Sci 2020;8:661.

Zalat MM, Amer SM, Wassif GA, El Tarhouny SA, Mansour TM. Computer vision syndrome, visual ergonomics and amelioration among staff members in a Saudi medical college. Int J Occup Saf Ergon 2021;28:1033-41.

Bogdănici CM, Săndulache DE, Nechita CA. Eyesight quality and computer vision syndrome. Romanian J Opht 2017;61:112–6.

Jamrozik A, Clements N, Hasan SS, Zhao J, Zhang R, Campanella C, et al. Access to daylight and view in an office improves cognitive performance and satisfaction and reduces eyestrain: a controlled crossover study. Building Env 2019;165:106379.

Reddy SC, Low CK, Lim YP, Low LL, Mardina F, Nursaleha MP. Computer vision syndrome: a study of knowledge and practices in university students. Nepal J Ophthalmol 2013;5:161-8.

Department of Occupational Safety and Health (DOSH). Guidelines on occupational safety and health for working with video display units (VDU’s) [homepage on the Internet] Putrajaya: Ministry of Human Resources, Malaysia [JKKP: GP (I) 6/2003]. 2003 [cited 2024 March 7]. Available from: https://www.dosh.gov.my/index.php/legislation/guidelines/ergonomic/605-03-guidelines-on-occupational-safety-and-health-for-working-with-video-display-unit-vdu-s-2003/file

Department of Occupational Safety and Health. Guidelines on Occupational Safety and Health for Lighting at Workplace [homepage on the Internet] Putrajaya: Ministry of Human Resources, Malaysia. 2018 [cited 2024 March 20]. Available from: https://www.dosh.gov.my/index.php/competent-person-form/occupational-health/regulation-2-1/guidelines/industrial-hygiene-1/2912-guidelines-on-osh-for-lighting-at-workplace/file

Agarwal S, Goel D, Sharma A. Evaluation of the factors which contribute to the ocular complaints in computer users. J Clin Diagn Res 2013;7:331–5.

Lin JB, Gerratt BW, Bassi CJ, Apte RS. Short-wavelength light-blocking eyeglasses attenuate symptoms of eye fatigue. Invest Ophthalmol Vis Sci 2017;58:442–7.

Assefa NL, Weldemichael DZ, Alemu HW, Anbesse DH. Prevalence and associated factors of computer vision syndrome among bank workers in Gondar city, Northwest Ethiopia. Clin Optom (Auckl) 2017;9:67–76.

Darsanj A, Yarmohammadi H, Poursadeghiyan M, Dalvand S, Javadzad H, Salehi R, et al. Investigating the visual fatigue in VDT operators in the banks of Qasr-e Shirin (Kermanshah-Iran). Arch Hyg Sci 2018;7:225–31.

Kolawole OU, Iyanda RA, Isawumi MA. Computer-related vision problems in Osogbo, South-Western Nigeria. African J Biomedical Res 2017;20:267–72.

Lee JW, Cho HG, Moon BY, Kim SY, Yu DS. Effects of prolonged continuous computer gaming on physical and ocular symptoms and binocular vision functions in young healthy individuals. Peer J 2019;7:e7050.

Arif KM, Alam MJ. Review article: computer vision syndrome. Faridpur Med Coll J 2015;10:33–5.

Wiegand DM, Hanowski RJ, McDonald SE. Commercial drivers’ health: a naturalistic study of body mass index, fatigue, and involvement in safety-critical events. Traffic Inj Prev 2009;10:573–9.

Saw SM, Chua WH, Hong CY, Wu HM, Chia KS, Stone RA, et al. Height and its relationship to refraction and biometry parameters in Singapore Chinese children. Invest Ophthalmol Vis Sci 2002;43:1408–13.

Hassan A, Kashif M, Masud Z, Raza MA. Prevalence of computer vision syndrome (CVS) amongst the Students of Khyber Medical University, Peshawar. Islamabad Congr Ophthalmol 2017;15:59-64.

Ahuja S, Stephen M, Ranjith N. Assessing the factors and prevalence of digital eye strain among digital screen users using a validated questionnaire-an observational study. Int J Med Public Health 2021;11:19-23.

Abudawood GA, Ashi HM, Almarzouki NK. Computer vision syndrome among undergraduate medical students in King Abdulaziz University, Jeddah, Saudi Arabia. J Ophthal 2020;2789376:1-7.

Nopriadi N, Pratiwi Y, Leonita E, Trsnanengsih E. Factors associated with the incidence of computer vision syndrome in bank officers. The Ind J Pub Health 2019;15:111–9.

Katabaro JM, Yan Y. Effects of lighting quality on working efficiency of workers in office building in Tanzania. J Environ Pub Health 2019;3476490.

Adnan NA, Sujali NS, Md Amin ND. Case study on the impact of artificial light on lightning performance quality for architecture studios. Int J Integrated Eng 2021;13:184-91.

Sari FTA, Himayani R, Faktor Risiko Terjadinya Computer Vision Syndrome. Majority 2018;7:278–82.

Montagni I, Cariou T, Feuillet T, Langlois E, Tzourio C. Exploring digital health use and opinions of university students: field survey study. JMIR MHealth UHealth 2018;6:1–13.

Lemma MG, Michael Beyene KG, Tiruneh MA. Computer vision syndrome and associated factors among secretaries working in ministry offices in Addis Ababa, Ethiopia. Clinical Optometry 2020;12:213–22.

Chlasta-Twardzik E, Górecka-Nitoń A, Nowińska A, Wylęgała E. The influence of work environment factors on the ocular surface in a one-year follow-up prospective clinical study. Diagnostics 2021;11:392.

Nadhiva RF, Mulyono M. The relation between symptoms of computer vision syndrome and visual display terminal utilization. The Ind J Occup Safety Health 2020;9:328.

Bodunde OT, Sholeye OO, Onabolu OO, Otulana TO, Ajibode HA. Perception of red eye among senior secondary students in Sagamu, Southwest Nigeria. J Family Med Prim Care 2016;5:89-93.

Coles Brennan C, Sulley A, Young G. Management of digital eye strain. Clin Exp Optom 2018;102:18-29.

Downloads

Published

2024-11-07

How to Cite

1.
Halim SA, Feisal NAS, Cheah WY, Ibrahim TNBT, Aminuddin MA, Samat NA, Kamaludin NH. The Impact of Visual Digital Unit Exposure on Ocular Symptoms of Computer Vision Syndrome Among Selangor Office Workers. J Health Sci Med Res [Internet]. 2024 Nov. 7 [cited 2024 Dec. 23];42(6):e20241106. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/275070

Issue

Section

Original Article