Accommodative and convergence response to computer screen and printed text

Abstract

The aim of this work was to find out if differences exist in accommodative and convergence response for different computer monitors’ and a printed text. It was also tried to relate the horizontal heterophoria value and accommodative response with the symptoms associated with computer use. Two independents experiments were carried out in this study. The first experiment was measuring the accommodative response on 89 subjects using the Grand Seiko WAM-5500 (Grand Seiko Co., Ltd., Japan). The accommodative response was measured using three computer monitors: a 17-inch cathode ray tube (CRT), two liquid crystal displays LCDs, one 17-inch (LCD17) and one 15 inches (LCD15) and a printed text. The text displayed was always the same for all the subjects and tests. A second experiment aimed to measure the value of habitual horizontal heterophoria on 80 subjects using the Von Graefe technique. The measurements were obtained using the same target presented on two different computer monitors, one 19-inch cathode ray tube (CRT) and other 19 inches liquid crystal displays (LCD) and printed on paper. A small survey about the incidence and prevalence of symptoms was performed similarly in both experiments. In the first experiment, the accommodation response was higher in the CRT and LCD's than for paper. There were not found significantly different response for both LCD monitors’. The second experiment showed that, the heterophoria values were similar for all the stimuli. On average, participants presented a small exophoria. In both experiments, asthenopia was the symptom that presented higher incidence. There are different accommodative responses when reading on paper or on computer monitors. This difference is more significant for CRT monitors. On the other hand, there was no difference in the values of convergence for the computer monitors’ and paper. The symptoms associated with the use of computers are not related with the increase in accommodation and with the horizontal heterophoria values.