Pucker Andrew D, Kerr Aaron M, Sanderson Jennifer, Lievens Chris
Clinical and Medical Sciences, Lexitas Pharma Services, Durham, NC, USA.
Southern College of Optometry, Memphis, TN, USA.
Clin Optom (Auckl). 2024 Sep 18;16:233-246. doi: 10.2147/OPTO.S412382. eCollection 2024.
Digital eye strain (DES) is a growing worldwide concern because digital devices are prevalent in both our work and home lives. The purpose of this review was to summarize clinically relevant and evolving key topics related to DES.
A PubMed.gov search was conducted on or before June 8, 2024. No date restrictions were used during the primary search. The search was aimed at detecting all articles related to DES; thus, the search terms only included "digital eye strain" or "computer vision syndrome".
The two most used, validated DES questionnaires are the Computer Vision Syndrome Questionnaire (CVS-Q) and Computer Vision Symptom Scale (CVSS17). The world-wide prevalence of DES ranges from 8.2% to 100% depending upon the subjects evaluated and the method used to evaluate them. The most common DES symptoms include headache, eye strain, eye redness, eye itching, tearing, photophobia, burning sensation, blurred vision, eye pain, neck and shoulder pain, and eye dryness. Ocular surface symptoms in DES are integrally tied to decreased blink frequency, which causes ocular surface desiccation, increased osmolarity, and dry eye-like symptoms. The most studied DES-specific treatments are improving subjects' environment, artificial tears, blinking exercises, and near work breaks.
DES is a highly prevalent condition that should be regularly screened for in clinic with a validated diagnosis instrument. While there are several treatment options, the community's treatment approach is evolving and primarily focused on treating the visual and dry eye-like symptoms associated with the condition.
由于数字设备在我们的工作和家庭生活中都很普遍，数字眼疲劳（DES）在全球范围内日益受到关注。本综述的目的是总结与DES相关的临床相关且不断发展的关键主题。
于2024年6月8日或之前在PubMed.gov上进行检索。在初步检索期间未设置日期限制。检索旨在检测所有与DES相关的文章；因此，检索词仅包括“数字眼疲劳”或“计算机视觉综合征”。
两种最常用且经过验证的DES问卷是计算机视觉综合征问卷（CVS-Q）和计算机视觉症状量表（CVSS17）。根据所评估的对象和评估方法的不同，DES在全球的患病率在8.2%至100%之间。最常见的DES症状包括头痛、眼疲劳、眼睛发红、眼痒、流泪、畏光、烧灼感、视力模糊、眼痛、颈部和肩部疼痛以及眼干。DES中的眼表症状与眨眼频率降低密切相关，眨眼频率降低会导致眼表干燥、渗透压升高以及类似干眼的症状。研究最多的针对DES的治疗方法包括改善受试者的环境、使用人工泪液、进行眨眼练习以及安排近距离工作间隙休息。
DES是一种高度普遍的病症，应在临床中使用经过验证的诊断工具进行定期筛查。虽然有多种治疗选择，但该领域的治疗方法正在不断发展，主要侧重于治疗与该病症相关的视觉和类似干眼的症状。
