Moore Patrick A, Wolffsohn James S, Sheppard Amy L
Optometry and Vision Sciences Research Group, Aston University, Birmingham, United Kingdom.
Optometry and Vision Sciences Research Group, Aston University, Birmingham, United Kingdom.
Cont Lens Anterior Eye. 2025 Jun;48(3):102349. doi: 10.1016/j.clae.2024.102349. Epub 2024 Dec 12.
To evaluate the screen time habits, associated symptoms and clinical characteristics of an older population (60 years and older) drawn from primary care optometry.
Consecutive patients aged 60 years and older, who used a digital device for at least 1 hour per day, attending for an eye examination at a primary care optometric practice in Dublin, Ireland, were invited to participate. The study gathered information regarding the participant's use of digital devices, the types of devices used and duration of use. Best corrected distance acuity and near vision adequacy for reading and device use was recorded.
401 responses were included in the analysis. Based on a Computer Vision Syndrome Questionnaire (CVS-Q) score ≥6, the occurrence of DES in this population was high at 51.6 % with females having a higher median score than males. The mean number of hours devices were used for was 4 hours. 71 % of participants reported symptoms of digital eye strain (DES) when using digital devices. Smart phones were the device type used most by participants but tablets were the device type used for the longest duration. Single vision spectacles were the most commonly used method of visual correction when using digital devices. Participants with better levels of acuity used devices for longer periods than those with poorer acuity.
This study provides a valuable insight into the screen habits and likelihood of symptoms of DES in an older population and, is to date, the first of its kind. It shows that the prevalence of DES in older age adult device users is high, at 51.6 %, with a clear link between dry eye and symptoms of DES. Its results will enable optometrists to provide specific advice to this age group on how best to reduce symptoms of DES.
评估从初级保健验光中抽取的老年人群（60岁及以上）的屏幕使用习惯、相关症状和临床特征。
邀请在爱尔兰都柏林的一家初级保健验光诊所进行眼部检查、每天使用数字设备至少1小时的60岁及以上连续患者参与研究。该研究收集了有关参与者使用数字设备的情况、所使用设备的类型和使用时长的信息。记录了最佳矫正远视力以及阅读和使用设备时的近视力情况。
401份回复纳入分析。根据计算机视觉综合征问卷（CVS-Q）评分≥6，该人群中干眼综合征（DES）的发生率较高，为51.6%，女性的中位数得分高于男性。设备的平均使用时长为4小时。71%的参与者报告在使用数字设备时有数字眼疲劳（DES）症状。智能手机是参与者使用最多的设备类型，但平板电脑的使用时长最长。使用数字设备时，单焦眼镜是最常用的视力矫正方法。视力较好的参与者使用设备的时间比视力较差者更长。
本研究为老年人群的屏幕使用习惯和DES症状可能性提供了有价值的见解，并且是迄今为止同类研究中的首个。研究表明，老年成年设备使用者中DES患病率较高，为51.6%，干眼与DES症状之间存在明显联系。其结果将使验光师能够就如何最好地减轻DES症状向该年龄组提供具体建议。
