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Medical Forum / General / Vision / November 2005

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Lenticular astigmatism

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toby.hobson@btinternet.com - 02 Nov 2005 13:39 GMT
Hi

I have a lenticular astigmatism. I also work in IT and therefore spend
a lot of time looking at a PC monitor. I have noticed that if I spend
less time using my PC (e.g. if I am between contracts) my vision seems
to improve slightly. Equally when I start using the PC for long periods
again my vision seems to deteriorate.

My question is therefore: is there any evidence that using a PC for
extended periods of time increases lenticular astigmatism?

Thanks

Toby
p.clarkii@gmail.com - 02 Nov 2005 15:27 GMT
when a person focuses at near objects (e.g. computer screen) for a
prolonged period of time, they may develop increased ciliary muscle
tone.  (the ciliary muscle is inside your eye and attached to your
lens.  its activity causes the lens to change its shape so objects at
near are in focus instead of far away).  the increased tone of the
muscle, i.e. its inability to relax completely, may cause your distance
vision to be blurry for a short time.  after you quit working at near
for excessive periods and resume a more normal visual pattern the
muscle relaxes to its normal state and your distance vision appears
better.  this is commonplace and is probably what you are noticing.
this effect is called a lot of things, and I use the term
"pseudomyopia" to describe it.  it probably isn't related to lenticular
astigmatism.
Mike Tyner - 02 Nov 2005 20:23 GMT
> near are in focus instead of far away).  the increased tone of the
> muscle, i.e. its inability to relax completely, may cause your distance
> vision to be blurry for a short time.  after you quit working at near
> for excessive periods and resume a more normal visual pattern the
> muscle relaxes to its normal state and your distance vision appears
> better.  this is commonplace and is probably what you are noticing.

That's one explanation, and it occurs with books as well as computers. And
there's also a "lens-lock" phenomenon where it takes appreciable time for
the lens to flatten completely after sustained accommodation.

But usually VDTs are far enough away that they don't demand great loads of
accommodation.

Another explanation is the reduced blink rate while staring at a computer
screen. Tears dry off and get saltier, dessicating the cornea. Dessication
and sustained lid positions can change the topography of the cornea,
independent of lenticular effects.

I experience monocular diplopia because of my corneal topography. Staring
ten feet away at a movie for two hours can mold my cornea in a way that
increases the effect.

-MT
Mike Tyner - 02 Nov 2005 20:42 GMT
> My question is therefore: is there any evidence that using a PC for
> extended periods of time increases lenticular astigmatism?

There are several ways to get similar symptoms, but increasing lenticular
astigmatism isn't the most likely. And there's no evidence that computer
screens cause any more of these effects than printed paper.

It's hard to get the true explanation without having an eye exam, with
cycloplegic refraction and examination of your cornea and tear function.

Sometimes reading glasses help by reducing the amount of effort you need to
work at near.

Sometimes artificial tears solve the problem, or using a humidifier.

Sometimes changing the position or distance of the monitor works.

Sometimes your symptoms just mean you're starting to get nearsighted.

-MT
 
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