Prevalence and risk factors of computer vision syndrome—assessed in office workers by a validated questionnaire

Background Computer vision syndrome (CVS) is a common occupational health problem, but its clinical definition, prevalence and risk factors are not well defined. In general, non-validated diagnostic instruments have been used to assess its prevalence. For this reason, the aim of this study is to est...

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Main Authors: Natalia Cantó-Sancho, Stefano Porru, Stefano Casati, Elena Ronda, Mar Seguí-Crespo, Angela Carta
Format: Article
Language:English
Published: PeerJ Inc. 2023-03-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/14937.pdf
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author Natalia Cantó-Sancho
Stefano Porru
Stefano Casati
Elena Ronda
Mar Seguí-Crespo
Angela Carta
author_facet Natalia Cantó-Sancho
Stefano Porru
Stefano Casati
Elena Ronda
Mar Seguí-Crespo
Angela Carta
author_sort Natalia Cantó-Sancho
collection DOAJ
description Background Computer vision syndrome (CVS) is a common occupational health problem, but its clinical definition, prevalence and risk factors are not well defined. In general, non-validated diagnostic instruments have been used to assess its prevalence. For this reason, the aim of this study is to estimate the prevalence and potential risk factors for CVS using a validated questionnaire. Methods A cross-sectional study (n = 238) was carried out in Italian office workers using digital devices. All participants responded to an anamnesis, a digital exposure questionnaire, and the validated Italian version of the Computer Vision Syndrome Questionnaire. A battery of 3 ocular surface and tear ophthalmic tests (break-up time, BUT), Schirmer II and corneal staining) was performed. Results The mean age (±SD) was 45.55 (11.02) years, 64.3% were female. 71.4% wore glasses to work, whose design was monofocal (for distance) in 47.6%, monofocal (for near) in 26.5%, general progressive in 16.5% and occupational progressive in 8.8% of cases. 35.7% used digital devices >6 hours/day in the workplace. The prevalence of CVS was 67.2%. In the multivariate model, female sex (aOR: 3.17; 95% CI [1.75–5.73]), the use of digital devices >6 hours/day at workplace (aOR: 2.07; 95% CI [1.09–3.95]) and the use of optical correction at work (aOR: 2.69; 95% CI [1.43–5.08]) significantly increased the odds of CVS. Association was observed between presenting CVS and having abnormal BUT (χ2 = 0.017). Conclusions The prevalence of CVS in Italian office workers, especially among females, was high. Intensive use of digital devices at work (>6 hours/day) and the use of optical correction at work significantly increased the odds of CVS. There is an association between poor tear stability and CVS. Further research is needed on the influence of wearing optical correction on CVS. The use of a validated questionnaire in health surveillance of digital workers is strongly recommended.
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spelling doaj.art-62328a3b216e4182b2d81bce7a4588aa2023-12-03T11:37:09ZengPeerJ Inc.PeerJ2167-83592023-03-0111e1493710.7717/peerj.14937Prevalence and risk factors of computer vision syndrome—assessed in office workers by a validated questionnaireNatalia Cantó-Sancho0Stefano Porru1Stefano Casati2Elena Ronda3Mar Seguí-Crespo4Angela Carta5Department of Optics, Pharmacology and Anatomy, University of Alicante, San Vicente del Raspeig, Alicante, SpainDepartment of Diagnostics and Public Health, University of Verona, Verona, Véneto, ItalyEye Clinic, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Véneto, ItalyPublic Health Research Group, University of Alicante, San Vicente del Raspeig, Alicante, SpainDepartment of Optics, Pharmacology and Anatomy, University of Alicante, San Vicente del Raspeig, Alicante, SpainDepartment of Diagnostics and Public Health, University of Verona, Verona, Véneto, ItalyBackground Computer vision syndrome (CVS) is a common occupational health problem, but its clinical definition, prevalence and risk factors are not well defined. In general, non-validated diagnostic instruments have been used to assess its prevalence. For this reason, the aim of this study is to estimate the prevalence and potential risk factors for CVS using a validated questionnaire. Methods A cross-sectional study (n = 238) was carried out in Italian office workers using digital devices. All participants responded to an anamnesis, a digital exposure questionnaire, and the validated Italian version of the Computer Vision Syndrome Questionnaire. A battery of 3 ocular surface and tear ophthalmic tests (break-up time, BUT), Schirmer II and corneal staining) was performed. Results The mean age (±SD) was 45.55 (11.02) years, 64.3% were female. 71.4% wore glasses to work, whose design was monofocal (for distance) in 47.6%, monofocal (for near) in 26.5%, general progressive in 16.5% and occupational progressive in 8.8% of cases. 35.7% used digital devices >6 hours/day in the workplace. The prevalence of CVS was 67.2%. In the multivariate model, female sex (aOR: 3.17; 95% CI [1.75–5.73]), the use of digital devices >6 hours/day at workplace (aOR: 2.07; 95% CI [1.09–3.95]) and the use of optical correction at work (aOR: 2.69; 95% CI [1.43–5.08]) significantly increased the odds of CVS. Association was observed between presenting CVS and having abnormal BUT (χ2 = 0.017). Conclusions The prevalence of CVS in Italian office workers, especially among females, was high. Intensive use of digital devices at work (>6 hours/day) and the use of optical correction at work significantly increased the odds of CVS. There is an association between poor tear stability and CVS. Further research is needed on the influence of wearing optical correction on CVS. The use of a validated questionnaire in health surveillance of digital workers is strongly recommended.https://peerj.com/articles/14937.pdfComputer vision syndromeDigital devicesOffice workersPrevalenceValidated questionnaireOphthalmic test
spellingShingle Natalia Cantó-Sancho
Stefano Porru
Stefano Casati
Elena Ronda
Mar Seguí-Crespo
Angela Carta
Prevalence and risk factors of computer vision syndrome—assessed in office workers by a validated questionnaire
PeerJ
Computer vision syndrome
Digital devices
Office workers
Prevalence
Validated questionnaire
Ophthalmic test
title Prevalence and risk factors of computer vision syndrome—assessed in office workers by a validated questionnaire
title_full Prevalence and risk factors of computer vision syndrome—assessed in office workers by a validated questionnaire
title_fullStr Prevalence and risk factors of computer vision syndrome—assessed in office workers by a validated questionnaire
title_full_unstemmed Prevalence and risk factors of computer vision syndrome—assessed in office workers by a validated questionnaire
title_short Prevalence and risk factors of computer vision syndrome—assessed in office workers by a validated questionnaire
title_sort prevalence and risk factors of computer vision syndrome assessed in office workers by a validated questionnaire
topic Computer vision syndrome
Digital devices
Office workers
Prevalence
Validated questionnaire
Ophthalmic test
url https://peerj.com/articles/14937.pdf
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