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          | Impact of Computer Use on Children's Vision |  
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          | When first introduced, computers were almost 
			exclusively used by adults. Today, children increasingly use these 
			devices both for education and recreation. Millions of children use 
			computers on a daily basis at school and at home.
 Children can experience many of the same symptoms related to 
			computer use as adults. Extensive viewing of the computer screen can 
			lead to eye discomfort, fatigue, blurred vision and headaches. 
			However, some unique aspects of how children use computers may make 
			them more susceptible than adults to the development of these 
			problems.
 
					
						
							| The potential impact 
							of computer use on children's vision involves the 
							following factors: 
					
						
							| Children often have a limited degree of 
							self-awareness |  
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														Many 
														children keep performing 
														an enjoyable task with 
														great concentration 
														until near exhaustion 
														(e.g., playing video 
														games for hours with 
														little, if any, breaks). 
														Prolonged activity 
														without a significant 
														break can cause eye 
														focusing (accommodative) 
														problems and eye 
														irritation. |  |  Accommodative problems may occur as a result of 
			the eyes' focusing system "locking in" to aspecialtarget and 
			viewing distance. In some cases, this may cause the eyes to be 
			unable to smoothly and easily focus on aspecialobject, even 
			long after the original work is completed.
 Eye irritation may occur because of poor tearflow over the eye due 
			to reduced blinking. Blinking is often inhibited by concentration 
			and staring at a computer or video screen. Compounding this, 
			computers usually are located higher in the field of view than 
			traditional paperwork. This results in the upper eyelids being 
			retracted to a greater extent. Therefore, the eye tends to 
			experience more than the normal amount of tear evaporation resulting 
			in dryness and irritation.
 
					
						
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							| Children are very adaptable |  
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														Although there are many 
														positive aspects to 
														their adaptability, 
														children frequently 
														ignore problems that 
														would be addressed by 
														adults. A child who is 
														viewing a computer 
														screen with a large 
														amount of glare often 
														will not think about 
														changing the computer 
														arrangement or the 
														surroundings to achieve 
														more comfortable 
														viewing. This can result 
														in excessive eye strain. 
														Also, children often 
														accept blurred vision 
														caused by 
														nearsightedness 
														(myopia), farsightedness 
														(hyperopia), or 
														astigmatism because they 
														think everyone sees the 
														way they do. Uncorrected 
														farsightedness can cause 
														eye strain, even when 
														clear vision can be 
														maintained. |  |  
					
						
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							| Children are not the same size as adults. |  
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														Since 
														children are smaller, 
														computers don't fit them 
														well. Most computer 
														workstations are 
														arranged for adult use. 
														Therefore, a child using 
														a computer on a typical 
														office desk often must 
														look up further than an 
														adult. Since the most 
														efficient viewing angle 
														is slightly downward 
														about 15 degrees, 
														problems using the eyes 
														together can occur. In 
														addition, children may 
														have difficulty reaching 
														the keyboard or placing 
														their feet on the floor, 
														causing arm, neck or 
														back discomfort. |  |  
					
						
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							| Children often use computers in a home or 
							classroom with less than optimum lighting |  
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														The 
														lighting level for the 
														proper use of a computer 
														is about half as bright 
														as that normally found 
														in a classroom. 
														Increased light levels 
														can contribute to 
														excessive glare and 
														problems associated with 
														adjustments of the eye 
														to different levels of 
														light. |  |  |  
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                | Steps 
				to Visually-Friendly Computer Use Here are some things to consider for children using a 
				computer
 
                  
                    
                      | Children have different needs to comfortably use a 
						computer. A small amount of effort can help reinforce appropriate viewing habits and assure 
						comfortable and enjoyable computer use.
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  Have the child's vision checked. This will make 
						sure that the child can see clearly and comfortably and 
						can detect any hidden conditions that may contribute to 
						eye strain. When necessary, glasses, contact lenses or 
						vision therapy can provide clear, comfortable vision, 
						not just for using the computer, but for all other 
						aspects of daily activities. 
 
  Strictly enforce the amount of time that a child can 
						continuously use the computer. A ten-minute break 
						every hour will minimize the development of eye focusing 
						problems and eye irritation caused by improper blinking. 
 
  Carefully check the height and arrangement of the 
						computer. The child's size should determine how the 
						monitor and keyboard are positioned. In many situations, 
						the computer monitor will be too high in the child's 
						field of view, the chair too low and the desk too high. 
						A good solution to many of these problems is an 
						adjustable chair that can be raised for the child's 
						comfort, since it is usually difficult to lower the 
						computer monitor. A foot stool may be necessary to 
						support the child's feet. 
 
  Carefully check the lighting for glare on the 
						computer screen. Windows or other light sources 
						should not be directly visible when sitting in front of 
						the monitor. When this occurs, the desk or computer may 
						be turned to prevent glare on the screen. Sometimes 
						glare is less obvious. In this case, holding a small 
						mirror flat against the screen can be a useful way to 
						look for light sources that are reflecting off of the 
						screen from above or behind. If a light source can be 
						seen in the mirror, the offending light should be moved 
						or blocked from hitting the screen with a cardboard hood 
						(a baffle) attached to the top of the monitor. In 
						addition, the American Optometric Association has 
						evaluated and accepted a number of glare screens that 
						can be added to a computer to reduce glare. Look for the 
						AOA Seal of Acceptance when purchasing a glare reduction 
						filter. 
						
						 Reduce the amount of lighting in the room to match 
						the computer screen. Often this is very simple in 
						the home. In some cases, a smaller light can be 
						substituted for the bright overhead light or a dimmer 
						switch can be installed to give flexible control of room 
						lighting. In other cases, a three-way bulb can be turned 
						onto its lowest setting. Children have different needs to comfortably use a 
						computer. A small amount of effort can help reinforce 
						appropriate viewing habits and assure comfortable and 
						enjoyable computer use.
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