Distorted Vision When Using Digital Screens: Causes and Solutions - Ophthalmology

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Hello Doctor, my wife has recently noticed that when she looks at her smartphone, tablet, or computer, she experiences a sensation that the text and images on the screen appear distorted or slanted.
She has already seen an ophthalmologist who performed a dilated fundus examination and retinal scan, and the doctor confirmed that there are no issues with her retina or macula.
She does not experience this problem when reading printed materials or looking at straight lines.
Could you please advise what might be causing this? It has been causing her some difficulties in daily life.
Thank you for your response.

Dino, 20~29 year old female. Ask Date: 2020/08/02

Dr. Cai Wenyuan reply Ophthalmology


It is recommended to visit a medical center for examination.

Reply Date: 2020/08/02

More Info


Distorted vision when using digital screens can be a frustrating experience, especially when it interferes with daily activities. Based on the information provided, it seems that your wife has undergone thorough examinations, including dilated eye exams and retinal scans, which have ruled out significant issues such as retinal detachment or macular degeneration. This is a positive sign, but it does not fully explain the symptoms she is experiencing.


Possible Causes of Distorted Vision on Digital Screens
1. Digital Eye Strain (DES): One of the most common causes of visual distortion when using digital devices is digital eye strain, also known as computer vision syndrome. Symptoms can include blurred vision, dry eyes, and discomfort. This condition arises from prolonged screen time, which can lead to fatigue in the eye muscles responsible for focusing. The eyes may struggle to maintain a clear image, especially when switching between different distances (e.g., from screen to keyboard).

2. Uncorrected Refractive Errors: Even if your wife has had her eyes checked recently, it’s possible that her prescription may need adjustment. If she has uncorrected nearsightedness (myopia), farsightedness (hyperopia), or astigmatism, it can lead to distorted images, especially on screens. It’s worth revisiting the optometrist to ensure her prescription is accurate and suitable for digital device use.

3. Screen Settings and Environment: The brightness, contrast, and resolution settings of the screens can also affect how images are perceived. High brightness or poor contrast can lead to visual discomfort. Additionally, glare from screens or reflections from windows can exacerbate the issue. Ensuring that the screen is at an appropriate brightness level and using anti-glare filters can help.

4. Posture and Viewing Distance: The distance from the screen and the angle at which she is viewing it can also play a role. If she is too close or at an awkward angle, it can lead to distortion. The ideal distance for viewing screens is typically about an arm's length away, with the top of the screen at or slightly below eye level.

5. Fatigue and Stress: Physical and mental fatigue can significantly impact visual perception. If your wife is experiencing stress or fatigue, it may manifest as visual distortions. Encouraging regular breaks using the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds) can help alleviate some of the strain.

6. Underlying Health Conditions: While the eye examinations have ruled out major issues, other health conditions such as migraines or neurological conditions can also cause visual disturbances. If the problem persists, it may be beneficial for her to consult with a healthcare provider who specializes in these areas.


Solutions and Recommendations
- Regular Eye Exams: Ensure that she has regular check-ups with an eye care professional, especially if her symptoms persist or worsen.

- Adjust Screen Settings: Experiment with different brightness and contrast settings on her devices. Using blue light filters or glasses may also help reduce eye strain.

- Ergonomic Setup: Encourage her to maintain a proper ergonomic setup while using screens. This includes adjusting the height of the screen and ensuring good posture.

- Frequent Breaks: Implement the 20-20-20 rule to give her eyes a break from screen time.

- Hydration and Eye Drops: Staying hydrated and using artificial tears can help alleviate dryness and discomfort.

In conclusion, while the initial examinations have ruled out serious conditions, the symptoms your wife is experiencing could be attributed to digital eye strain or other minor issues. It’s essential to address these factors to improve her visual comfort while using digital devices. If the problem continues, further evaluation by an eye care professional or a specialist may be warranted to explore other potential causes.

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