Why Your Computer Screen Appears to Shake: Eye Health Insights - Ophthalmology

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The computer screen keeps shaking back and forth?


I experience constant horizontal shaking of the screen when looking at the computer, and straight lines appear distorted.
I had a fundus photography and slit lamp examination of the macula, which were normal.
The doctor suggested seeing a neurologist, but I do not have any headaches.
Could the shaking be related to macular degeneration? Thank you.

Response from Dr.
He Jianxian, Nantou Hospital, Ophthalmology: I recommend visiting an outpatient clinic for a more thorough examination by a physician.
Wishing you good health.

Niming, 20~29 year old female. Ask Date: 2014/02/07

Dr. He Jianxian reply Ophthalmology


Hello: It is recommended to inquire during an outpatient visit for clearer information.

Reply Date: 2014/02/07

More Info


When experiencing visual disturbances such as the sensation of your computer screen shaking or straight lines appearing distorted, it can be concerning. Given that you've already undergone examinations like fundus photography and slit lamp tests, which returned normal results, it's essential to consider other potential causes and management strategies.

Firstly, the symptoms you're describing could be related to several factors, including eye strain, visual fatigue, or even issues related to your visual processing system. Prolonged screen time can lead to a condition commonly referred to as Computer Vision Syndrome (CVS), which encompasses a range of eye and vision-related problems. Symptoms of CVS include blurred vision, dry eyes, headaches, and visual discomfort, particularly after long periods of screen use.

The perception of shaking or distortion in your vision could also be linked to a phenomenon known as "visual snow," where individuals see a persistent visual noise that can interfere with their ability to focus. This condition is not well understood and can be exacerbated by stress or fatigue.
Another possibility is that you might be experiencing a form of eye muscle imbalance. The muscles that control eye movement can become fatigued from extended periods of focusing on a screen, leading to temporary misalignment or difficulty in maintaining a steady gaze. This could explain why straight lines appear distorted or why you feel like the screen is shaking.

In terms of management, here are some recommendations:
1. Adjust Your Workspace: Ensure that your computer screen is at eye level and about an arm's length away. The top of the screen should be at or just below eye level to reduce strain on your neck and eyes.

2. Optimize Lighting: Make sure your workspace is well-lit but avoid glare on your screen. Position your monitor away from windows or use anti-glare screens if necessary.

3. Take Regular Breaks: Follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This helps reduce eye strain.

4. Blink More Often: When staring at screens, people tend to blink less, leading to dry eyes. Make a conscious effort to blink frequently to keep your eyes moist.

5. Consider Eye Exercises: Simple eye exercises can help alleviate strain. For example, try focusing on a distant object for a few seconds, then back to your screen, or practice rolling your eyes in different directions.

6. Stay Hydrated: Dehydration can exacerbate dry eyes, so ensure you're drinking enough water throughout the day.

7. Consult an Eye Care Professional: If symptoms persist, it may be beneficial to see an optometrist or ophthalmologist who specializes in visual processing or binocular vision. They can conduct a thorough examination and determine if there are any underlying issues that need to be addressed.

8. Neurological Evaluation: Since your doctor suggested seeing a neurologist, it might be worth pursuing if your symptoms do not improve. Sometimes, visual disturbances can be linked to neurological conditions, even in the absence of headaches.

In conclusion, while your initial eye examinations have shown normal results, the symptoms you're experiencing warrant further investigation and management strategies. Taking proactive steps to reduce eye strain and consulting with specialists can help you find relief and improve your visual comfort while using screens.

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