Vision Problems: Genetics vs. Screen Time Impact - Ophthalmology

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Vision problems


For individuals like us who have had poor eyesight since childhood and require glasses, it's interesting to note that some people frequently use computers at close range without needing glasses.
Could this be related to their physical constitution?

Yi, 20~29 year old female. Ask Date: 2015/01/20

Dr. Gao Pilin reply Ophthalmology


Hello, there are many reasons for poor vision, such as refractive issues like myopia, hyperopia, and astigmatism.
Additionally, factors like trauma and congenital eye diseases can also contribute.
However, refractive issues have a genetic component, so they are related to one's constitution as well! The ophthalmology department at Puzi Hospital is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2015/01/20

More Info


When it comes to understanding vision problems, particularly in the context of genetics versus screen time impact, it's essential to recognize that both factors play significant roles in determining an individual's visual health.
Genetics is a primary factor influencing refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. If one or both parents have a history of vision problems, their children are at a higher risk of developing similar issues. Studies have shown that genetic predisposition can account for a substantial portion of the variance in refractive errors among individuals. For instance, children of myopic parents are more likely to develop myopia themselves, often at an earlier age and with greater severity.

On the other hand, environmental factors, particularly those related to lifestyle and screen time, have become increasingly relevant in recent years. The rise of digital devices has led to a significant increase in near-vision tasks, such as reading on screens, which can contribute to eye strain and discomfort. This phenomenon is often referred to as Computer Vision Syndrome (CVS), characterized by symptoms such as blurred vision, dry eyes, and headaches. While CVS does not directly cause permanent vision changes, prolonged screen time can exacerbate existing refractive errors or lead to the development of new ones, particularly in children and adolescents whose eyes are still developing.

The relationship between screen time and vision is complex. Some studies suggest that excessive near work, including reading and screen use, can lead to an increase in myopia prevalence. This is particularly concerning for children, as their eyes are still growing and adapting. Conversely, spending time outdoors has been associated with a reduced risk of developing myopia, possibly due to the increased exposure to natural light and the opportunity for the eyes to focus on distant objects.

In your case, it seems you are concerned about the differences in visual acuity among individuals who engage in similar near-vision activities. It's important to note that individual differences in eye health can be attributed to a combination of genetic factors and lifestyle choices. Some people may have a genetic makeup that allows them to maintain good vision despite extensive screen use, while others may be more susceptible to the effects of prolonged near work.

To mitigate the impact of screen time on your vision, consider implementing the following strategies:
1. 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 and allows your eye muscles to relax.

2. Ensure Proper Lighting: Make sure your workspace is well-lit to reduce glare on screens and minimize eye strain.

3. Adjust Screen Settings: Increase text size and contrast on your devices to make reading easier and reduce the strain on your eyes.

4. Regular Eye Exams: Schedule regular check-ups with an eye care professional to monitor your vision and update your prescription as needed.

5. Limit Screen Time: Try to balance screen time with outdoor activities, which can help reduce the risk of developing myopia.

In conclusion, both genetics and screen time significantly influence vision health. While you may have a genetic predisposition to refractive errors, managing your screen time and adopting healthy visual habits can help maintain your eye health and potentially reduce the progression of vision problems. If you have ongoing concerns about your vision, it is advisable to consult with an eye care professional for personalized advice and recommendations.

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