EYESTRAIN

“I wore glasses before I came in,” said a claims processor with the northeastern insurance office mentioned earlier, “and now I need a stronger prescription. And I can’t even read a book anymore. Before I used to enjoy reading,” she told me, “but now I can barely glance at newspapers.”

Many computer-ergonomics experts would scoff at the idea that the woman’s work is blinding her. No one has convincingly shown that the terminals cause a permanent deterioration in eyesight. There is, however, some uncertainty. “We don’t know,” said my ophthalmologist when I asked during an eye examination about long-term effects—and also when he prescribed new glasses.

Most ergonomics experts would be more reassuring. They would say, for instance, that, first, people’s eyes weaken naturally as they age, and you can’t automatically blame the terminals. Second, terminals place more demands on your eyes than reading does. VDTs, however, don’t permanently harm eyes, according to a twelve-member panel of the prestigious National Research Council (NRC) which is connected with the National Academies of Science and Engineering. The NRC study, released in 1983, said no evidence existed that VDTs could cause “anatomical or physiological damage ... to the visual system.” The panel felt that the VDT controversy should be a productivity issue rather than a health one. At the very least, however, it’s a comfort one. Harry Snyder, the Virginia Polytechnic Institute expert, in 1983 said that three-fifths of VDTs then on sale were not even reasonably comfortable. Just consider, if nothing else, the resultant productivity losses!

Even if the computer isn’t permanently blinding the northeastern claims processor, it’s in a sense shortening her life. She has less time for the reading she loves. Presumably, she would agree with the findings of a NIOSH-sponsored study of San Francisco clerical workers. Ninety-one percent of the ones on terminals reportedly complained of eyestrain, while only 60 percent of the nonterminal users did.

How to reply to such complaints? Follow the lighting and glare suggestions outlined earlier and consider rest breaks or alternating VDT and non-VDT tasks. And educate your workers—ideally before you hire them.

Let them know you’re doing all you can to reduce the risks. “I have a selfish interest in this, too, you know,” you can tell them once they’re working for you. “The lousier your eyes get, the more errors you’ll make. Which hurts me.”

Then hand them cards with a good ophthalmologist’s name on it—or perhaps several possibilities—and say: “Make an appointment. We’ll pay for it.” Why should a company invest thousands or millions of dollars in computer maintenance without worrying about other work tools—employees’ eyes? Have new employees’ eyes checked in these NIOSH-approved ways, among others, during thorough examinations:

1. Refraction

2. Accommodation

3. Acuity

4. Color vision function

5. Degree of opacity of the lens

6. The possibility of a detached retina

Yearly, the doctor should test for refraction, acuity, and accommodation.

Make sure your health insurance covers bifocals and other glasses that your employees wouldn’t need except for your CRT.