
Joel Kestenbaum O.D. is a VSP provider in Long Island, NY.
Today we welcome VSP provider Joel Kestenbaum, O.D. from Long Island N.Y. His guest blog gives an overview of Computer Vision Syndrome (CVS) and tips to resolve CVS symptoms.
Everyday patients complain of blurred vision and burning or itchy eyes. More often than not, these people are spending overwhelming amounts of time at the computer at work and at home. They are developing Computer Vision Syndrome (CVS).
Practicing healthy computer vision hygiene is just as important as brushing your teeth and taking a shower … and its results can dramatically improve your comfort and productivity at work.
Here are a few simple steps to keep your vision healthy starting with the “20/20/20 Rule.” What’s with all the 20′s? It goes a little something like this.
- 20 minutes using the computer- in which you focus intently upon the screen.
- 20 second break – take a 20 second break after you have focused on the screen for 20 minutes
- 20 feet away – focus your eyes upon something roughly 20 feet away for this 20-second break.
What happens if you use the computer for long periods of time without a break?
- Headaches
- Neck and upper back aches
- Blurry vision during and after computer use
- Eye strain, possibly causing changes in vision
- Burning, itching and watery eyes
- Overall loss of short-term focus until eyes adjust.

Photo courtesy of Indiana University.
So how can you resolve these issues besides using the 20/20/20 rule?
- Overall you want to minimize your eye, head and neck movements to prevent strain.
- Angle your computer monitor so it is at the same angle as the material being typed. Ideally, the screen should be lower than your eyes at about a 15-degree angle. Attach a paper holding device to your screen if you spend a lot of time in front of the screen.
- Upgrade your monitor to an LCD screen. These screens usually have an anti-reflective surface. Older CRT screens have a noticeable flickering of images that may cause eyestrain.
- Use comfortable furniture to maintain a very comfortable position, one in which you are not constantly shifting around to see the computer screen.
- Anti-glare screens not only filter UV radiation, they allow for a perfect focus situation where you are not bothered by the reflections around the work place.
- A light tint on specially prescribed computer eyeglass lenses will help to improve contrast and reduce glare and reflections.
With the right habits and a quality computer setup you can increase your work efficiency and maintain excellent eye health.
Dr. Joel Kestenbaum
www.longislandeyedoctor.com
Editor’s Note: Have a question for Dr. Kestenbaum? Ask in the comments below.














I work 10 hours per day using a computer most of the time. Am I headed to a serious problem? I seem to have all the symptoms of CVS already.
Hi Dr. Palomino, there are no known lasting effects of CVS, but a simple modification in your behavior can certainly improve your symptoms. Follow the 20-20-20 rule and other tips mentioned in the article. It’s important to give your eyes a break–and often.
Can anybody tell me the difference between eye strain and computer vision syndrome?
What about eye twitching? Is that part of CVS (what you’re talking about not the pharmacy)? My eye twitches all the time; I can’t stop it anymore.