КОМПЬЮТЕРНЫЙ ЗРИТЕЛЬНЫЙ СИНДРОМ

По статистике 70 % людей, работающих с компьютером, страдают компьютерным зрительным синдромом. Компьютерный зрительный синдром (КЗС) – одно из трех составляющих компьютерного синдрома, который включает в себя изменения опорно-двигательного аппарата, синдром запястного канала и сам компьютерный зрительный синдром.

ПРИЧИНЫ РАЗВИТИЯ КЗС

Зрительная  работоспособность и зрительное утомление пользователя ПК тесно связаны с состоянием аккомодации (способность зрительного аппарата фокусировать взгляд на объектах расположенных на разных расстояниях) и конвергенции (сближение зрительных осей обоих глаз на фиксируемом предмете) глаза. Основой для развития КЗС является механизм перенапряжения аккомодационного аппарата глаза. Из-за того что текст на электронных носителях подается не в виде сплошных линий, а состоит из разрозненных точек и пикселей, изображения на электронных носителях и бумаге сильно различаются и глаза не в состоянии удерживать фокус. Это и приводит к нарушению работы и неравномерному сокращению мышцы, которая обеспечивает аккомодацию (цилиарная мышца) и развитием спазма аккомодации.

Усиление нагрузки на глаза так же оказывает неодинаковая освещенность и расстояние перевода взгляда с клавиатуры на экран. Возникает зрительный эффект Мак-Калаха – при переводе взгляда с экрана на черный или белый предмет, он «окрашивается» в цвет, который преобладал на экране.

Следующей причиной, как показывают исследования развития КЗС, является чрезмерная концентрация внимания, что ведёт за собой уменьшение частоты моргания. Как следствие, недостаточное увлажнение глаз из-за малого количества слезной жидкости.

Важный критерий, который оказывает влияние на возникновение синдрома компьютерного зрения — угол взора. Это угол, который образуется между двумя линиями, соединяющими центр экрана с глазом и горизонтальной линией, которую можно провести от монитора. Вероятность развития заболевания снижается, если угол взора составляет более 14 градусов.

ПРЯМЫЕ ФАКТОРЫ РИСКА РАЗВИТИЯ КЗС:

  • обустройство места, где стоит ноутбук или стационарный компьютер, без учета эргономических показателей: освещенность, расстояние до дисплея, блики на нем от солнца из окна или осветительных приборов, неподходящая яркость изображения;
  • наличие зрительных отклонений от нормы, врожденных или возрастных (астигматизм, близорукость, дальнозоркость);
  • отсутствие технологических перерывов в работе приводит к тому, что работающий начинает намного реже моргать, чтобы сфокусировать и удерживать взгляд на символах на мониторе компьютера;
  • перепечатывание больших объемов текста, связанное с необходимостью постоянной перефокусировки зрения с бумажного носителя на монитор, графические работы высокой сложности, выполняемые на компьютере;
  • интерактивный режим работы.

КОГДА СЛЕДУЕТ ОБРАЩАТЬСЯ К ВРАЧУ

Компьютерный зрительный синдром (КЗС)  болезнью не считается. Его трактуют как пограничное, то есть – преддверие заболевания. Однако если появились первые признаки зрительного дискомфорта и быстрой утомляемости (астенопия), их не стоит игнорировать:

  • ощущение инородного тела в глазах, зуда, болезненность и/или рези при движении глазами, покрасневшая слизистая оболочка века с воспаленными сосудиками, слезотечение – симптомы ксерофтальмии (сухость глаз);
  • на более поздней стадии присоединяются боли в глазах, ощущение повышенной температуры вокруг глаз, головная боль;
  • зрительные нарушения, такие как нечеткость видимого объекта – он двоится или расплывается, ощущается пелена перед глазами; искаженное восприятие формы или размеров зрительного образа; для того чтобы переключиться с объектов, находящихся вблизи, на более отдаленные необходимо некоторое время; быстрое утомление глаз при любой зрительной работе.

ОСНОВНЫЕ ПРИНЦИПЫ ЛЕЧЕНИЯ И ПРОФИЛАКТИКИ

  1. Правильно оборудовать свое рабочее место

Освещение в комнате должно быть достаточным, равномерным. Если используется дополнительное освещение, оно должно быть низкой интенсивности, не направлено на экран или в глаза. Рабочее место располагают так, чтобы яркие источники света не располагались в поле зрения пользователя. Мебель лучше выбрать с матовым покрытием. Важно исключить попадание отблесков света на поверхность монитора. Кресло должно иметь поддержку для поясницы, регулироваться по высоте. Центр монитора должен находиться ниже на 10–25 см горизонтальной линии взора, оптимальная дистанция от монитора до глаз – 50–70 см

  1. Придерживаться режима работы

Не рекомендуется работать перед монитором более 6 часов в общей сумме и больше часа без перерыва. Но, учитывая стандартные условия труда, придерживаться этих рекомендаций довольно сложно. Поэтому офтальмологи предлагают придерживаться правила «20/20/20»: каждые 20 минут нужно делать перерыв, длительностью 20 секунд, при этом рассматривать какой-нибудь предмет на расстоянии шести метров (20 футов). Это помогает максимально расслабить мышцы, обеспечивающие аккомодацию (то есть способность глаза четко различать предметы).

  1. Использование очков.

Если человек страдает близорукостью или дальнозоркостью, то решение о необходимости использования корригирующих очков может принимать только врач-офтальмолог (окулист). А вот ношение контактных линз при длительной работе перед монитором нежелательно. Это связано с особенностями образования слезной жидкости. Несмотря на высокое качество современных линз, они препятствуют нормальному увлажнению глаз. Также сухость глаз может вызвать наличие в помещениях вентиляторов и кондиционеров.

  1. Применять искусственную слезу

Появление КЗС часто связано с дефицитом слезной жидкости, вызванным нарушением ее выделения или повышенным испарением. Поэтому рекомендуется применение растворов, заменяющих слезу. При первых признаках сухости глаз назначают растворы с низкой степенью вязкости. Частота их использования на протяжении дня определяется индивидуально. В случае снижения эффективности таких препаратов и выявлении изменений на роговице показано назначение более вязких заменителей слезной жидкости. Как правило, при нормировании или прекращении работы перед компьютером, симптоматика компьютерного зрительного синдрома постепенно регрессирует.

КАКИЕ БЫВАЮТ ОСЛОЖНЕНИЯ КЗС:

Возможные последствия компьютерного зрительного синдрома:

  • точечный поверхностный кератит (воспаление);
  • уменьшение объема аккомодации (то есть величины в диоптриях, на которую хрусталик способен менять свою оптическую силу) сверх возрастной нормы;
  • развитие или прогрессирование близорукости при наличии предрасположенности (неправильная форма хрусталика или роговицы, увеличение передне-задней оси глазного яблока и т.п.).

ВОЗМОЖНОСТИ ДОПОЛНИТЕЛЬНОГО ЛЕЧЕНИЯ:

  1. Лазерстимуляция цилиарного тела

В основе данной методики лежит транссклеральное бесконтактное воздействие на цилиарную мышцу с помощью инфракрасного лазерного излучения (1300 нм). Основной точкой приложения МП на тканевом и органном уровне является микроциркуляторное русло. При этом усиливается метаболическая активность как эпителиальных клеток, так и соединительной ткани цилиарного тела.

  1. Электростимуляция цилиарной мышцы 

Электростимуляция нервно-мышечного аппарата, вызывая двигательное возбуждение и сокращение мышц и увеличивая объем мышечной массы, одновременно рефлекторно усиливает весь комплекс обменно-трофических процессов, направленных на энергетическое обеспечение работающих мышц. Таким образом, электростимуляция является патогенетически обоснованным методом диагностики и лечения нарушений гидродинамики глаза, спазма аккомодации, миопии.

  1. Тренировка аккомодации

Работа за компьютером продолжается длительное время на близких дистанциях и поэтому относится к статическим нагрузкам. Комплекс специальных упражнений улучшают питание цилиарной мышцы и хрусталика.

  1. Медикаментозная терапия

Ее необходимо проводить после тщательной диагностики и коррекции гигиены и режима работы за компьютером. Медикаментозная терапия включает в себя следующее.

  • протезирование нативной слезной пленки. В офтальмологической практике распространены препараты «искусственной слезы», образующие на поверхности глазного яблока стабильную пленку, защищающую роговицу от высыхания при снижении моргательных движений во время работы за компьютером. Среди полимерных основ препаратов «искусственной слезы» известны производные метилцеллюлозы, поливиниловый спирт, поливинилпиppолидон, натрия гиалуронат, хондpоитин-сульфат, полиакриламид, различные варианты карбомеров и т.д.
  • антиоксидантная терапия. В офтальмологии в качестве ингибиторов свободнорадикальных процессов широко применяются такие антиоксиданты, как эмоксипин, токоферола ацетат, витамин С, А, виксипин

 

Врач-офтальмолог высшей квалификационной категории

ГКБ им. И.В. Давыдовского

Алла Ивановна Олейник

 

Tags:
Категории

Авторadmin

1870 Comments

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    Use a major degree perspective to technique out your essay/research paper upfront of writing it. Undertaking the work away from your thesis assertion, plot out just how you want your paper to circulation and what points you want to include. This has a tendency to make writing the complete draft of one’s paper a lot less challenging

    4. Get started with Your whole body, NOT THE INTRODUCTION
    Definitely never start out whilst utilizing the introduction. The introduction is the position some pupils wrestle in essence by far the most, so to stop getting slowed down, make the introduction afterward. This has a tendency to make it possible for for you to definitely surely wholly style your sights and ideas and they are accessible once again and mix the true secret tactics into your introduction.

    5. Start out Almost every single PARAGRAPH By owning a Subject SENTENCE
    Get going pretty much each paragraph that has a topic subject sentence, which expresses probably the most essential idea of the paragraph. Nearly each and every paragraph will wish to attribute quotations or contextual details to defend your topic sentence and thesis assertion.

    6. USE CREDIBLE Means
    Fees and contextual data are certainly essential for organising trustworthiness and supporting your argument, so make sure that the estimates and information are coming from credible scholarly assets. Illustrations of scholarly methods encompass tutorial journals, peer-reviewed written content, textbooks, guides by accredited authors, and NPR posts. Illustrations of unacceptable scholarly assets are journal posts or web site posts, open up up dialogue board submissions, encyclopedia entries, and unverified world-wide-web sources. If you happen to be buying for credible methods take advantage of in only your essay, look at out out Google Scholar.

    7. Never Bogus IT
    Lecturers are certainly not dumb. They know in case you by no means comprehensively completely grasp the essay topic and when you’re rambling for generating it prolonged. Never use fluff to bulk up your essay. Instead, make certain that that every sentence offers compound with all your work. If it just isn’t completely compulsory, slash it out. Most lecturers would like to have gotten a well-written essay that will not relatively satisfy up with the length prerequisite compared to typical paper that fulfills the require, but is eighty p.c fluff.

    8. CONCLUDE YOUR ESSAY
    Your summary should begin by restating your thesis assertion. This really is absolutely your chance to tie all of your aspects with just about every other and head out utilizing a bang. A great top quality summary will handle the main arguments of every and each procedure paragraph during the succinct way and entirely create your thesis assertion.

    9. PROOFREAD, THEN PROOFREAD After additional
    Analyzing is vital to composing a fantastic essay. Some teachers will likely not even total inspecting essays if they can be not grammatically appear or riddled with spelling glitches. During this write-up definitely undoubtedly are a amount of tactics to assist make your essay/research paper a bit more academically suited and enhanced generally.

    Full bit of material around on fill

    Opt for out all conjunctions (will not be, tend not to, couldn’t, and plenty of other folks.). This may make your paper prolonged and it is also considerably additional ideal for tutorial writing.
    Print out your paper, glance in excess of it, and mark it up. You would possibly find alot far more faults when on the lookout by way of it with this way than around a equipment show display screen.
    Have great pals or moms and dads study it. A 2nd recognized of eyes can seize any faults you skipped.
    Search it out loud. This may aid with grammar flaws. If it seems inappropriate, it most probably is.
    Essays and exploration papers usually is often a impediment for writers of all expertise levels, but these writing tips could make the tactic a contact far better and in addition a total great deal noticeably considerably less frustrating.

    Use your writing knowledge to implement for scholarships. Verify out out our Scholarship Match to look out scholarships that have been deliver on your own.

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