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- Title
Tear film change and ocular symptoms after reading printed book and electronic book: a crossover study.
- Authors
Prabhasawat, Pinnita; Pinitpuwadol, Warinyupa; Angsriprasert, Dawisa; Chonpimai, Pratuangsri; Saiman, Manutsawin
- Abstract
Purpose: To evaluate and compare tear film changes and ocular symptoms after reading an electronic book (e-book) and a printed book.Study design: Clinical and experimental.Methods: Crossover study was conducted in 30 healthy volunteers, some of whom read an e-book and others a printed book for 20 minutes and then switched the following week. Tear meniscus height (TMH), non-invasive break-up time (NIBUT), fluorescein break up time (FBUT), corneal and conjunctival staining score, and questionnaires about seven ocular symptoms were evaluated before and after reading by both reading methods.Results: After reading an e-book, FBUT and NIBUT were significantly decreased (p<0.001for both). Similar to printed book readers (p=0.006, p=0.04, respectively). TMH and corneal and conjunctival staining score showed no significant differences in either group. Comparing the two groups, the e-book group showed more decrease in TMH, FBUT, and NIBUT (p>0.05). Ocular symptoms were significantly increased in both groups. The e-book group showed more increase in all symptoms, but only tearing (p=0.03) and burning sensation (p=0.02) were significantly different.Conclusions: Reading an e-book affected tear film instability and significantly increased burning sensation and tearing to a larger extend than reading a printed book.
- Subjects
ELECTRONIC books; BOOKS &; reading; EYESTRAIN
- Publication
Japanese Journal of Ophthalmology, 2019, Vol 63, Issue 2, p137
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-018-00648-1