Work-related risk factors for asthenopia among employees: a 2024 study

Authors

  • Tiara putri Pratami Universitas Muhammadiyah Prof. Dr. Hamka
  • Ony Linda Universitas Muhammadiyah Prof. Dr. Hamka
  • Hariz Muzakir Universitas Muhammadiyah Prof. Dr. Hamka

DOI:

https://doi.org/10.12928/jcp.v7i2.13426

Keywords:

Asthenopia, Computer Usage Duration, Computer Users, Light Intensity, Occupational, Visibility

Abstract

Asthenopia, or eye strain, is a common occupational health issue that can negatively impact employee productivity. This study aimed to analyze occupational factors associated with asthenopia among office-based employees in 2024. A cross-sectional analytical design was employed, involving 61 respondents. Data were collected using a structured questionnaire to assess variables such as age, sex, years of employment, eye rest habits, and duration of computer or laptop use. The distance between the eyes and the computer/laptop was measured with a measuring tape, and lighting intensity at workstations was assessed using a luxmeter. Statistical analysis was conducted using the chi-squared test and Fisher’s exact test. The results showed that 70.5% of respondents experienced asthenopia. Significant associations were found between asthenopia and age (p = 0.011), eye rest (p = 0.007), duration of computer/laptop use (p = 0.018), screen distance (p = 0.031), and lighting intensity (p = 0.006). No significant association was found between asthenopia and sex or years of employment. Based on these findings, routine eye examinations and the implementation of eye rest techniques are recommended, particularly for employees over the age of 40. Employers are also encouraged to implement promotive measures, including the provision of visual aids, ergonomic workstations, standing desk options, and improved lighting using LED daylight lamps.

References

Imran K, Khan MI, Zaib HMJ, Nazir F, Khan NA, Khalid A. Risk Factors of Computer Vision Syndrome and its Prevention. Pakistan Journal of Medical and Health Sciences. 2023;17:475–8. https://doi.org/10.53350/pjmhs2023171475

Ccami-Bernal F, Soriano-Moreno DR, Romero-Robles MA, Barriga-Chambi F, Tuco KG, Castro-Diaz SD, et al. Prevalence of computer vision syndrome: A systematic review and meta-analysis. J Optom [Internet]. 2024 [cited 2025 May 30];17:1–15. https://doi.org/10.1016/j.optom.2023.100482

Rahmadanti D, Alnur RD. The Relationship Between Occupancy Density and Room Lighting with the Incidence of ISPA in Toddlers in the Work Area of the UPTD Babelan 1 Community Health Center. SEHATMAS (Jurnal Ilmiah Kesehatan Masyarakat) [Internet]. 2023 [cited 2024 May 7];2:1013–20. https://doi.org/10.55123/sehatmas.v2i4.2604

Arshad S, Khan A, Pal DK, Melwani V, Verma S, Sawlani H. Prevalence of asthenopia among computer operators in Central India and effectiveness of educational intervention. Int J Community Med Public Health. 2019;6:2091–4. https://doi.org/10.18203/2394-6040.ijcmph20191825

Pratiwi AD, Safitri A, Junaid, Lisnawaty. Factors Associated with the Incidence of Computer Vision Syndrome (CVS) in Employees of PT. Media Kita Sejahtera Kendari. Annada-Jurnal Kesehatan Masyarakat [Internet]. 2020 [cited 2024 May 2];7:41–7. https://doi.org/10.31602/ann.v7i1.3111

Kamoy B, Magno M, Noland TS, Moe CM, Petrovski G, Vehof J, et al. Video display terminal use and dry eye: preventive measures and future perspectives. Int Ophthalmol [Internet]. 2022 [cited 2025 May 30];723–39. https://doi.org/10.23887/gm.v1i2.39551

Rachmin UR. Understanding Computer Vision Syndrome (CVS). Directorate General of Health Services, Ministry of Health, Republic of Indonesia [Internet]. 2023 [cited 2023 Nov 10]; https://yankes.kemkes.go.id/view_artikel/2798/mengenal-sindrom-penglihatan-komputer-atau-computer-vision-syndrome-cvs

Pratama PPA, Setiawan KH, Purnomo KI. Asthenopia: Diagnosis, Management, Therapy. Ganesha Medicina Journal [Internet]. 2021 [cited 2024 Jun 1];1:97–102. https://doi.org/10.23887/gm.v1i2.39551

Rokom. Indonesia Successfully Proposes WHO Resolution on the Importance of Addressing Global Eye Health – My Country's Health [Internet]. 2021 [cited 2025 Jun 29]. Available from: https://sehatnegeriku.kemkes.go.id/baca/umum/20200207/4832980/indonesia-sukses-usulkan-resolusi-who-pentingnya-penanganan-kesehatan-mata-global/

WHO (World Health Organization). Universal Eye Health ; a global action plan. WHO (World Health Organization) [Internet]. 2014 [cited 2024 May 5]; https://www.who.int/publications/i/item/universal-eye-health-a-global-action-plan-2014-2019

The Vision Council. Eyes overexposed: The digital device dilemma: digital eye strain report [Internet]. 2016. https://www.thevisioncouncil.org/ content/digital-eye-strain

American Optometric Association. Most Americans Experience Digital Eye Strain from Overexposure to Computers According to Survey [Internet]. American Optometric Association. 2016 [cited 2024 Apr 2]. https://www.aoa.org/about-the-aoa/press-room/press-releases/most-americans-experience-digital-eye-strain-from-overexposure-to-computers-according-to-survey?sso=y

Ministry of Health of the Republic of Indonesia. Roadmap for Addressing Visual Impairment in Indonesia 2017-2030 [Internet]. Jakarta: Kementerian Kesehatan RI; 2018 [cited 2024 Mar 7]. https://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2018/08/Buku_Peta_Jalan_Penanggulangan_Gangguan_Penglihatan_di_Indonesia_tahun_2017_2030.pdf

Salote A, Jusuf H, Amalia L, Olahraga F, Kesehatan D. The Relationship Between Exposure Time and Monitor Distance and Eye Fatigue Disorders in Computer Users. Journal health and Science ; Gorontalo journal health & Science Community [Internet]. 2020 [cited 2024 May 2];4:104–21. https://doi.org/10.35971/gojhes.v4i2.7842

Medelin F, Saluy PM. The Relationship of Screen Time and Asthenopia Among Computer Science Students Universitas Klabat. NutrJ. 2020;1–6. https://easychair.org/publications/preprint/HxrQ

Setyana I, Tarigan NM, Nugraha OC. Subjective Refraction Examination in Presbyopic Patients with Emmetropia Refractive Status. j.mata opt. [Internet]. 2020 Nov.14 [cited 2025Jul.18];1(1):40-51. https://doi.org/10.54363/jmo.v1i1.6

Christen GW, Cook NR, Manson JE, Buring JE. Efficacy of Marine ω-3 Fatty Acid Supplementation vs Placebo in Reducing Incidence of Dry Eye Disease in Healthy US Adults: A Randomized Clinical Trial. Int Ophthalmol [Internet]. 2022 [cited 2025 May 30];707–14. https://doi.org/10.1001/jamaophthalmol.2022.1818

Seguí MDM, Cabrero-García J, Crespo A, Verdú J, Ronda E. A reliable and valid questionnaire was developed to measure computer vision syndrome at the workplace. J Clin Epidemiol. 2015;68:662–73. https://doi.org/10.1016/j.jclinepi.2015.01.015

Darmawan D, Wahyuningsih AS. Subjective Complaints of Computer Vision Syndrome in Computer Users of the Communication and Information Service. IJPHN [Internet]. 2021;1:172–83. https://doi.org/10.15294/ijphn.v1i2.46727

Manik EG, Wahyuningsih A. Factors Associated with the Occurrence of Asthenopia Complaints in Desk Collection Employees at PT. Swakarya Insan Mandiri Semarang. 2022 [cited 2024 Apr 2];10. https://doi.org/10.14710/jkm.v10i6.35744

Hanan SF, Wardani DWS, Rudiyanto W, Himayani R. Literature Review: The Relationship Between Gender and Androgen Hormones with the Incidence of Dry Eye Disease. Medula | [Internet]. 2024 [cited 2025 Jun 29];14:476–81. https://doi.org/10.53089/medula.v14i3.992

Widowati H, Rinata E. Anatomy Textbook. Sidoarjo: UMSIDA Press; 2020.

Naota SK, Afni N, Moonti S. The Factors Related To Symptom Of Eye Weariness Of The Computer Operator At The Office Of Labour And Transmigration Of Central Sulawesi Tengah.

Kolaboratif_Sains [Internet]. 2019 [cited 2025 May 30];2:268–82. https://doi.org/10.56338/jks.v2i1.797

Tripathy K, MD (AIIMS), FRCS (Glasglow), Bunya VY. Computer Vision Syndrome (Digital Eye Strain). American Academy Of Ophthalmology [Internet]. 2023 May 7 [cited 2023 Nov 10]; https://eyewiki.org/Computer_Vision_Syndrome_(Digital_Eye_Strain)

Sustri S, Edigan F, Raviola R. Factors Related To Eye Fatigue In Computer Users In The Regional Office Of The Ministry Of Religious Affairs Riau Province. Jurnal Olahraga dan Kesehatan (ORKES) [Internet]. 2022 [cited 2024 May 2];1:386–98. https://doi.org/10.56466/orkes/Vol1.Iss2.32

Fitri M, Nitami M. Factors Associated with Eye Fatigue in Credit Card Call Center Officers at PT Bank Danamon Indonesia Jakarta in 2018. Esa Unggul [Internet]. 2018 [cited 2024 Mar 4];1–9.https://digilib.esaunggul.ac.id/public/UEU-Undergraduate-10643-MANUSKRIP.Image.Marked.pdf

Pavel IA, Bogdanici CM, Donica VC. Computer Vision Syndrome: An Ophthalmic Pathology of the Modern Era. Medicina (B Aires) [Internet]. 2023 [cited 2024 May 7]. https://doi.org/10.3390/medicina59020412

Erdinest N, Berkow D. Computer Vision Syndrome. National Library of Medicine [Internet]. 2021 [cited 2024 May 7];386–92. https://pubmed.ncbi.nlm.nih.gov/34160157/

Occupational Safety Healty Administration. Working Safety with Video Display Terminal a Dozen Things You Should Know about Eyestrain. Occupational Safety Healty Administration [Internet]. 1997 [cited 2024 May 12]; Available from: http://www.osha.gov

Nurhikma G, Setyowati DL, Ramdan IM. Effects of Giving 20-20-20 Method on Reducing Computer Vision Syndrome (CVS) Symptoms. Faletehan Health Journal [Internet]. 2022 [cited 2025 Jun 29];9. https://doi.org/10.33746/fhj.v9i3.437

Jundiah RS, Ulum MAB, Rifa’i SI. The Relationship Between Individual Factors and the Incidence of Computer Vision Syndrome in Undergraduate Nursing Students. Jurnal Penelitian Perawat Profesional [Internet]. 2023 [cited 2024 May 2];5:783–94. https://doi.org/10.37287/jppp.v5i2.1587

Alamri A, Amer KA, Aldosari AA. Computer vision syndrome: Symptoms, risk factors, and practices. J Family Med Prim Care [Internet]. 2022 [cited 2024 May 2]. https://doi.org/10.4103/jfmpc.jfmpc_1627_21

Gowrisankaran S, Sheedy JE. Computer vision syndrome: A review. Work [Internet]. 2015 [cited 2023 Nov 8];52:303–14. https://doi.org/10.3233/WOR-152162

National Institute for Occupational Safety and Health. Ergonomics and Musculoskeletal Disordes. National Institute for Occupational Safety and Health (NIOSH) [Internet]. 2024 [cited 2024 May 20]. https://www.cdc.gov/niosh/ergonomics/about/index.html

Nikmah NH, Mirsiyanto E, Kurniawati E. Factors affecting eye fatigue (asthenopia) in computer users in Jambi Express 2022. Jurnal Inovasi Penelitian [Internet]. 2023 [cited 2024 Mar 2];3:7579-87. https://doi.org/10.47492/jip.v3i9.2451

Gerfy V, Devaryo A, Fillindo M. Factors associated with eyestrain complaints in corporate customer care center computer users. International Journal on Health and Medical Sciences. 2022;1:38–45.

Novianus C, Setyawan A. The Relationship between Characteristics, Availability of Facilities and Supervision with Unsafe Actions among Public Infrastructure and Facilities Handling Officers in East Jakarta. ARKESMAS (Arsip Kesehatan Masyarakat) [Internet]. 2019 [cited 2024 May 2];4:118–24. https://doi.org/10.22236/arkesmas.v4i1.3668

Peraturan Menteri Kesehatan Nomor 48 Tahun 2016 tentang Standar Keselamatan Dan Kesehatan Kerja Perkantoran. JDIH BPK; 2016. https://peraturan.bpk.go.id/Details/113097/permenkes-no-48-tahun-2016

Sugarindra M, Allamsyah Z. Identification of Human-Computer Interaction Based on Computer Vision Syndrome. Teknoin [Internet]. 2017 [cited 2024 May 2];23:63–72. https://doi.org/10.20885/teknoin.vol23.iss1.art8

Hutagaol R, Sukarna RA, Susanti N, Elvina R. Anatomy and Physiology Textbook. Yogyakarta: Zahir; 2022.

Downloads

Published

2025-08-02

Issue

Section

Article