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This study will evaluate whether full-spectrum screen bar lighting can reduce eye fatigue and dry eye symptoms after a standardized screen task. Prolonged screen use is common in daily work and study and may cause blurred vision, eye soreness, dryness, headache, and reduced attention. Light environment may be one way to improve visual comfort during screen use, but more controlled clinical evidence is needed.
In this randomized, parallel-group controlled study, 112 healthy adult participants will be assigned to either a full-spectrum screen bar lighting group or a brightness-matched control group without screen bar lighting. Participants in both groups will complete an approximately 2-hour standardized screen task in a controlled laboratory environment. The study will compare changes before and after the task in objective and subjective measures of visual fatigue and dry eye, including critical flicker fusion frequency, visual fatigue questionnaire scores, eye movement and blinking parameters, pupil parameters, tear film-related measurements, and dry eye symptom scores. Safety and discomfort during the study will also be recorded.
Prolonged use of electronic screens is increasingly common in work, study, and daily life and may lead to visual fatigue and dry eye-related symptoms. These symptoms may include blurred vision, eye soreness, dryness, headache, and reduced attention. Although behavioral strategies such as taking breaks and adjusting viewing distance are commonly recommended, their effectiveness may be limited by individual adherence. Optimizing the lighting environment during screen use may provide a standardized and practical approach to improving visual comfort.
This is a single-center, randomized, parallel-group controlled study designed to evaluate the effects of full-spectrum screen bar lighting during a standardized screen task. Eligible healthy adult participants with regular daily screen exposure will be randomly assigned in a 1:1 ratio to either a full-spectrum screen bar lighting group or a brightness-matched control group without screen bar lighting. Both groups will complete the same approximately 2-hour standardized screen task in a controlled laboratory environment. The task may include computer-based text processing, screen reading, or viewing specified video materials, with the task content, duration, and completion requirements kept consistent between groups.
Assessments will be performed before and immediately after the standardized screen task. The study will evaluate changes in objective and subjective measures of visual fatigue, ocular behavioral parameters, and dry eye-related indicators. These include critical flicker fusion frequency, visual fatigue questionnaire scores, eye movement, blinking and pupil parameters, tear film-related measurements, conjunctival redness, and dry eye symptom scores. Safety will be assessed by recording any discomfort or adverse events, such as glare discomfort, eye dryness, tearing, conjunctival redness, headache, nausea, or dizziness.
This study is expected to provide clinical evidence on whether full-spectrum screen bar lighting can help reduce screen-related visual fatigue and dry eye symptoms, and may support the development of lighting strategies for visual health in daily screen-use environments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Full-Spectrum Screen Bar Lighting | Experimental | Participants assigned to this arm will complete an approximately 2-hour standardized screen task in a controlled laboratory environment using a full-spectrum screen bar light (MB23001032H-1B) as task lighting. The screen task may include computer-based text processing, screen reading, or viewing specified video materials. Task content, duration, and completion requirements will be kept consistent with the control arm. |
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| Brightness-Matched Control | Placebo Comparator | Participants assigned to this arm will complete the same approximately 2-hour standardized screen task in the same controlled laboratory environment without using a full-spectrum screen bar light or any additional screen bar lighting. Screen brightness will be adjusted to match the brightness condition of the full-spectrum screen bar lighting arm. Task content, duration, and completion requirements will be kept consistent with the experimental arm. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Full-spectrum screen bar light | Device | The full-spectrum screen bar light will be used as task lighting during an approximately 2-hour standardized screen task in a controlled laboratory environment. Participants will complete computer-based text processing, screen reading, or viewing of specified video materials to simulate prolonged near-screen use. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Critical Flicker Fusion Frequency | Critical flicker fusion frequency (CFF) will be measured in Hz using the Handy Flicker HF-III device. The outcome will be calculated as the post-task CFF value minus the baseline CFF value. This measure will be used as an objective indicator of visual fatigue after the standardized screen task. | Baseline and immediately after completion of the approximately 2-hour standardized screen task |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Computer Vision Syndrome Questionnaire Score | The Computer Vision Syndrome Questionnaire (CVS-Q) will be used to assess subjective visual fatigue symptoms. The outcome will be calculated as the post-task total score minus the baseline total score. | Baseline and immediately after completion of the approximately 2-hour standardized screen task |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhongshan Ophthalmic Center | Guangzhou | Guangdong | 510060 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41135797 | Background | Chen H, Ratanapakorn T, Sukonpatip M, Asawaphureekorn S, Thinkhamrop W, Wang X, Eungpinichpong W. Effects of yoga facial massage on computer vision syndrome and ocular motor function: A randomised controlled trial. Complement Ther Med. 2025 Dec;95:103270. doi: 10.1016/j.ctim.2025.103270. Epub 2025 Oct 22. | |
| 26065349 | Background |
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| Brightness-matched screen task without screen bar lighting | Other | Participants will complete the standardized screen task without using a screen bar light. Screen brightness will be adjusted to match the brightness condition of the full-spectrum screen bar lighting arm. The task type, content, duration, and completion requirements will be the same as those in the experimental arm. |
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| Change in EyeFatigue Tracker Ocular Behavioral Parameters | Ocular behavioral parameters will be recorded using the EyeFatigue Tracker system during a standardized 1-minute reading task. The assessment will include eye movement, blink, and pupil-related parameters. Change values will be calculated as post-task values minus baseline values. | Baseline and immediately after completion of the approximately 2-hour standardized screen task |
| Change in Keratograph 5M Ocular Surface Assessment | Objective ocular surface and dry eye-related parameters will be measured using the Keratograph 5M system. The assessment will include non-invasive tear breakup time, tear meniscus height, and conjunctival redness. Change values will be calculated as post-task values minus baseline values. | Baseline and immediately after completion of the approximately 2-hour standardized screen task |
| Change in Dry Eye Symptom Visual Analog Scale Score | Dry eye symptoms will be assessed using a visual analog scale (VAS). The outcome will be calculated as the post-task VAS score minus the baseline VAS score. | Baseline and immediately after completion of the approximately 2-hour standardized screen task |
| Ide T, Toda I, Miki E, Tsubota K. Effect of Blue Light-Reducing Eye Glasses on Critical Flicker Frequency. Asia Pac J Ophthalmol (Phila). 2015 Mar-Apr;4(2):80-5. doi: 10.1097/APO.0000000000000069. |
| 33587901 | Background | Singh S, Downie LE, Anderson AJ. Do Blue-blocking Lenses Reduce Eye Strain From Extended Screen Time? A Double-Masked Randomized Controlled Trial. Am J Ophthalmol. 2021 Jun;226:243-251. doi: 10.1016/j.ajo.2021.02.010. Epub 2021 Feb 12. |
| 28118668 | Background | Lin JB, Gerratt BW, Bassi CJ, Apte RS. Short-Wavelength Light-Blocking Eyeglasses Attenuate Symptoms of Eye Fatigue. Invest Ophthalmol Vis Sci. 2017 Jan 1;58(1):442-447. doi: 10.1167/iovs.16-20663. |
| ID | Term |
|---|---|
| D001248 | Asthenopia |
| D015352 | Dry Eye Syndromes |
| ID | Term |
|---|---|
| D005128 | Eye Diseases |
| D007766 | Lacrimal Apparatus Diseases |
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