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Erschienen in: Der Ophthalmologe 8/2005

01.08.2005 | Das therapeutische Prinzip

Lidschlagaktivität während der Bildschirmarbeit

Teil 1: Okuläre Beschwerden und pathophysiologische Grundlagen

verfasst von: Dr. F. Ziemssen, N. Freudenthaler, K. Regnery, T. Schlote

Erschienen in: Die Ophthalmologie | Ausgabe 8/2005

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Zusammenfassung

Bei bis zu 3/4 aller Bildschirmbenutzer treten okuläre Beschwerden nach längerer Bildschirmarbeit auf. Diese Problematik hat wegen der starken Zunahme von Bildschirmarbeitsplätzen eine hohe ökonomischen Relevanz und gesundheitspolitische Bedeutung. Ein großer Anteil der Beschwerden am Bildschirmarbeitsplatz ist im Sinne eines Oberflächenproblems zu interpretieren und entspricht der Symptomatik eines Sicca-Syndroms.
In zahlreichen Untersuchungen konnte die massive Reduktion der Lidschlaghäufigkeit als eine wesentliche Ursache der Beschwerden gefunden werden. Der Lidschlag dient nicht nur der gleichmäßigen Verteilung des Tränenfilms („Scheibenwischer“-Funktion), sondern trägt auch zu dessen Zusammensetzung und Stabilität bei. Bisherige Untersuchungen sind allerdings häufig durch eine große Heterogenität der Messbedingungen gekennzeichnet und deshalb nicht selten zu widersprüchlichen Ergebnissen gekommen.
Literatur
1.
Zurück zum Zitat Acosta MC, Gallar J, Belmonte C (1999) The influence of eye solutions on blinking and ocular comfort at rest and during work at video display terminals. Exp Eye Res 68:663–669CrossRefPubMed Acosta MC, Gallar J, Belmonte C (1999) The influence of eye solutions on blinking and ocular comfort at rest and during work at video display terminals. Exp Eye Res 68:663–669CrossRefPubMed
2.
Zurück zum Zitat Armstrong IT, Munoz DP (2003) Attentional blink in adults with attention-deficit hyperactivity disorder. Influence of eye movements. Exp Brain Res 152:243–250CrossRefPubMed Armstrong IT, Munoz DP (2003) Attentional blink in adults with attention-deficit hyperactivity disorder. Influence of eye movements. Exp Brain Res 152:243–250CrossRefPubMed
3.
Zurück zum Zitat Bandeen-Roche K, Munoz B, Tielsch JM, West SK, Schein OD (1997) Self-reported assessment of dry eye in a population-based setting. Invest Ophthalmol Vis Sci 38:2469–2479PubMed Bandeen-Roche K, Munoz B, Tielsch JM, West SK, Schein OD (1997) Self-reported assessment of dry eye in a population-based setting. Invest Ophthalmol Vis Sci 38:2469–2479PubMed
4.
Zurück zum Zitat Barbato G, Moul DE, Schwartz P, Rosenthal NE, Oren DA (1993) Spontaneous eye blink rate in winter seasonal affective disorder. Psychatry Res 47:79–85CrossRef Barbato G, Moul DE, Schwartz P, Rosenthal NE, Oren DA (1993) Spontaneous eye blink rate in winter seasonal affective disorder. Psychatry Res 47:79–85CrossRef
5.
Zurück zum Zitat Bentivoglio AR, Bressman SB, Cassetta E, Caretta D, Tonali P, Albanese A (1997) Analysis of blink rate patterns in normal subjects. Movement Disord 12:1028–1034PubMed Bentivoglio AR, Bressman SB, Cassetta E, Caretta D, Tonali P, Albanese A (1997) Analysis of blink rate patterns in normal subjects. Movement Disord 12:1028–1034PubMed
6.
Zurück zum Zitat Bergqvist UO, Knave BG (1994) Eye discomfort and work with visual display terminals. Scand J Work Environ Health 20:27–33PubMed Bergqvist UO, Knave BG (1994) Eye discomfort and work with visual display terminals. Scand J Work Environ Health 20:27–33PubMed
7.
Zurück zum Zitat Caffier PP, Erdmann U, Ullsperger P (2003) Experimental evaluation of eye-blink parameters as a drowsiness measure. Eur J Appl Physiol 89:319–325PubMed Caffier PP, Erdmann U, Ullsperger P (2003) Experimental evaluation of eye-blink parameters as a drowsiness measure. Eur J Appl Physiol 89:319–325PubMed
8.
Zurück zum Zitat Carney LG, Hill RM (1982) The nature of normal blinking patterns. Acta Ophthalmol 60:427–433 Carney LG, Hill RM (1982) The nature of normal blinking patterns. Acta Ophthalmol 60:427–433
9.
Zurück zum Zitat Cher I (2003) Blink-related microtrauma: when the ocular surface harms itself. Clin Experiment Ophthalmol 31:183–190CrossRefPubMed Cher I (2003) Blink-related microtrauma: when the ocular surface harms itself. Clin Experiment Ophthalmol 31:183–190CrossRefPubMed
10.
Zurück zum Zitat Cohn JF, Xiao J, Moriyama T, Ambadar Z, Kanade T (2003) Automatic recognition of eye blinking in spontaneously occurring behaviour. Behav Res Meth 35:420–428 Cohn JF, Xiao J, Moriyama T, Ambadar Z, Kanade T (2003) Automatic recognition of eye blinking in spontaneously occurring behaviour. Behav Res Meth 35:420–428
11.
Zurück zum Zitat Doane MG (1981) Blinking and the mechanics of the lacrimal drainage system. Ophthalmology 88:844–851PubMed Doane MG (1981) Blinking and the mechanics of the lacrimal drainage system. Ophthalmology 88:844–851PubMed
12.
Zurück zum Zitat Doughty MJ (2001) Consideration of three types of spontaneous eyeblink activity in normal humans: during reading and video display terminal use, in primary gaze, and while in conversation. Optom Vis Sci 78:712–725CrossRefPubMed Doughty MJ (2001) Consideration of three types of spontaneous eyeblink activity in normal humans: during reading and video display terminal use, in primary gaze, and while in conversation. Optom Vis Sci 78:712–725CrossRefPubMed
13.
Zurück zum Zitat Ergo-Online (2002) Bildschirmarbeitsplätze und Gesundheitsbeschwerden. http://www.ergo-online.de Ergo-Online (2002) Bildschirmarbeitsplätze und Gesundheitsbeschwerden. http://​www.​ergo-online.​de
14.
Zurück zum Zitat Evinger C (1991) Eyelid movements. Invest Ophthalmol Vis Sci 32:387–400PubMed Evinger C (1991) Eyelid movements. Invest Ophthalmol Vis Sci 32:387–400PubMed
15.
Zurück zum Zitat Foreman J (1991) San Francisco passes ordinance regulating VDT use. Arch Ophthalmol 109:477PubMed Foreman J (1991) San Francisco passes ordinance regulating VDT use. Arch Ophthalmol 109:477PubMed
16.
Zurück zum Zitat Freudenthaler N, Neuff H, Kadner G, Schlote T (2003) Characteristics of spontaneous eyeblink activity during video display terminal use in healthy volunteers. Graefes Arch Clin Exp Ophthalmol 241:914–920CrossRefPubMed Freudenthaler N, Neuff H, Kadner G, Schlote T (2003) Characteristics of spontaneous eyeblink activity during video display terminal use in healthy volunteers. Graefes Arch Clin Exp Ophthalmol 241:914–920CrossRefPubMed
17.
Zurück zum Zitat Fukuda K (2001) Eye blinks: new indices for the detection of deception. Int J Psychophysiol 40:239–245CrossRefPubMed Fukuda K (2001) Eye blinks: new indices for the detection of deception. Int J Psychophysiol 40:239–245CrossRefPubMed
18.
Zurück zum Zitat Hikichi T (1995) Prevalence of dry eye in Japanese eye centers. Graefes Arch Clin Exp Ophthalmol 233:555–558PubMed Hikichi T (1995) Prevalence of dry eye in Japanese eye centers. Graefes Arch Clin Exp Ophthalmol 233:555–558PubMed
19.
Zurück zum Zitat Jääskeläinen SK (1995) Electrophysiological study of blink reflex in human: differences in mental and supraorbital nerves. Acta Physiol Scand 154:143–150PubMed Jääskeläinen SK (1995) Electrophysiological study of blink reflex in human: differences in mental and supraorbital nerves. Acta Physiol Scand 154:143–150PubMed
20.
Zurück zum Zitat Kaneko K, Sakamoto K (2001) Spontaneous blinks of Parkinson’s disease patients evaluated by EMG and EOG. Elektromyogr Clin Neurophysiol 41:87–95 Kaneko K, Sakamoto K (2001) Spontaneous blinks of Parkinson’s disease patients evaluated by EMG and EOG. Elektromyogr Clin Neurophysiol 41:87–95
22.
Zurück zum Zitat Kojima M, Shiori T, Hosoki T, Sakai M, Bando T, Someya T (2002) Blink rate variability in patients with panic disorder: new trial using audiovisual stimulation. Psychiatry Clin Neurosci 56:545–549CrossRefPubMed Kojima M, Shiori T, Hosoki T, Sakai M, Bando T, Someya T (2002) Blink rate variability in patients with panic disorder: new trial using audiovisual stimulation. Psychiatry Clin Neurosci 56:545–549CrossRefPubMed
23.
Zurück zum Zitat Kojima T, Ishida R, Dogru M et al (2004) A new noninvasive tear stability analysis system for the assesment of dry eyes. Invest Ophthalmol Vis Sci 45:1369–1374CrossRefPubMed Kojima T, Ishida R, Dogru M et al (2004) A new noninvasive tear stability analysis system for the assesment of dry eyes. Invest Ophthalmol Vis Sci 45:1369–1374CrossRefPubMed
24.
Zurück zum Zitat Miller KL, Polse KA, Radke CJ (2002) Black-line formation and the „perched“ human tear film. Curr Eye Res 25:155–162CrossRefPubMed Miller KL, Polse KA, Radke CJ (2002) Black-line formation and the „perched“ human tear film. Curr Eye Res 25:155–162CrossRefPubMed
25.
Zurück zum Zitat Mourisse J, Gerrits W, Lerou J, Van Egmond J, Zwarts MJ, Booij L (2003) Electromyographic assesment of blink and corneal reflexes during midazolam administration: useful methods for assessing depth of anaesthesia? Acta Anaesthesiol Scand 47:593–600PubMed Mourisse J, Gerrits W, Lerou J, Van Egmond J, Zwarts MJ, Booij L (2003) Electromyographic assesment of blink and corneal reflexes during midazolam administration: useful methods for assessing depth of anaesthesia? Acta Anaesthesiol Scand 47:593–600PubMed
26.
Zurück zum Zitat Nakaishi H (1999) Abnormal tear dynamics and symptoms of eyestrain in operators of visual display terminals. Occup Environ Med 56:6–9PubMed Nakaishi H (1999) Abnormal tear dynamics and symptoms of eyestrain in operators of visual display terminals. Occup Environ Med 56:6–9PubMed
27.
Zurück zum Zitat Nakamori K, Odawara M, Nakajima T, Mizutani T, Tsubota K (1997) Blinking is controlled primarily by ocular surface conditions. Am J Ophthalmol 124:24–30PubMed Nakamori K, Odawara M, Nakajima T, Mizutani T, Tsubota K (1997) Blinking is controlled primarily by ocular surface conditions. Am J Ophthalmol 124:24–30PubMed
28.
Zurück zum Zitat Németh J, Erdélyi B, Csákány B et al (2002) High-speed videotopographic measurement of tear film build-up time. Invest Ophthalmol Vis Sci 43:1783–1790PubMed Németh J, Erdélyi B, Csákány B et al (2002) High-speed videotopographic measurement of tear film build-up time. Invest Ophthalmol Vis Sci 43:1783–1790PubMed
29.
30.
Zurück zum Zitat Patel S, Henderson R, Bradley L, Galloway B, Hunter L (1991) Effect of visual display unit use on blink rate and tear stability. Optom Vis Sci 68:888–892PubMed Patel S, Henderson R, Bradley L, Galloway B, Hunter L (1991) Effect of visual display unit use on blink rate and tear stability. Optom Vis Sci 68:888–892PubMed
31.
Zurück zum Zitat Ponder E, Kennedy WP (1927) On the act of blinking. Q J Exp Physiol 18:89–110 Ponder E, Kennedy WP (1927) On the act of blinking. Q J Exp Physiol 18:89–110
32.
Zurück zum Zitat Sahlin S, Laurell CG, Chen E, Philipson B (1998) Lacrimal drainage capacitiy, age and blink rate. Orbit 17:155–159CrossRefPubMed Sahlin S, Laurell CG, Chen E, Philipson B (1998) Lacrimal drainage capacitiy, age and blink rate. Orbit 17:155–159CrossRefPubMed
33.
Zurück zum Zitat Shimmura S (1999) Results of a population-based questionnaire on the symptoms and lifestyles associated with dry eye. Cornea 18:408–411CrossRefPubMed Shimmura S (1999) Results of a population-based questionnaire on the symptoms and lifestyles associated with dry eye. Cornea 18:408–411CrossRefPubMed
34.
Zurück zum Zitat Sotoyama M, Jonai H, Saito S, Villanueva MB (1996) Analysis of ocular surface area for comfortable VDT workstation layout. Ergonomics 39:877–884PubMed Sotoyama M, Jonai H, Saito S, Villanueva MB (1996) Analysis of ocular surface area for comfortable VDT workstation layout. Ergonomics 39:877–884PubMed
35.
Zurück zum Zitat Statistisches Bundesamt (2002) Mikrozensus 2002. http://www.statistischesbundesamt.de Statistisches Bundesamt (2002) Mikrozensus 2002. http://​www.​statistischesbun​desamt.​de
36.
Zurück zum Zitat Sun WS, Baker RS, Chuke JC, Rouholiman BR et al (1997) Age-related changes in human blinks: passive and active changes in eyelid kinematics. Invest Ophthalmol Vis Sci 38:92–99PubMed Sun WS, Baker RS, Chuke JC, Rouholiman BR et al (1997) Age-related changes in human blinks: passive and active changes in eyelid kinematics. Invest Ophthalmol Vis Sci 38:92–99PubMed
37.
Zurück zum Zitat Takano H, Takamura E, Yoshino K, Tsubota K (1994) The increase of the blink interval in ophthalmic procedures. Adv Exp Med Biol 350:525–527PubMed Takano H, Takamura E, Yoshino K, Tsubota K (1994) The increase of the blink interval in ophthalmic procedures. Adv Exp Med Biol 350:525–527PubMed
38.
Zurück zum Zitat Thomson WD (1998) Eye problems and visual display terminals — the facts and the fallacies. Ophthal Physiol Opt 18:111–119 Thomson WD (1998) Eye problems and visual display terminals — the facts and the fallacies. Ophthal Physiol Opt 18:111–119
39.
Zurück zum Zitat Tsubota K, Nakamori K (1993) Dry eyes and video display terminals. New Engl J Med 328:584–589CrossRef Tsubota K, Nakamori K (1993) Dry eyes and video display terminals. New Engl J Med 328:584–589CrossRef
40.
Zurück zum Zitat Tsubota K, Hata S, Okusawa Y, Egami F, Ohtsuki T, Nakamori K (1996) Quantitative videographic analysis of blinking in normal subjects and patients with dry eye. Arch Ophthalmol 114:715–720PubMed Tsubota K, Hata S, Okusawa Y, Egami F, Ohtsuki T, Nakamori K (1996) Quantitative videographic analysis of blinking in normal subjects and patients with dry eye. Arch Ophthalmol 114:715–720PubMed
41.
Zurück zum Zitat Tsubota K (1998) Tear dynamics and dry eye. Prog Retinal Eye Res 17:565–596CrossRef Tsubota K (1998) Tear dynamics and dry eye. Prog Retinal Eye Res 17:565–596CrossRef
42.
Zurück zum Zitat Tsubota K, Miyake M, Matsumoto Y, Shintani M (2002) Visual protective sheet can increase blink rate while playing a hand-held video game. Am J Ophthalmol 133:704–705CrossRefPubMed Tsubota K, Miyake M, Matsumoto Y, Shintani M (2002) Visual protective sheet can increase blink rate while playing a hand-held video game. Am J Ophthalmol 133:704–705CrossRefPubMed
43.
Zurück zum Zitat Tutt R, Bradley A, Begley C, Thibos LN (2000) Optical and visual impact of tear break-up in human eyes. Invest Ophthalmol Vis Sci 41:4117–4123PubMed Tutt R, Bradley A, Begley C, Thibos LN (2000) Optical and visual impact of tear break-up in human eyes. Invest Ophthalmol Vis Sci 41:4117–4123PubMed
44.
Zurück zum Zitat VanderWerf F, Brassinga P, Reits D, Aramideh M, Ongerboer de Visser B (2003) Eyelid movements: behavioral studies of blinking under different stimulus conditions. J Neurophysiol 89:2784–2796PubMed VanderWerf F, Brassinga P, Reits D, Aramideh M, Ongerboer de Visser B (2003) Eyelid movements: behavioral studies of blinking under different stimulus conditions. J Neurophysiol 89:2784–2796PubMed
45.
Zurück zum Zitat Wong KKW, Wan WY, Kaye SB (2002) Blinking and operating: cognition versus vision. Br J Ophthalmol 86:479CrossRef Wong KKW, Wan WY, Kaye SB (2002) Blinking and operating: cognition versus vision. Br J Ophthalmol 86:479CrossRef
46.
Zurück zum Zitat Yolton DP, Yolton RL, Lopez R, Bogner B, Stevens R, Rao D (1994) The effects of gender and birth control pill use on spontaneous blink rates. J Am Optom Assoc 65:763–770PubMed Yolton DP, Yolton RL, Lopez R, Bogner B, Stevens R, Rao D (1994) The effects of gender and birth control pill use on spontaneous blink rates. J Am Optom Assoc 65:763–770PubMed
47.
Zurück zum Zitat Zaman ML, Doughty MJ, Button NF (1998) The exposed ocular surface and it’s relationship to spontaneous eyeblink rate in elderly caucasians. Exp Eye Res 67:681–686CrossRefPubMed Zaman ML, Doughty MJ, Button NF (1998) The exposed ocular surface and it’s relationship to spontaneous eyeblink rate in elderly caucasians. Exp Eye Res 67:681–686CrossRefPubMed
Metadaten
Titel
Lidschlagaktivität während der Bildschirmarbeit
Teil 1: Okuläre Beschwerden und pathophysiologische Grundlagen
verfasst von
Dr. F. Ziemssen
N. Freudenthaler
K. Regnery
T. Schlote
Publikationsdatum
01.08.2005
Verlag
Springer-Verlag
Erschienen in
Die Ophthalmologie / Ausgabe 8/2005
Print ISSN: 2731-720X
Elektronische ISSN: 2731-7218
DOI
https://doi.org/10.1007/s00347-004-1071-8

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