Clinical relevance: Home-isolation and social distancing during the COVID-19 pandemic caused increased use of digital devices, posing a greater risk of developing digital eye strain-related symptoms. Eye-care professionals should educate patients about limiting screen time and managing digital eye strain symptoms. Background: This study aimed to evaluate the COVID-19 isolation's impact on digital device use by comparing hours spent on digital devices before and during the 24-hour curfew in Saudi Arabia, while assessing the symptoms associated with digital eye strain. Methods: A self-reported questionnaire was used to compare the total hours per day, either continuous or intermittent, spent on digital devices during and before curfew, and the association of these durations with digital eye strain. Results: A total of 1,939 participants, (mean ± SD: 33 ± 12.2 years and 72% women) were recruited. Results showed a significant difference between usage duration before and during curfew. Digital eye strain incidence was 78% during the curfew. Chi-squared analysis indicated most symptoms are associated with usage duration and employment status. Multivariate analysis revealed significant associations between digital eye strain and the following factors: using more than one device (odds ratio 1.208, 95% confidence interval: 1.068-1.3661), age, optical correction, employment status, gender, using rewetting drops, and usage duration. Conclusions: In this population, prolonged use of digital devices significantly increased during home-isolation. Digital eye strain incidence increased during curfew. Regular eye exams should be encouraged to ensure the use of optimum prescription use and meet the specific visual demands required for the use of digital devices. Eye-health strategies and awareness campaigns should be employed on the importance of regular eye exams, decreasing screen time, practising the 20-20-20 rule, and the use of rewetting drops to help reduce the symptoms of digital eye strain during this period.
Effect of digital device use during COVID-19 on digital eye strain