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Colour contrast for visual stress and why it’s important to optimise it.

Poor colour contrast has a cascade effect that few people are aware of.

This is what happens:

  • The colour contrast affects your eyes.
  • Which affects the stamina of your visual systems and brain.
  • Which negatively affects your capacity to sustain concentration levels.
  • Which in turn, affects your levels of cognitive fatigue, efficiency and productivity.

 

Processing (understanding) visual information uses energy. For example, if you work harder to process visual information because certain colour combinations cause you pain or discomfort, you use up more energy, become fatigued and therefore less efficient and productive.

You are also prone to increased error rates and making simple mistakes.

Poor Colour contrast is also visually uncomfortable. It affects the eye-muscle stamina in sustaining binocular/stereoscopic vision close up, and can contribute to early-onset eye strain.

 

 What is colour contrast?

The term refers to the tone, contrast colours, brightness of the background and amount of text and images on a webpage or website, (now regulated by WCAG).

The most basic colour contrast (out of the box setting), is black text on a bright white background. This is considered very high contrast and should be avoided.

But more and more, people are noticing that colours and colour contrast can either enhance or detract from our well-being due to the amount of visual stress it causes.

Bright colours can grab our attention, but they can also cause pain.

Finding the correct colour contrast can enhance access to text.

 

We all have individual preferences for colour contrast, which is why some find dark mode soothing; others can’t stand it.

Computer screens started in dark mode, but due to more and more non-tech users, they migrated to white backgrounds to mimic paper.  However, over the last few years, dark themes have become more popular for several reasons, namely battery power, reducing visual stress and allowing information gathering at a glance – which is easier on a dark theme.

 

Reducing visual stress is extremely important, and more and more of us are learning about visual hygiene when using a digital display screen.

But here’s the kicker. If the colour contrast on your digital screen is not adjusted/optimised for you individually, it won’t matter how many 20 -20 -20 breaks you take because you’ll be re-exposing yourself to visual stress each time you sit down/look at the screen.

If the colour contrast on your screen means your visual system must work harder, it means you work harder, and it leaves you wide open to not only fatigue and low productivity but also repetitive stress injuries. Many are aware of WRULD’s (work related upper limb disorder), and MSD’s, musculoskeletal disorders, but our eyes can also suffer from repetitive strain injuries.

 

For example, how often are you experiencing the following?

Tired, dry eyes. Double vision, headaches, blurred vision, poor focus.

Visual stress

 

If you spend the now average of 8-9 hours a day, looking at a display screen, then chances are you are familiar with at least a few of these, and you will be experiencing them repetitively.

(You are entitled to beaks – take them! ISO 45001 explains work exposure limits. Nigel Dupree explains briefly on LinkedIn how employers are not adhering to this).

 

We believe your computer screen should come with a warning, and your company should be ensuring that your computer screen is reasonably adjusted to suit your needs, in compliance with UK accessibility regulations, 1995 DDA and the 2010 equality act.

 

But how do we know all this?

Because of the development of the workplace and how the pc has become the tool we all use.

If we also look at and understand vision therapy and accommodation therapy alongside this, we get more of an idea of how the digital display screen affects our eyesight.

 

Accommodative dysfunction is an eye-focusing problem resulting in blurred vision to either the up close and/or far away and is frequently found in children or adults who have extended near-work demand – such as the computer/laptop or mobile phone

 

Optometrists define “vision therapy as an attempt to develop or improve visual skills and abilities; improve visual comfort, ease, and efficiency; and change visual processing or interpretation of visual information.”

 

The regulations that have come into place have attempted to mitigate the visual stress placed on the user, but to date, they haven’t done anything to improve it apart from a nod at the distance your screen should be from your eyes.

It’s taken decades of work to join the dots as to why colour contrast is essential when it comes to your digital display screen, but it starts way back when flared trousers were making their debut!

 

  • Late 1970 and researchers noticed “Visual display units (VDUs) have been reported to cause such eye difficulties as eyestrain, visual discomfort, and visual fatigue.”

 

  • 1984, Helen Irlen set up her institute to help those with reading difficulties. She had discovered that colour could help improve reading rates by reducing visual distortions and coined the term Irlen Syndrome. “Irlen Syndrome is is a perceptual processing disorder. It is not an optical problem. It is a problem with the brain’s ability to process visual information.”

Remember –as a Danish gentleman has said – the eyes look, but the brain sees.

 

  • 1992 not everyone had a laptop or mobile phone, but there is a growing awareness that digital display screens need regulations –HSE 1992 DSE regulations are announced. These are more ergonomics based but are a start.

 

  • During the 1990s, Peter Irons brought out his TintaVision methodology for selecting coloured plastic overlays for reading, as did Professor Arnold Wilkins with his intuitive “Colorimeter” for prescribing tinted glasses for reading. They, like Irlen, had seen an improvement in reading and reading speed among those with visual stress once they used the best colour for themselves. (Note – there is still controversy over coloured backgrounds – but this is based on an argument regarding reading speed v comprehension.)

 

  • May 5, 1999: WCAG 1.0 is born. WCAG was created as it was evident that the internet and websites were not accessible for all. Those with disabilities, reading challenges, or even simply not raised with technology didn’t have access to which they were/are entitled.

 

  • 2004 Dupree Screen Optimiser (DSO) was created to help reduce visual stress, and Patent was applied for in 126 countries.

 

  • 2006/7 Researchers dive deeper.  1327 Display Screen Equipment users are studied.  50% of symptoms recorded affected the eyes. Eye discomfort was 9.5%. In addition, 60% suffered from eye fatigue with symptoms including pain, blurred vision and difficulty seeing.

 

  • HSE put together a paper looking at the injuries sustained by DSE operatives. Page 28 lists some research done from 1987 through to 2005, all showing the strain digital display screens place on the eyes. It states – (1) eye issues reported any discomfort – 70%; (2) smarting, gritty feeling, redness – 56% (3) sensitivity to light – 40%; (4) itching – 34% (5) moderate discomfort – 29% (6) teariness – 24% (7) dryness – 20%.”

 

 

  • 2008 – WCAG 2  is published, expanding on the 14 guidelines but placing them into four principles – perceivable, operable, understandable, robust and making the world wide web even more accessible.

 

  • With more technology now in schools, questions are arising about the efficacy of the 1992 DSE regs. Workplace Law’s Health and Safety Consultants – Kate Gardner and Renier Barnard are brave enough to debate this on YouTube, suggesting “Now that VDU equipment is used widely in schools, the workplace and for leisure, there needs to be a change in attitude and culture so that DSE is used effectively, healthily and sustainably, without causing long-term ill effects.”

 

  • 2014. Research regarding computer vision syndrome/screen fatigue is coming to the fore, most noticeable amongst students. “Among engineering students, the prevalence of CVS was found to be 81.9% (176/215), while among medical students, it was found to be 78.6% (158/201). In addition, a significantly higher proportion of engineering students, 40.9% (88/215), used computers for 4-6 h/day as compared to medical students 10% (20/201) (P < 0.001).”

 

  • 2014. Professor Wilkins, the inventor of the Colorimeter, gives a TED talk aptly titled Disturbing Vision. In his talk, he explains how our visual systems that developed in the natural world face problems and discomfort processing some patterns and images found in the modern world, especially black text on white backgrounds and flickering images.

 

  • 2014 The DSO  is upgraded to include online iteration.

 

Researchers now begin to look at the cumulative effects of poor lighting, glare, and computer vision syndrome/screen fatigue in the workplace, which now (2022), due to the pandemic, includes working from home on a device that’s not been adjusted since it came out of the box!

 

Both Screen Fatigue and Computer Vision Syndrome describe the same symptoms – those of: “eye strain, dry eyes, headaches, overall tiredness with reduced productivity, blurred vision, and often includes other musculoskeletal disorders, e.g. a sore, stiff neck, from being unable to sustain an ergonomically comfortable posture while struggling to see clearly“.

 

These symptoms are becoming more and more prevalent, though HSE states that they are short term only and resolve once you stop looking at a screen. 

 

  • 2015 We begin to understand more the effect that light has on the body – more specifically in the work environment. Eyes are designed to use light, not look at the light. Glare causes a physiological response in the body, and it’s not a good one.

 

 

  • 2016 The DSO is granted a patent in the UK

 

  • 2017 A safety alert is issued by the Health and Safety Executive due to: “evidence of non-compliance in the area of Display Screen Equipment (DSE) assessment as required by current legislation. The purpose of this Safety Alert is to highlight the importance of ensuring all workstations are assessed. B BACKGROUND: A variety of ill-health symptoms have been associated with work at DSE, including musculoskeletal disorders, mental stress, and visual fatigue.

 

  • We see the public health messaging of how damaging our addiction to our mobile phones can be, especially for the young.

 

  • 2018 – WCAG 2.1 – building on the guidelines published in 2008, and now includes mobile devices.

 

  • 2018 also sees a Chartered Institute of Building Services Engineers presentation discussing the history and changing opinions of daylight and myopia in school children. The presentation charts the ‘fashionable’ views of the time and how they have swung to and fro like a pendulum.

 

  • 2018 – UK Gov Accessibility Regs for Public Sector Bodies are published, though they appear to exclude secondary and Further Education, they do however include University Compliance.  These regulations were due for implementation in Sept 2020 but were missed due to covid. However, the website has been updated this year, and more guidelines have been published for mobile apps.

 

 

  • 2019 Jonathan Hassell from Hassell Inclusion plays an important role contributing to ISO 30071.1 following up on the work of  WCAG 2.1 to help designers and organisations build more inclusive software/systems.

 

  • Colour contrast is coming more and more to the fore, with excellent presentations describing the importance of colour contrast for branding and accessibility – they are not mutually exclusive.

 

 

  • ISO 45003 is the first global standard giving practical guidance on managing psychological health in the workplace. It guides psychosocial risk management as part of an occupational health and safety management system.

 

Bringing this all together.

We have a timeline showing us the harm that digital display screens can do to our visual systems and bodies. We have a timeline of the guidelines and regulations put into place to try and mitigate those harms.

We don’t have too many solutions that are implemented and enforced,  hence the alert put out in 2017.

Digital display screens damage our eyes – they tire us out and reduce our productivity. This is a given.

This is why the Display Screen Optimiser was created.

With vision therapy in mind, its inventor joined the dots before the rest of us and realised that by changing the background colour on your screen, you could mitigate some of these harms, reduce fatigue, calm the visual systems and maintain productivity levels.

In 2021/2022, life is spent online, through a screen, and it’s up to each one of us to protect our visual systems that interpret that life for us.

 

In his own words: The DSO produces an immediate response in terms of colour sensitivity providing stimulus enabling the visual system to converge on the subject synchronously, widening the field of vision, whole word recognition, and improving or reducing the stressors linked to fixation and saccades when reading.

 

Essentially it helps the reader/user to focus and reduces visual stress.

 

 

 

 

 

Why your digital display screen should come with a safety warning.

The current understanding is that screen fatigue/computer vision syndrome is temporary. You give your eyes a rest, pop in a few drops, they recover, you carry on.

However, we know millions throughout the ages have ruined their eyesight due to what we call ‘working with the near and close up’, which can be interpreted as reading a book, writing, or working on a digital display screen, hour after hour, day after day.

Dante, the Italian poet, writer and philosopher, who lived from 1256 to 1321 suffered from Myopia (short-sightedness), which he put down to working with the near and close up.

Probably in a dark room lit by candlelight.

Well, too much brightness we believe can do the same damage, and we are also of the opinion that screen fatigue will have an accumulative effect, much like the near and close up work, and could result in worsening eyesight.

(We have a White Paper all about this )

We firmly believe that digital display screens should come with a product warning for your eyesight.

A quick Google search for safety requirements for digital screens comes back, rather interestingly, with a list of articles about digital signage… with titles such as – How can digital signage improve Health and Safety in the workplace?

Not what we were looking for.

So, another search term and another try, and we hit the Health and Safety blurb, this time about laptops and as they have digital screens, we took a look.

And yes, here we go –Unison, a UK Union have created documentation for safe laptop use:

They found:

  • 89% of those who suffered headaches also suffered eyestrain
  • 81% of those who suffered back pain also suffered eyestrain
  • 80% of those who suffered back pain also suffered headaches
  • 79% of those who suffered back pain also suffered neck pain
  • 69% of those who suffered back pain also suffered pain in arms and hands.

Working with a digital display screen is not too healthy it would seem.

The hazards are discussed, there is advice against theft and violence, plenty about work-related stress, with a  checklist.  Tucked in there is this:

“Are users provided with eye tests and glasses where needed? This is important because of working directives: The law says employers must arrange an eye test for display screen equipment (DSE) users if they ask for one and provide glasses if an employee needs them only for DSE use.”

A tacit admission that DSE work is hard on the eyes?

The Health and Safety Executive UK  state :

DSE work does not cause permanent damage to the eyes. But long spells of DSE work can lead to:

  • tired eyes
  • discomfort
  • temporary short-sightedness
  • headaches

Yet we know overworking muscles can lead to long term and persistent damage. RSI of the wrists/carpal tunnel syndrome is a case in point.

We can find nothing about adjusting the laptop for the individuals eyes apart from the odd blog post. And this is something that drives us a little bit insane, because it is one of the easiest and efficient things to do when it comes to eye care, and everyone should know that they need to do it.

We suggest this is actually a safety issue.

Product safety “is the ability of a product to be safe for intended use, as determined when evaluated against a set of established rules.

“The legislation sets out clear test and documentary requirements that manufacturers and distributors placing equipment on the European market, must follow to demonstrate that their products meet defined safety criteria and are safe for the intended use. “

How does this relate to the laptop/digital display screen user?

If you use a digital device and you are NOT made aware of the possible harms that could arise from long term use, this will become a problem for you, your employer and the manufacturer. But the onus will probably land on you.

Admittedly this is a grey area.  In the USA where suing is the ‘thing,’ there are now thousands of court cases against websites for not being accessible enough. Employees are taking employers to court for lack of care in this area because they are noticing the harms of working long hours with DSE.

Post-COVID digital eye strain is becoming a genuine issue.

Next stop – Microsoft and their product safety warnings online.

And  almost at the bottom of a very long page is this:

“Good binocular vision is required to view stereoscopic 3D content. Consider consulting an eye doctor if you are not able to view the 3D effect clearly and comfortably. HoloLens can be worn over most glasses and used with contact lenses. If you have a pre-existing vision disorder, please consult a doctor before using HoloLens. A small percentage of people have a pre-existing vision disorder that may be aggravated when using HoloLens.”

However, HoloLens are mixed reality smartglasses – so not screens then.

Nothing about computer vision syndrome/screen fatigue that we can find in the safety literature.

If you can find it, please do let us know, as we would be delighted to see it.  

We have found nothing in the safety requirements about adjusting the brightness of the screen, nothing about taking breaks, nothing about looking after your vision when working/using a digital display screen.

Should this advice be included?

Knowing what we know now, we believe very much that it should.

It should be one of the first things that you do when you get a new phone, tablet, laptop or PC. You go in and adjust the screen and settings to accommodate your eyesight because if you don’t, you could be open to harm.

Regulations set out to try and mitigate the harms of screen fatigue/computer vision syndrome, but how many know about them?

Compliance with WCAG, particularly ISO 30071.1 DSE Accessibility Regulations, Colour Contrast Validation & Calibration respectively, is required as a reasonable adjustment to prevent and/or mitigate to some degree, the highly predictable risk of Computer Vision Syndrome and/or Screen Fatigue, that results in “visual repetitive stress injuries” (WHO ICD-10), as a direct result of DSE operators under pressure to carry on regardless, which can and does result in presenteeism.

Our founder, Nigel Dupree has said, regarding this very issue:

“So, unless I am clearly deluded, this is a predictable and known “DSE Product Safety issue” and, expediently ignoring occupational health regulations and omitting to be compliant with enabling employees to make reasonable adjustments is negligence.”

There is little to nothing about eyesight care in the safety instructions that we can find. Plenty about overheating, locking it away and musculoskeletal issues – but hardly anything about eyesight.

Yet it is our eyes that do the majority of the work when using a digital display screen.

Here’s what you need to do:

Adjust the screen brightness.

Change the size of the font.

Modify the browser setting so that you can read websites with ease.

Use our colour contrast validation tool that optimises your screen and decreases the excitation in your brain, and thereby helps to restore good binocular vision.

We give a very detailed explanation about this in our White Paper – here’s a brief excerpt:

Binocular Vision disorders arise when the eyes target and focus on different places, the brain is then left to process or interpret conflicting images. If it is unable to fuse them together as a single stereoscopic image when faced with these two separate images, the brain compensates by suppressing one image, fully or partially. This is known as suppression or binocular rivalry driving monocular adaptation.

When reading, these issues present as word displacement, reversal of letters and words, shadowing in the spaces between words, or just alphabet soup.

Binocular vision(BV) disorder can be a condition present from birth but can also be caused by injury or trauma to the head, brain damage or stroke and is also well documented as being caused by headaches, anxiety, and other stressors.

Issues related to BV disorder, as with myopia, are amblyopia and strabismus: all are caused by muscle fatigue, an imbalance between eye muscles, or weakness and potential habitual eye-turns designed to reduce the stress of sustaining 3D vision.

Basically, our eyes are not meant to look at screens that are full of stripes, vertical and horizontal lines, harsh colour contrast and flashing images. These excite, possibly too much the areas of the brain to do with vision.

Research has shown that having an individualised colour contrast background soothes the excitation, is easier on the eyes and makes the entire experience of working with a digital screen more pleasant.  People find it easier to read and presenteeism is reduced or banished.

Taking the steps outlined above will reduce your risks of computer vision syndrome and will save your eyesight as time marches on.

We believe all digital display screens should arrive, as standard with a manual on how to mitigate the effects of computer vision syndrome and have an individual colour contrast option as standard.