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Comparison of Accommodative Response After Reading from Electronic Devices versus Hardcopy
Ruchika Sah1, Manish Sah2, Gayathri Prabhu Rajiva3
1Ramlal Golchha Eye Hospital Foundation, Nepal.
The British and Irish Orthoptic Journal
|April 13, 2026
Summary
Prolonged reading on laptops causes the most accommodative lag and reduced facility. While hardcopy text better preserves accommodative facility, sustained laptop use may increase visual strain compared to smartphones or print.
Area of Science:
- Ophthalmology and Vision Science
- Human Factors and Ergonomics
Background:
- Prolonged near work is common in modern lifestyles.
- Understanding the impact of different reading materials on visual function is crucial.
Purpose of the Study:
- To compare changes in accommodative response after reading electronic devices versus hardcopy text.
- To evaluate visual strain associated with prolonged use of smartphones, laptops, and printed materials.
Main Methods:
- Thirty participants (mean age 24.29 years) underwent accommodative response measurements.
- Measurements included accommodation lag, amplitude, and facility before and after 60 minutes of reading.
- Tasks involved reading a printed book, smartphone, and laptop, with 24-hour breaks between each.
Main Results:
- Accommodative lag increased significantly after reading, with laptops showing the greatest increase (1.75 ± 0.50 D).
- Accommodative facility significantly decreased with laptop use compared to smartphones and hardcopy.
- No significant difference in the amplitude of accommodation was observed between laptop and hardcopy reading.
Conclusions:
- Sustained laptop use leads to greater accommodative lag and reduced accommodative facility.
- Hardcopy text reading better maintains accommodative facility than digital devices.
- Prolonged laptop use may induce more visual strain than smartphone or printed text reading.

