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Why the Display Screen Optimiser is NOT a digital accessibility overlay

(And why it’s essential to understand what it is).

When you enter the world of vision, accessibility and colour, you often come across the word ‘overlay’, and indeed there are products called overlays.

Initially, you find they are coloured pieces of plastic or coloured glasses that people, generally with Dyslexia, use to help them read.

But then you start to enter the minefield of research, anecdotes, and ‘serious science’ (whatever that qualification means). You become acquainted with software companies that market accessibility overlays as a ‘quick fix’ for your website yet are often anything but.

And this makes our job just that bit tougher because the Display Screen Optimiser (DSO) is not an accessibility overlay, nor is it a sheet of plastic that you put over your PC screen, yet it is a piece of software.

 

So, to prevent any further confusion and uncertainty – let’s explore what the others are and how the DSO differs.

First up are the digital accessibility overlays.

They appear to have this name because they use a short bit of code like a plugin or a widget that is supposed to correct specific accessibility issues business or government websites may have.

It is supposed to ‘overlay’ the problem.

One definition of overlay is:

e.g. cover the surface of (something) with a coating.

“Their fingernails were overlaid with silver or gold.”

And it sounds great, doesn’t it? Add a plugin, and boom – your website passes all the accessibility guidelines and regulations.

Only as many have found, they can make the matter worse for some users.

Woman looking at her laptop, feeling stressed
When widgets make things worse

 

 

 

The most recent and high-profile case involved a company called Eyebobs.

To quote accessibleweb.com:

“Eyebobs, an online glasses company, was slapped with a lawsuit for failing to meet web accessibility requirements in January 2021.

In September 2021, ADP was sued by LightHouse for the Blind and Visually Impaired over persistent accessibility issues with ADP’s HR and payroll platform.

Both companies were using overlay products provided by one of the largest accessibility overlay companies on the market. Despite this, their websites were not still accessible for blind users.”

 

The companies in question provide a line of code that, according to nbcnews.com, interferes with many accessibility products.

They write:

“When they visit those sites, it can prevent screen readers — which read out loud what’s on websites, including image descriptions, menus and buttons — from reading the pages correctly and has rendered some websites they used to use unnavigable.”

 

Some accessibility overlays don’t allow for accessibility products already in use by some users, disabling them and doing the opposite of what has been advertised.

It’s a shame they’ve coined, taken, or have the term accessibility overlay.

As one of our colleagues stated, “Overlays aren’t functional unless they can be attributed to the user’s actual/matched needs. If they don’t, they are just fluffy attempts at pacifying the accessibility regulations”.

To truly make your website accessible, you need to get into its nuts and bolts, down to the coding and ideally work with a professional who understands what needs amending.

 

A plugin /widget super duper bit of blah won’t work, and they certainly won’t help with the WCAG compliance.

For example:

When we turn our gaze to the USA, where suing is as much a part of life as breathing – ADA claims regarding section 508 have gone up by 23% in 2020 alone

Section 508 is part of the US Rehabilitation Act, which requires US federal agencies to make their information and communications technology accessible to people with disabilities. Access must be in a “comparable manner to the access experienced by employees and members of the public without disabilities.”

 

Next, we look at the plastic overlays used by some people with Dyslexia.

Please note the word some – Dyslexia is a broad diagnosis, and as we are all individual human beings, a one size peg does not fit all.

And it’s here we need to look at visual stress.

Eyesite.co.uk describes visual stress as:

“Visual Stress is a perceptual processing condition that causes reading difficulties, headaches and visual problems from exposure to patterns in text, such as lines of text. Visual Stress is linked to Dyslexia and similar visual learning difficulties. Sufferers experience print distortion and fatigue when reading”.

 

Visual stress occurs when the visual cortex (an area at the back of the brain that is part of interpreting what the eyes see) is oversensitive to specific coloured wavelengths.

Using a plastic coloured overlay can help filter the problem wavelengths, making text clearer for the reader, and often reducing headaches at the same time.

The coloured overlays help the brain interpret what the eyes are seeing without the problem wavelengths interfering.

Some heavily invested in the Dyslexia world are suggesting that visual impairment may not be the cause of Dyslexia, and it may well not be, and as such coloured overlays do not help everyone,  yet there is no denying that coloured overlays have helped many people with visual stress and that are Dyslexic to improve their reading.

image of pink plastic overlay on text
Pink plastic overlay for assisting with reading image from Dyslexic.com

 

Below is a link to an excellent video showing what a person suffering from visual stress experiences.

 

Editor’s note:  Watching this video will give you a much better understanding of the profound role vision plays in our quality of life.

Messing with your binocular vision/brain’s perceptions of how things should be naturally, versus learned experience can produce some very uncomfortable symptoms.

So WARNING – watching this may cause nausea, you may need to look away, you may need to spend time away from the pc after you watch this, and if you have epilepsy – DO NOT WATCH:

 

https://youtu.be/olsLiMXjpEs

 

For those that have chosen not to, or cannot watch the video – the following image gives a glimpse of what it is like to experience visual stress.

Image of blurred text
Example of visual stress

 

Dyslexia appears to be a multi-faceted condition, there is much ongoing research, and as we learn more and more about it, then understandings and therapies ( including colour therapy) will, we hope, inevitably improve.

So, we have two mentions of the word overlay, meaning two very different things.

But back to visual stress.

According to crossbow education,

 

About 30% of the population are uncomfortable with black text on white backgrounds because their visual cortex is oversensitive to certain wavelengths

 

The WHO state that 2.2 billion people are visually impaired, but it has yet to recognise visual stress as a medical condition.

However, we would argue that doesn’t stop visual stress from being experienced by many people (ref: the video above) and documented.

 

Why talk about visual stress?

Because too much time on screen can cause, although in the main temporarily, visual stress.

This manifests as Screen Fatigue when the visual stress becomes a habitual act of self-harm.

And by self-harm, we are referring to the everyday habit/routine/work-related needs you have to keep looking at your digital display screen for over 8 hours a day.

It’s affecting your vision, but you keep rinsing and repeating.

 

The Display Screen Optimiser.

By understanding the increased visual stress that’s been placed on display screen equipment users, The DSO took the idea of the plastic coloured overlays used for reading on paper and brought it into the 21st Century to assist those with mild to more serious photophobia (eye discomfort in bright light).

The DSO colour contrast calibration is of the background contrast to text, it is not an ‘overlay’ tinting everything on-screen, or like an overlay for placing over the screen, or even tinted glasses the user may have.

DSO Finished in Viewer
Example of how the Display Screen Optimiser looks when installed

 

Reading text against a very high, or low contrast background can be challenging and stressful.

By developing a simple and quick risk assessment to determine the degree of deficit or impairment experienced by the user, the Display Screen Optimiser is an interactive, objective screen calibration application that not only improves accessibility to text, at the same time it mitigates the risk of early-onset eye strain, screen fatigue, computer vision syndrome, myopia (short-sightedness) and asthenopia (eye strain).

 

Reading and working online means a bright white lit background; screen glare (that may surprise you to know can cause discomfort and produces a natural avoidance strategy directly linked to the body’s survival response of fight, flight or freeze),

moving images, colour contrast that hurts the eyes and much more ‘visual noise’ that overexcites the poor visual cortex, all ultimately leading to fatigue.

 

(The fatigue occurs due to the natural visual adaptations as the body attempts to reduce the eyes strain by suppressing the vision in one eye or the other.)

The DSO is designed to provide visual comfort and accessibility for the individual screen user. Created with the Display Screen Equipment regulations in mind, it is a “personal custom reasonable adjustment” to the “ergonomics of the screen interface” for anyone on-screen for longer than an hour a day, which is the recommended maximum time spent on standard DSE settings found on public access machines.

 

It’s designed to mitigate the harms of repetitive visual stress that, in 2017, 58% of DSE users reported experiencing.

 

And that 58% will include 10 to 15 or even 20% classified as Dyslexic and functionally illiterate with a reading rate below 180wpm.

And here’s a not so fun fact:  Anyone with preexisting visual impairments is at a ‘4’ to ‘7’ fold increased risk of early-onset 3D vision stress when compared to those without, after only 20 minutes looking/working on screen.

 What Screen Risk has discovered (and is being thoroughly tested in clinical trials) is that by finding the objective colour contrast validation for you, as a living, breathing individual, the DSO reduces your visual stress.

The DSO is not a one size fits all, hence needing to complete a reading exercise, and it’s not a website band-aid plugin.

By focusing on the colour contrast validation, (that is finally coming more and more into website design awareness), the DSO can help users to decipher the foreground from the background, make visual sense of the on-screen environment and help the visual system to interpret what it’s seeing, be that lines of text or images. And it does this by finding the unique colour that helps calm and soothe your visual cortex.

 

This leads us to Screen Fatigue.

Screen Fatigue, also known as computer eye strain and computer vision syndrome, are manifestations of visual stress.

Whatever label you give it, by staring at a screen all day, you will inevitably experience it.

Screen Fatigue tires you out, which reduces your productivity and increases the risks of mistakes, and who wants to spend their lives with sore eyes, blurred vision and headaches?

 

In conclusion

Carrying on regardless of a repetitive stressor that causes discomfort or pain will simply result in the body adapting to cope and/or tolerate said stressor until it reaches the point of “adaptation exhaustion”.

This is when the body presents more serious incapacities/symptoms of one kind or another enforcing an escape from the stressor.

With Screen Fatigue and visual stress, you can no longer look at or work on a digital display screen. You become too fatigued, your vision is blurry, you have headaches, productivity drops, mistakes are made, and there you are, the embodiment of presenteeism.

 

The Display Screen Optimiser is software that’s designed for the individual’s screen. To mitigate the harms of what spending your life on screen can do to your visual system. And for one more added benefit for the coders and designers out there – it allows for images to be displayed naturally and design work to happen uninhibited

 

 

 

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.

 

 

 

 

 

Do you need an eye test, or is it your computer screen?

Did you know that 13.4 million eye tests took place in 2019?

74% of people in the UK either wear corrective eyewear or have had laser eye surgery to help them see better.’

But, in a recent study  to find out why many were not having eye tests, the reasons given were:

My vision hasn’t changed – 31%

COVID – 19%

Too expensive – 18%

Not having the time – 13%

Eye tests UK
Survey results eye exam UK

 

COVID – I think we can all understand that one!

Cost – Another understandable one.

The price can be eyewatering. Without the glass, frames can be £80-£90 if not in the designer range. And that’s before the test, before the lenses and the upsells of scratch proofing, glare resistance etc.!

Probably not much change from £200 once it’s all added up?

Specsavers (we are not affiliated) have a great page with all the pricing and frames available so you can budget before you step instore.  (We have some advice regarding the cost later in the post).

Plus, a quick Google of cheap glasses brings up plenty of websites – however, caveat emptor! Buyer beware!

But back to you.

Are you experiencing changes or difficulty with your vision?

Are you noticing you can’t see the food on your plate so well, or your eyes are burning and sore at the end of the day?

If so, now is the time to channel your inner Sherlock and get on the case of:

 

Do you need an eye test, or do you need to mitigate against screen fatigue, also known as computer vision syndrome and computer eye strain?

 

And how can you tell the difference?

 

If you need an eye test, these are the general symptoms – and you will notice them most of the time:

  • Headaches when reading or looking at your computer screen.
  • Having trouble reading or seeing the computer screen or television
  • Getting double vision
  • Difficulty with colour discrimination
  • Difficulty when driving
  • Difficulty with glare
  • Difficulty with night vision
  • Mobility problems especially bumping into or tripping over objects, particularly those on one side.
  • Changes in your vision.

 

Now, here’s something you probably didn’t know regarding the cost:

“If you must spend some of your working days using a display screen (or are due to start using a screen), then you are entitled to an eye test paid for by your employer”. Unison

Yup – straight away, that’s roughly £25 you won’t have to fork out.

Then, if you do need glasses for your job – you might be eligible to have those paid for you as required PPE– again, Unison have the details:

“If an eye test shows that you need to wear glasses when using a visual display, then your employer is obliged to pay for your glasses.

Even if you need glasses for other work activities, your UNISON rep may be able to help you get financial support towards the cost of glasses.”

Not bad, eh?  Certainly, worth investigating.

 

 

Is it computer eye strain, computer vision syndrome or screen fatigue?

Sore eyes
Sore dry eyes due to computer eye strain

(Remember it’s all the same thing – it’s just so bad they named it three times)

 

Screen fatigue is the name given to a cluster of symptoms that arise from looking at a digital screen for prolonged periods.

The symptoms are generally:

  • Eyestrain
  • Dry eyes
  • Headaches
  • Overall tiredness with reduced productivity
  • Blurred vision
  • Sore, stiff neck and shoulders
  • Struggling to see

There is a difference between needing an eye test and suffering from screen fatigue and you will need to decide, but generally, when requiring an eye examination for disease, the visual problems will be progressive and constant.

Bear in mind :

There is a difference is between age-related disease and induced repetitive stress injuries causing dis-ease and stress-related adaptations from visual suppression to asthenopia

With screen fatigue, if you give yourself a break for the screen and follow the tips we have laid out on the website, the risk of visual repetitive stress injuries and symptoms will be mitigated or significantly reduced. Often the symptoms will disappear while you are away from your screen, only to re-appear like an evil genie once you are back on.

And of course, we have some advice for this as well.

Having an individualised Display Screen Optimiser is another option to consider.

The ‘optimiser’ creates the optimal coloured background for your digital display screen. It’s 100% geared towards your needs. It reduces screen fatigue/ computer eye strain/ computer vision syndrome (Why can’t there be one name for it??) and increase productivity.

Well, it would, because suddenly you’re not hampered with the symptoms mentioned above.

Plus, spending £1 on the individualised optimiser is an excellent investment for your eyesight.

 

We would strongly suggest that you look after your eyesight, have regular check-ups with an optician, and use the tips and Display Screen Optimiser.

This way, you will reduce the harms of working all day on a screen, and perhaps when you go along for your wellbeing eye test, you won’t need a new prescription?