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In the demanding field of eye care, the slit lamp is an indispensable tool for both optometrists and ophthalmologists. However, prolonged use can lead to significant discomfort and neck strain, commonly referred to as “slit lamp neck.” Maintaining healthy postures is often overlooked, leading to discomfort and chronic pain among professionals. Dr. Darryl Glover and Dr. Daniel Simon address the critical issue of slit lamp neck on Defocus Media’s latest podcast.
Dr. Simon, an esteemed ophthalmologist, brings a wealth of knowledge and firsthand experience. Having seen the debilitating effects of slit lamp neck on himself and his colleagues, Dr. Simon is passionate about promoting ergonomic practices to ensure a pain-free, sustainable career for eye care professionals. Join us as we explore practical strategies and insights to combat the common yet preventable issue of slit lamp neck in the eye care industry. By implementing these strategies, eye care professionals can maintain their health while providing optimal care for their patients.

Podcast Objectives:
The Reality of Posture-Related Pain
Dr. Glover opened the discussion by highlighting common issues such as “slit lamp neck” and “tech neck,” terms referring to neck pain resulting from prolonged use of the slit lamp and other digital devices. This pain is not exclusive to optometrists and ophthalmologists but extends to technicians and other eye care professionals. The repetitive nature of their work, coupled with poor ergonomic practices, often leads to discomfort and even chronic pain.
The Prevalence of Slit Lamp Neck Pain
Dr. Simon noted that up to 66% to 81% of ophthalmologists experience neck pain, a staggering statistic that underscores the need for better ergonomic practices. During his residency, he was particularly struck by a mentor who suffered from cervical disc herniation, which limited her ability to practice. This experience motivated Dr. Simon to prioritize ergonomics in his practice to avoid similar issues.
Eye Care Ergonomic Adjustments in Practice
One of the primary adjustments Dr. Simon recommends is proper alignment with the patient’s chair. Ensuring that the doctor’s eyes are at the same level as the patient’s and that the doctor’s chair can slide under the patient’s footrest can significantly reduce the need for leaning and neck extension. Additionally, investing in longer eyepieces for slit lamps can help minimize the strain on the neck.
The Role of Strengthening and Mindfulness
Beyond ergonomic equipment adjustments, Dr. Simon emphasized the importance of physical fitness, particularly upper back and core strengthening exercises. Engaging a trainer to develop a targeted exercise routine can make a substantial difference. He also mentioned the benefits of mindfulness and yoga, which help reduce stress and promote better posture.
Optometrist and Ophthalmologist Practical Tips to Relieve Neck Strain (Slit Lamp Neck)
Dr. Simon’s wife, Jill Simon, a certified yoga teacher, provided practical techniques that eye care professionals can incorporate into their daily routines:
- Breath Control: Taking a moment to pause and breathe can help reset the body and reduce tension. Jill recommended a simple breathing exercise: inhale for a count of three and exhale for a count of six. This extended exhale helps signal the body to relax.
- Pelvic Tilts: While seated, perform pelvic tilts to find a neutral spine position. This involves tilting the pelvis forward and backward to engage the core and glute muscles supporting the spine.
- Neck Stretch: Place one hand over the head to the opposite ear and gently pull the head towards the shoulder to relieve neck tension. Let the opposite arm dangle to enhance the stretch. Adjust the chin position to target different areas of the neck.
- Eagle Arms: This stretch helps open the upper back. Cross the right arm under the left, bringing the elbows together and pressing the backs of the hands together. Lift the elbows to shoulder height and breathe deeply. Repeat on the opposite side.
Integrating these exercises into daily routines can help prevent the onset of pain and improve overall posture. Dr. Simon also highlighted the value of setting an example for patients. By demonstrating good posture and offering advice on ergonomics, eye care professionals can promote healthier habits in their patients as well.