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This is the case of a male born in 1960 at his job as a design engineer at a precision machine production company. Main complaint: fainting spells during computer work Progress: During design of a machine using CAD (Computer Assisted Design) on a large monitor with graphic forms, the subject had a sudden bad feeling. He lost consciousness and recovered after several minutes. Still, he was taken to the hospital by ambulance (At this hospital, Dr. Hirose assists medical practice once a week.). Electroencephalograms were normal, so cerebral injury and epileptic seizure were discounted. Eye fatigue was referred to Dr. Hirose's outpatient clinic, and an examination from an occupational medicine viewpoint was requested. At our clinic, I did optical function inspection using a VDT (Visual Display Terminal) specially used for health exams. From both myopia and astigmatism, vision deterioration (as occurs with old age) was evident. In such cases, where computer aided design work is done almost all day long, it was conceivable that the burden was too great. After that he twice experienced unpleasantness, even though he discontinued the job, and came to be examined at the hospital. Even after consulting with occupational physicians, decreasing continuous work time, and total time as much as possible, the patient is receiving heart treatments and internal medicine examinations due to strong anxiety from working. Still, after the fainting episode, no big problems have been evident. |