the good doctor on: All Screens Are Not Created Equal

Blog #20, All screens are not created equal.

If you have been involved with Covid you will also have experienced a jump in your screen time. This blog was started a week ago when gravity had a negative effect on my wall-mounted monitor and it crashed to the floor. Time to get a new screen, but what is best, from an optometric point of view? Factors like refresh rate and blue light are important but something I had not given much consideration to before was the curvature of the screen.

Going back to my early days of Optometry at Waterloo, words like horopter and stimulus to accommodation were part of our dinner talk at 58 Columbia (an optometry student house). It is nice to be reminded that these concepts are still relevant when it comes to our eyes. A concave (curved inward) screen makes the edges and the centre of the screen more equidistant, unlike the more common flat screen where the edges are much further from the eye. We must remember, however, that the flat screen was an improvement over the original screens which were actually convex or curved towards the viewer. The old monitors were actually cathode ray tubes.

With the newer concave screen the focus of the eyes does not have to fluctuate when using different areas of the screen. This should noticeably reduce eye strain. It is interesting to note that when we use multiple screens we always lay them out in a curved position in front of us just intuitively..

In an effort to reduce eye strain and improve our experience, some companies are making monitors with curved screens. The cost is comparable. So when my monitor got smashed falling to the floor, I went out and got a 27 inch curved screen. The theory is good, but in practical reality we will see. Maybe the next time you are at Burlington Eyecare, all the staff will have curved screens.

Til next week,


The Good Doctor, Dr. Mark Germain, Burlington Optometrist

By Dr. Mark Germain May 1, 2026
The good doctor discusses how the eye is a window to the heart with the help of the OCT.
The good doctor take a deeper look at how gut health is connected to eye tissues.
By Dr. Mark Germain April 29, 2026
Blog vol 6.40. The Gut and the Eyes. One of my biggest jobs is to keep abreast of new research and advances in eye health. Most recently, we have seen new stem cell research, gene therapies, as well as new drugs for dry and wet macular degeneration. In January of this year, there was an article in the journal, Cell Death and Disease, that looked at cell apoptosis, specifically with the photoreceptors of the eye. (Read the article here ). Apoptosis is the genetic programming of deliberate and constructive cell death, allowing for the maintenance of healthy structures and systems in the body. Some estimates have the body replacing 50 to 70 billion cells daily by this process. Necrosis, on the other hand, is unplanned cell death caused by injury, toxins, or other negative outside factors; this causes inflammation and disrupts the body’s balance of things. There are stressors that speed up cell turnover. The study looked at photoreceptors in the retina and were able to demonstrate cellular recovery, even in late stages of apoptosis, recovery not breakdown. When certain stressors were reduced, by working with the mitochondria, there was recovery of the photoreceptor cells. How? Mitophagy, the mitochondria’s own process of programmed breaking down and then repurposing the recycled components for new ones. This mitochondrial repair helps to reverse the sequence of apoptosis for the photoreceptors. Mitochondria, how cool. How is this helpful for our eyes? Conditions like retinitis pigmentosa or macular degeneration directly involve the photoreceptors and may be slowed or reversed by helping the mitochondria. So, let’s take care of those mitochondria. There is some evidence for nutritional support for the mitochondrial system. The nutrient, Urolithin A (UA), which is a compound made in our gut from fiber found in pomegranates, berries, and nuts is the only clinically proven substance known to trigger mitophagy, made in the gut no less. Vitamin B3 is critical for mitochondria function, however vitamin B3 based supplements are still to be clinically tested for their support of cell recovery. Nutrients Coenzyme Q10 and L-carnitine are known to help the mitochondria generate energy, and interestingly, infrared light therapy has also been shown to benefit mitochondrial function. Again, food for thought. The gut and its function needs a lot of research. How do probiotics and nutrient precursors affect eye tissues? It is so interesting that the gut can be a factor in eye health. Maybe adding Urolithin A as a supplement is wise, along with the antioxidants in Lutein and Zeaxanthin we use to combat photoreceptor degeneration. Will keep you posted on any new developments.  The good doctor
By Dr. Mark Germain April 16, 2026
The good doctor focuses in on visual processing. Why do we miss things that are right in front of our eyes?
By Dr. Mark Germain April 10, 2026
The good doctor discusses the Artemis II mission, space travels affects on the eyes, and "the dark side of the moon"
By Dr. Mark Germain April 3, 2026
The good doctor discusses exciting new and emerging options to treat nystagmus.
By Dr. Mark Germain March 27, 2026
The good doctor reflects on The Country of the Blind, a book by Andrew Leland which gives insight into the experience of vision loss.
More Posts