Essential ergonomics: preventing Injury & prolonging careers in eye care

Eye care professionals dedicate their careers to protecting patients’ vision, but how often do they pause to protect their own physical health? Clinical roles such as optometrists and ophthalmologists are not only intellectually demanding but also physically taxing. The repetitive, high-precision tasks involved in eye examinations, diagnostics, and treatment can pose serious ergonomic challenges. Over time, these physical demands can contribute to chronic pain, reduced mobility, and even permanent musculoskeletal injuries.

A UK study found that 62.4% of consultant ophthalmologists reported back and/or neck pain1. Similarly, 82% of Australian optometrists reported work-related discomfort2, with female practitioners being particularly affected, often due to differences in stature and reach compared with their male counterparts.

Patient care remains the focus of clinical work, but practitioner wellbeing must not be overlooked. Fortunately, there is a growing awareness that ergonomics can play a crucial role in improving clinician health, preventing injury, and sustaining long-term careers.

To explore this further, we spoke with Anna Chen, a former optometrist who now works as a Product Manager at Haag-Streit UK. Drawing from her own experiences, Anna offers practical advice and insight into the hidden physical toll of clinical eye care and how to mitigate it.

Anna, can you tell us about your own experience with ergonomic strain in clinical practice?

Absolutely. In my last year of practising optometry full-time, I developed chronic pain in my right shoulder. After a full day of seeing patients, I would be left with an intense tightness that stretching and massage couldn’t relieve. I didn’t realise how much strain I was putting on my body at the time. I just assumed it would get better eventually. It didn’t.

I later understood that this was a direct result of poor ergonomics: awkward body positions, static postures, and repetitive movements that I had unknowingly accepted as ‘part of the job.’

 

Were you surprised by how common this issue is among other practitioners?

Not at all. Unfortunately, it’s a very common problem. We’re so focused on caring for patients that we sometimes forget to care for ourselves. This mindset needs to change. Discomfort isn’t a sign of weakness; it’s a signal that something in the work environment, or our habits, needs attention.


What are some of the key causes of ergonomic strain in optometry and ophthalmology?

The biggest culprits are poor posture, repetitive tasks, and awkward body positions, especially when using equipment that wasn’t designed with the clinician in mind. Eye care often requires leaning forward, twisting the torso, and holding static positions for long periods, particularly during slit lamp examinations. Even small movements can cause lasting damage as they are repeated over and over and over.

Reaching for controls that are placed too far away, or hunching over to view through non-inclined eyepieces, puts unnecessary strain on the neck and spine. Over the long term, these micro-strains accumulate and can lead to chronic musculoskeletal disorders.

 

Are there any lifestyle changes outside/beyond the testing room that you'd suggest?

Definitely. I’ve incorporated yoga into my routine to build core strength and improve flexibility. This has helped me maintain better posture and reduce muscle tension throughout the day. Doing a few stretches or taking mindful moments to check in with your body can make a real difference.

I also recommend setting reminders to stretch or move every hour, especially during long clinic sessions. Posture awareness is key. Many people don’t realise how quickly they revert to slouching or leaning forward under pressure.

Conclusion: Care for yourself before you care for others

Musculoskeletal pain doesn’t have to be an inevitable part of a career in eye care. With the right ergonomic tools, smart work habits, and increased self-awareness, practitioners can reduce strain, prevent injury, and continue delivering excellent patient care for years to come.

Make small, practical adjustments. Reposition your equipment so that you aren’t straining to reach it. Make sure your chair and table are adjustable and at the correct height. Don’t underestimate the value of short breaks. Just 1-2 minutes of stretching between patients can help reset your posture and reduce tension.

Equipment plays a big role here. Haag-Streit’s new Elara 900 slit lamp (due to be launched September 2025) has been designed with ergonomics in mind. It features integrated inclined eyepieces that allow practitioners to maintain a more upright posture, along with intuitive, close-to-body controls to limit reaching and twisting. These design features make a huge difference when repeated throughout a busy clinic day.

Additionally, Haag-Streit offers an inclined eyepiece accessory that can be retrofitted to Haag-Streit slit lamps to improve spinal alignment during slit lamp exams.

Prioritising ergonomics isn’t just about comfort; it’s a critical investment in the longevity of the profession.

 

1.       Hyer, J. N., Lee, R. M., Chowdhury, H. R., Smith, H. B., Dhital, A., & Khandwala, M. (2015). National survey of back & neck pain amongst consultant ophthalmologists in the United Kingdom. International Ophthalmology35(6), 769–775. https://doi.org/10.1007/s10792-015-0036-z

2.       Long, J. L., Naduvilath, T., Hao, L., Annie Yuansha Li, Ng, W., Yip, W., & Stapleton, F. (2011). Risk Factors for Physical Discomfort in Australian Optometrists. https://doi.org/10.1097/opx.0b013e3182045a8e

* Data taken from Haag-Streit USA White Paper "Prolonging Your Career: Why Ergonomic Design Matters for Eye Care Providers".