I was asked whether ebooks cause more eye strain than books. Short answer yes. Long answer is ... the rest of this post. I mean really it's these kinds of seemingly innocuous questions that can end up revealing a lot of strange confusing things about reality, and research is nowhere near finished on this topic.
Jeong H. (2010) has this delightful review in his background section:
"Cushman (1986) found that visual fatigue is significantly higher when reading texts on a screen than on paper. In the current stage of technological development, the display of text on computer screens has been found to have a negative impact on surface legibility (Dillon, 1994). Texts and documents on screen have a lower surface legibility than printed documents. Macedo-Rouet et al. (2003) noted that students felt much more tired when reading on screen; this may be because of the display contrast and resolution of an e-book. Kang et al. (2009) conducted an experiment to measure students’ eye fatigue and found that reading a p-book caused less eye fatigue than reading an e-book. In their study, the authors concluded that the eye fatigue from an e-book was due mainly to the low display contrast and resolution of the on-screen text."
The actual experiment determined visual acuity via a CFF test (what frequency does a blinking light look continuous). They found after reading a book it was reduced by 1.63 Hz; after ebooks it was reduced by 3.04Hz average. Cutely enough, this was done by testing 56 year 6 korean children and "Because tiredness may affect VA, the participants were instructed not to stay up late".
As for why you get eye strain, I actually found that JUST the eye strain (Asthenopia) from looking at a screen is due to "Binocular/Refractive Vision Accomodation" Blehm, C. (2005).
Ok so your eye has a lens in front of the actual ball part of the eyeball. The lens takes beams of light from a point in space and refocuses them at the retina. Clearly, this focal point in space has to change to focus on objects closer or further from you. This is done via cilliary muscles that line the lens. Counterintuitively, the muscles relax when you look at something far away and contract when you look at something close up (ok so it's counterintuitive when you actually look at an eyeball.). So Blehm, C. (2005) say that this 'accomodation' for long periods of time is what causes eye strain. It is in fact just looking at things up close.
So it could be the case for paper books as well! Well, there are other symptoms
Side note: The paper also says that this effect does not cause any statistical effect on vision impairment that naturally occurs in old age (visual acuity loss). There is a bit of nearsightedness but it only occurs immediately after using a screen for a long time, so they call it "Transient Myopia".
Similarly, other symptoms present that aren't eye strain.
I think the most important, or at least the least trivial one, seems to be blink rate. according to Acosta M. (1998) " during performance of a computer task, the basal blink rate of about 12 blinks min− found in normal young subjects decreased by about
half." Which is bad because "Dry spots of the precorneal tear film begin to appear 15–30 s after a blink (Doane, 1980) while corneal temperature drops at a rate of 0±033°C/s when the eyes are open (Efron et al., 1989)."
And honestly I haven't been able to find out why at all. I can try a bit later but I think I need a break from the screen now. Going to go look at some trees. Far away trees.
Jeong H. (2010) "A comparison of the influence of electronic books and paper books on reading comprehension, eye fatigue, and perception" Electronic Library, The, Vol. 30 Iss: 3, pp.390 - 408
Cushman, W.H. (1986), “Reading from microfiche, a VDT, and the printed page: subjective
fatigue and performance”, Human Factors, Vol. 28 No. 1, pp. 63-73.
Dillon, A. (1994), "Designing Usable Electronic Text: Ergonomics Aspects of Human Information Usage", Taylor & Francis, London.
Macedo-Rouet, M., Rouet, J.-F., Epstein, I. and Fayard, P. (2003), “Effects of online reading on popular science comprehension”, Science Communication, Vol. 25 No. 2, pp. 99-128.
Kang, Y., Wang, M.J. and Lin, R. (2009), “Usability evaluation of e-books”,Displays, Vol. 30 No. 2, pp. 49-52.
Blehm, C., Visnu, S., Khattak, A., Mitra, S., Yee, R. (2005) "Computer Vision Syndrome: A Review". Survey of Ophthalmology 50(3).
Acosta M., GALLAR J., BELMONTE C., (1999) "The Influence of Eye Solutions on Blinking and Ocular Comfort at Rest and During Work at Video Display Terminals", Experimental Eye Research , Volume 68, Issue 6, Pages 663-669, ISSN 0014-4835, http://dx.doi.org/10.1006/exer.1998.0656.
Doane, M. G. (1980). "Interactions of eyelids and tears in corneal wetting and the dynamics of the normal human eyeblink". Am. J. Ophthalmol. 89, 507–16.
Efron, N., Young, G. and Brennan, N. A. (1989). "Ocular surface temperature". Curr. Eye Res. 8, 901–6.