I am leaning towards telling young patients (ie, children & teens) who have severe meibomian gland atrophy and their parents to consider avoiding jobs that have excessive screen time as a pre-requisite: Try to avoid a job in computer programming.
The issue will soon become the issue of disability. This is a very tough issue. I have many friends who are legally blind and who work. But how do you tell a 20 something patient that they can work but they have to do it without using their eyes excessively. This is a hard one to swallow.
My question remains: why are schools allowing electronic screens in elementary, middle, & high schools? When will the needed research be published to show the association between electronic screen time and dry eyes enough to take out these Trojan horses from our schools?