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I think there is some outdated advice, the data that we consume aren't just written in lines at the top of the screen.
Having said that, looking up strains your eyes more than looking down, so I've set mine according to the advice of spine and neck experts: eye line about 2-3 inches below the top of the screen.
With the 25 inch screens I have, I can look slightly up without any trouble, and look the start menu without tiring my eyes, or having to move my head.
Still haven't worked out the best position for the dual monitors though, as I keep finding myself slightly twisted when I'm working. Ideally I'd have my keyboard and mouse connected to my chair, so I can keep my spine neutral when I'm working on something.
Acliff
Isn't most of that ergonomic desk setup stuff from the 70s and quite outdated?
The whole top of screen at eye level doesn't make sense to me. Where do you position windows etc on the screen, where is the detail you are looking at? Never right at the top of the screen.