Association between smart device use and change in myopia in the OPD of a tertiary eye hospital
DOI:
https://doi.org/10.18203/2320-6012.ijrms20262330Keywords:
Smart device use, Myopia progression, Screen time, Refractive error, Pediatric eye healthAbstract
Background: Nowadays, children and adolescents are exposed to digital media from an early age. More and more aspects of modern life are thought to be affected by excessive screen time. Accordingly, the aim of this review is to document the effects of excessive screen time viewing on children and adolescents and change in myopia. A narrative review was performed in searchable databases.
Methods: Ninety-three patients will be included in the study after the patient/ ensuring written, informed consent from their legal guardians. All will undergo ophthalmological examination and data will be collected in a data record form. SPSS version 23 will be used for data analysis.
Results: The majority of participants were aged 11-15 years (34.4%), male (52.7%), and from urban areas (73.1%). Smartphones were the most commonly used device (61.3%). About 57.0% of participants reported screen time exceeding three hours per day. Mild myopia was observed in 44.1% of cases, moderate myopia in 36.6%, and severe myopia in 19.3%. A statistically significant association was found between increased daily screen time and higher severity of myopia (p<0.001).
Conclusions: Prolonged smart device use is significantly associated with increased severity of myopia, highlighting the need for preventive strategies to limit excessive screen exposure, especially among children and adolescents.
References
Hansen MH, Laigaard PP, Olsen EM, Skovgaard AM, Larsen M, Kessel L, et al. Low physical activity and higher use of screen devices are associated with myopia at the age of 16-17 years in the CCC2000 eye study. Acta Ophthalmologica. 2019;98(3):315-21.
Liu J, Li B, Chen Q, Dang J. Student Health Implications of School Closures during the COVID-19 Pandemic: New Evidence on the Association of e-Learning, Outdoor Exercise, and Myopia. Healthcare (Basel). 2021;9(5):500.
Saxena R, Vashist P, Tandon R, Pandey RM, Bhardawaj A, Gupta V, et al. Incidence and progression of myopia and associated factors in urban school children in Delhi: The North India Myopia Study (NIM Study). PLoS One. 2017;12:e0189774.
Narimatsu T, Negishi K, Miyake S, Hirasawa M, Osada H, Kurihara T, et al. Blue light-induced inflammatory marker expression in the retinal pigment epithelium–choroid of mice and the protective effect of a yellow intraocular lens material in vivo. Exp Eye Res. 2015;132:48-51.
Khader YS, Batayha WQ, Abdul-Aziz SM, Al-Shiekh-Khalil MI. Prevalence and risk indicators of myopia among school children in Amman, Jordan. East Mediterr Health J. 2006;12:434-9.
Pellegrini M, Bernabei F, Scorcia V, Giannaccare G. May home confinement during the COVID-19 outbreak worsens the global burden of myopia?. Graefes Arch Clin Exp Ophthalmol. 2020;258:2069-70.
Montag C, Elhai JD. Discussing digital technology overuse in children and adolescents during the COVID-19 pandemic and beyond: On the importance of considering affective neuroscience theory. Addict Behav Rep. 2020;12:100313.
Portello JK, Rosenfield M, Bababekova Y, Estrada JM, Leon A. Computer-related visual symptoms in office workers. Ophthalmic Physiol Opt. 2012;32:375-82.
Fan DSP, Lam DSC, Lam RF, Lau JTF, Chong KS, Cheung EYY, et al. Prevalence, incidence, and progression of myopia of school children in Hong Kong. Invest Ophthalmol Vis Sci. 2004;45:1071-5.
Wu PC, Chen CT, Lin KK. Myopia prevention and outdoor light intensity in a school-based cluster randomized trial. Ophthalmology. 2018;125:1239-50.
Chang P, Zhang B, Lin L, Chen R, Chen S, Zhao Y, et al. Comparison of the myopic progression before, during and after COVID-19 lockdown. Ophthalmology. 2021;128:1655-7.
Liu J, Li B, Chen Q, Wang J, Zhang Y, Zhou Y. Student health implications of school closures during the COVID-19 pandemic: New evidence on the association of e-learning, outdoor exercise, and myopia. Healthcare (Basel). 2021;9(5):500.
Wong L, Coggon D, Cruddas M, Hwang CH, Ho W, Tay M. Education, reading, and familial tendency as risk factors for myopia in Hong Kong fishermen. J Epidemiol Community Health. 1993;47(1):50-3.
Mohan A, Sen P, Peeush P, Shah C, Jain E. Impact of online classes and home confinement on myopia progression in children during COVID-19 pandemic: Digital eye strain among kids (DESK) study 4. Indian J Ophthalmol. 2022;70(1):241-5.
Ip JM, Saw SM, Rose KA, Morgan IG, Kifley A, Wang JJ, et al. Role of near work in myopia: Findings in a sample of Australian school children. Invest Ophthalmol Vis Sci. 2008;49(7):2903-10.
Zadnik K, Mutti DO, Friedman NE, Adams AJ. Initial cross-sectional results from the Orinda longitudinal study of myopia. Optom Vis Sci. 1993;70:750-8.
Jones LA, Sinnott LT, Mutti DO, Mitchell GL, Moeschberger ML, Zadnik K. Parental history of myopia, sports and outdoor activities and future myopia. Invest Opthalmol Vis Sci. 2007;48:3524-2.
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