Acta Ophthalmologica,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 11, 2025
Abstract
This
meta‐analysis
investigates
the
effectiveness
of
outdoor
activities
in
reducing
onset
myopia
children
and
adolescents
by
analysing
changes
axial
elongation
spherical
equivalent
refractive
error.
Following
PRISMA
guidelines
registered
PROSPERO
(CRD42024592971),
study
included
randomized
controlled
trials
(RCTs)
observational
studies.
The
eligibility
criteria
targeted
aged
6
to
18
years
with
varying
levels
exposure.
Primary
outcomes
were
change.
Studies
assessed
for
quality
using
GRADE
AMSTAR‐2
tools,
data
analysed
Review
Manager
5.4,
random‐effects
models
applied
when
heterogeneity
was
significant.
Fifteen
studies
(9
RCTs
observational)
included,
a
total
16
597
participants.
Outdoor
significantly
reduced
or
delayed
myopia,
mean
length
difference
−0.08
mm
per
year
(95%
CI:
−0.09
−0.07)
0.16
diopters
0.07
0.25).
These
differences
observed
after
1
intervention
sustained
up
3
years,
daily
exposure
ranging
from
40
120
min.
Heterogeneity
moderate
high,
but
sensitivity
analyses
confirmed
robustness
results.
While
higher
appeared
more
effective
progression,
certainty
this
evidence
rated
as
low
due
suspected
publication
bias,
indicated
analysis.
activities,
especially
prolonged
intense
light,
effectively
reduce
delay
adolescents.
emphasizes
importance
light
intensity
maximizing
benefits
interventions
highlights
regional
effectiveness,
suggesting
that
environmental
factors
play
significant
role
outcomes.
Ophthalmology and Therapy,
Год журнала:
2023,
Номер
12(2), С. 755 - 788
Опубликована: Фев. 18, 2023
Exposure
to
blue
light
has
seriously
increased
in
our
environment
since
the
arrival
of
emitting
diodes
(LEDs)
and,
recent
years,
proliferation
digital
devices
rich
light.
This
raises
some
questions
about
its
potential
deleterious
effects
on
eye
health.
The
aim
this
narrative
review
is
provide
an
update
ocular
and
discuss
efficiency
methods
protection
prevention
against
light-induced
injury.
search
relevant
English
articles
was
conducted
PubMed,
Medline,
Google
Scholar
databases
until
December
2022.
Blue
exposure
provokes
photochemical
reactions
most
tissues,
particular
cornea,
lens,
retina.
In
vitro
vivo
studies
have
shown
that
certain
exposures
(depending
wavelength
or
intensity)
can
cause
temporary
permanent
damage
structures
eye,
especially
However,
currently,
there
no
evidence
screen
use
LEDs
normal
are
human
Regarding
protection,
currently
a
beneficial
effect
blocking
lenses
for
diseases,
age-related
macular
degeneration
(AMD).
humans,
pigments
(composed
lutein
zeaxanthin)
represent
natural
by
filtering
light,
be
through
intake
from
foods
food
supplements.
These
nutrients
associated
with
lower
risk
AMD
cataract.
Antioxidants
such
as
vitamins
C,
E,
zinc
might
also
contribute
preventing
oxidative
stress.
Currently,
at
domestic
intensity
levels
retinotoxic
eye.
toxicity
long-term
cumulative
dose-response
unknown.
British Journal of Ophthalmology,
Год журнала:
2024,
Номер
unknown, С. bjo - 323887
Опубликована: Май 22, 2024
Myopia
has
long
been
a
global
threat
to
public
health.
Timely
interventions
are
likely
reduce
the
risk
of
vision-threatening
complications.
There
both
established
and
rapidly
evolving
therapeutic
approaches
slow
myopia
progression
and/or
delay
its
onset.
The
effective
methods
for
slowing
include
atropine
eye-drops,
defocus
incorporated
multiple
segments
(DIMS)
spectacle
lenses,
lenses
with
highly
aspherical
lenslets
target
(HALT),
diffusion
optics
technology
(DOT)
red
light
therapy
(RLT),
multifocal
soft
contact
orthokeratology.
Among
these,
0.05%
atropine,
HALT
RLT
+3.00
peripheral
addition
yield
over
60%
reduction
in
progression,
whereas
DIMS,
DOT
MiSight
demonstrate
at
least
50%
control
efficacy.
demonstrates
more
optimal
balance
efficacy
safety
than
0.01%.
0.01%
not
consistent
requires
further
validation
across
diverse
ethnicities.
Combining
orthokeratology
or
DIMS
spectacles
yields
better
outcomes
using
these
as
monotherapies.
Increased
outdoor
time
is
an
health
strategy
prevention
while
recent
studies
suggest
that
low-concentration
have
promising
potential
clinical
high-risk
groups.
being
invasive,
safe
long-term
use.
However,
when
considering
other
approaches,
it
essential
ensure
proper
instruction
regular
follow-ups
maintain
monitor
any
Ultimately,
significant
advances
made
strategies,
many
which
shown
meaningful
outcomes.
use
adequate
monitoring
extended
durations
imperative
foster
confidence
can
only
come
from
extensive
experience.
International Journal of Medical Sciences,
Год журнала:
2023,
Номер
20(10), С. 1363 - 1376
Опубликована: Янв. 1, 2023
Repeated
low-level
red-light
(RLRL),
characterized
by
increased
energy
supply
and
cellular
metabolism,
thus
enhancing
metabolic
repair
processes,
has
gained
persistent
worldwide
attention
in
recent
years
as
a
new
novel
scientific
approach
for
therapeutic
application
myopia.This
revolution
led
RLRL
therapy
is
due
to
significant
advances
bioenergetics
photobiology,
instance,
enormous
progresses
photobiomodulation
regulated
cytochrome
c
oxidase,
the
primary
photoreceptor
of
light
red
near
infrared
regions
electromagnetic
spectrum,
mechanism
action
therapy.This
oxidase
also
key
mitochondrial
enzyme
bioenergetics,
especially
nerve
cells
retina
brain.In
addition,
dopamine
(DA)-enhanced
release
nitric
oxide
may
be
involved
controlling
myopia
activation
synthase,
cGMP
signaling.Recent
evidence
suggested
that
inhibit
progression
inhibiting
spherical
equivalent
refraction
(SER)
axial
elongation
without
adverse
effects.In
this
review,
we
provide
unique
paradigm
control
support
theory
targeting
neuronal
metabolism
constitute
major
target
neurotherapeutics
myopia,
with
emphasis
on
its
molecular,
cellular,
nervous
tissue
levels,
potential
benefits
myopia.
Acta Ophthalmologica,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 3, 2025
Abstract
Purpose
Previous
animal
studies
have
found
a
relationship
between
spatial
frequency
and
myopia.
New
research
in
humans
suggest
that
reduced
high
content
of
the
visual
environment
may
be
contributing
factor
for
myopia
development.
This
study
aims
to
review
literature
elucidate
potential
biological
mechanisms
linking
Methods
A
systematic
search
was
conducted
across
PubMed
Web
Science
databases.
The
published
from
their
inception
August
2024
explored
connection
Only
full‐text
articles
English
were
included.
PRISMA
used
data
validity.
Results
total
13
included
this
review,
comprising
seven
model
studies,
four
population‐based
one
pictorial
analysis
on
design.
Epidemiological
evidence
is
comparatively
limited
has
only
begun
emerge
recent
years.
Mid‐
frequencies
play
an
important
role
emmetropization
process
eye.
Low
can
increase
risk
incidence.
Furthermore,
how
affects
are
summarized
as
information
processing
characteristics,
eye
accommodation
function
movements,
contrast
sensitivity
relevant
molecules
involved
pathway.
Conclusion
suggests
indoor
related
development
Further
warranted
understand
if
incorporation
changes
environments
helpful
prevention
control
Investigative Ophthalmology & Visual Science,
Год журнала:
2023,
Номер
64(3), С. 31 - 31
Опубликована: Март 23, 2023
Purpose:
To
evaluate
the
duration-dependent
and
synergetic
impact
of
high-intensity
light
(HL)
unrestricted
vision
(UnV)
on
lens-induced
myopia
(LIM)
development
in
chickens.
Methods:
Myopia
was
induced
one
eye
chicks
(10
groups,
n
=
126)
from
day
1
posthatching
(D1)
until
8
(D8)
using
–10
diopter
(D)
lenses.
Fellow
eyes
remained
uncovered
as
controls.
Nine
groups
were
exposed
daily
to
2,
4,
or
6
hours
HL
(15,000
lux),
UnV
(removal
D
lens),
both
(HL
+
UnV).
One
group
served
LIM
without
any
interventions.
Ocular
axial
length
(AL),
refractive
error,
choroidal
thickness
measured
D1,
D4,
D8.
Outcome
measures
are
expressed
interocular
difference
(IOD
experimental
–
control
eye)
±
SEM.
Results:
By
D8,
increased
AL
(0.36
0.04
mm),
myopic
refraction
(−9.02
0.37
D),
thinning
(−90.27
16.44
µm)
(all,
P
<
0.001).
Compared
group,
exposure
HL,
UnV,
reduced
a
manner,
with
being
more
effective
than
(P
0.05).
Only
(not
2
4
hours)
prevented
0.004)
0.001)
reducing
elongation.
Conclusions:
Daily
manner
completely
stopped
development.
The
effect
is
dependent
duration
Deleted Journal,
Год журнала:
2024,
Номер
1(1), С. 100010 - 100010
Опубликована: Апрель 1, 2024
This
study
evaluates
the
influence
of
various
lifestyle
factors,
such
as
screen
time,
physical
inactivity,
dietary
habits,
and
psychological
stress,
on
development
progression
myopia
in
comparison
to
genetic
predisposition.
It
underscores
critical
role
adopting
healthier
lifestyles
minimize
risk
myopia,
especially
genetically
susceptible
individuals.
integrates
a
systematic
review
existing
literature
with
empirical
data
assess
relationship
between
habits
providing
nuanced
understanding
its
multifaceted
etiology.
Comprehensive
analysis
from
multiple
institutional
clinical
studies.
The
includes
research
individuals
across
spectrum,
examining
factors
addition
influences.
Analysis
focused
behaviors,
including
digital
device
use,
activity,
patterns,
sleep
quality
relation
myopia.
Correlation
prevalence
choices
susceptibility.
results
highlight
strong
association
behaviors
predispositions
exacerbating
effects
detrimental
habits.
In
particular,
proactive
modifications,
increasing
outdoor
appear
be
effective
preventing
supports
an
integrative
approach
management,
emphasizing
modifications
conjunction
awareness.
calls
for
comprehensive
public
health
strategies
address
increase
advocating
balanced
interplay
maintaining
health,
engaging
activities,
promoting
mental
wellness
counteract
multifactorial
risks
associated
development.
Scientific Reports,
Год журнала:
2024,
Номер
14(1)
Опубликована: Янв. 4, 2024
Abstract
The
prevalence
of
myopia
(nearsightedness)
is
increasing
to
alarming
levels,
but
its
etiology
remains
poorly
understood.
Because
both
laboratory
and
clinical
findings
suggest
an
etiologic
role
for
circadian
rhythms
in
development,
we
assayed
gene
expression
by
RNA-Seq
retina
choroid
at
the
onset
unilateral
experimental
chick,
isolating
tissues
every
4
h
during
a
single
24-h
period
from
myopic
contralateral
control
eyes.
Occluded
versus
open
eye
differences
varied
considerably
over
sampling
period,
with
some
occurring
multiple
times
day
others
showing
only
investigated
timepoint.
Some
genes
identified
or
chick
were
previously
as
candidate
common
human
myopia.
Like
differentially
expressed
genes,
pathways
Gene
Set
Enrichment
Analysis
also
dramatically
time.
Considered
other
data,
genetic
epidemiology
these
further
implicate
events
pathogenesis.
present
results
emphasize
need
include
time
mechanistic
studies
assess
biology
directly
trying
understand
better
origin
develop
more
effective
therapies.
British Journal of Ophthalmology,
Год журнала:
2024,
Номер
unknown, С. bjo - 325888
Опубликована: Авг. 8, 2024
Animal
models
have
shown
that
the
absence
of
high-frequency
visual
information
can
precipitate
onset
myopia,
but
this
relationship
remains
unclear
in
humans.
This
study
aims
to
explore
association
between
spatial
frequency
content
environment
and
myopia
children.