As our daily lives become increasingly entwined with screens, everyone’s vision could suffer – particularly children’s.
Evidence shows that the incidence of myopia (short-sightedness) is on the rise. Optometrists worldwide have also noted a myopia epidemic among children – something that genetics alone can’t explain. In fact, at current rates, half of the world will be near-sighted by 2050.
Research into the exact links between screen time and rates of myopia is still emerging. However, scientists suspect there to be some impact of excessive screen time, particularly if children engage with screens from a young age.
‘There is a genetic component to developing myopia, but we know the prevalence has increased dramatically in recent decades,’ says Professor Isabelle Jalbert from the School of Optometry and Vision Science, UNSW Medicine & Health.
‘It’s too rapid to be explained by genetics alone; we need to look at what’s changed in our environment, and it’s highly likely that lots of screen time is a risk factor for at least some development of short-sightedness in children.’
Risks of developing myopia
In myopia, the eyeball develops at a faster-than-normal rate and becomes too long, which causes distance vision to become blurry. While blurred vision can be corrected with glasses or contact lenses, once myopia sets in, it’s irreversible.
‘Modern treatments like orthokeratology, where people insert contact lenses to reshape the eyeball at night temporarily, can help to correct the eyeball’s shape,’ said Professor Jalbert. ‘But it doesn’t reverse myopia – it can only help slow the progression.’
Even though treatments exist that can slow the progression of myopia, these can also be expensive. The big concern with developing myopia is that it can increase the lifetime risk of developing a severe eye condition like glaucoma, retinal detachment, cataract and myopic macular degeneration, which may eventually lead to blindness in some cases.
‘Once the eyeball has grown too much, it can’t shrink back, so while we may be able to help correct vision, there remains a higher lifetime risk of developing serious eye conditions later in life,’ said Professor Jalbert. ‘As always, prevention is the best strategy where possible.’
Even in the short term, she says screens can cause strain to our eyes and induce symptoms of dry and tired eyes relatively quickly. A recent study by Professor Jalbert found that viewing a phone screen can reduce blinking rates within the first minute in children and result in symptoms of dry eye.
‘Watching a screen halved blink rates among participants, which is one of the main mechanisms for lubricating and protecting the eye,’ she said.
‘That doesn’t mean there is a link to developing an eye condition later on, but we’re concerned about potential long-term impacts as people spend more and more time on their devices.’
Protecting our eyes
Professor Jalbert says there are some preventative measures we can take to minimise the impact of digital screens on our eyes. That includes limiting daily screen time per World Health Organisation guidelines – less than two hours per day for school-age children, and no screen time at all for kids under 2.
‘Unfortunately, researchers have found that very few children are likely meeting those recommendations daily,’ said Professor Jalbert.
Instead, she says we should focus on getting people, particularly kids, to spend more time outdoors, which reduces the likelihood of developing myopia. However, time outdoors won’t necessarily slow the progression of myopia once it sets in.
‘The more time you spend outdoors looking into the distance and wide-open spaces, the less time you spend doing near work or looking at a screen,’ says Professor Jalbert.
‘It doesn’t have to be all at once; it can be at lunchtime or walking to and from school or the office. Just remember to also protect your eyes from the sunlight by wearing sunglasses and a hat.’
20-20-20
For adults who use screens all day at work, she says following basic ergonomic recommendations is essential. A proper workstation setup with desktop screens at the appropriate distance and height, adequate natural lighting and regular breaks can all help reduce eye strain.
‘Optometrists often talk about the 20-20-20 rule,’ said Professor Jalbert. ‘That means every 20 minutes, try to give your eyes a break from the screen and look in the distance 20 metres away for at least 20 seconds.’
It’s easy to forget, but it’s also important to schedule regular eye check-ups. Optometrists generally recommend an eye examination every two years. For vulnerable populations, including those with underlying conditions like diabetes and autoimmune diseases, more frequent check-ups are advised.
‘It is not realistic to tell people not to use screens at all, but we can do better when it comes to being more mindful about how screens might impact our eye health and managing the risks day-to-day,’ said Professor Jalbert.
