The Role of Time Exposed to Outdoor Light for Myopia Prevalence and Progression: A Literature Review

Leila Sara Eppenberger,1 Veit Sturm1,2 1Department of Health Sciences & Technology, ETH, Zurich, Switzerland; 2Eye Department, Cantonal Hospital, St. Gallen, SwitzerlandCorrespondence: Leila Sara Eppenberger Rorschacherstr. 95, St. Gallen 9007, SwitzerlandTel + 41 79 246 9703Email leila.eppe...

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Autores principales: Eppenberger LS, Sturm V
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:8bb1d9a299cd4757bb7556f6b6af01792021-12-02T12:57:38ZThe Role of Time Exposed to Outdoor Light for Myopia Prevalence and Progression: A Literature Review1177-5483https://doaj.org/article/8bb1d9a299cd4757bb7556f6b6af01792020-07-01T00:00:00Zhttps://www.dovepress.com/the-role-of-time-exposed-to-outdoor-light-for-myopia-prevalence-and-pr-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Leila Sara Eppenberger,1 Veit Sturm1,2 1Department of Health Sciences & Technology, ETH, Zurich, Switzerland; 2Eye Department, Cantonal Hospital, St. Gallen, SwitzerlandCorrespondence: Leila Sara Eppenberger Rorschacherstr. 95, St. Gallen 9007, SwitzerlandTel + 41 79 246 9703Email leila.eppenberger@uzh.chPurpose: The development of myopia as a refractive disorder seems to hold multifactorial causes. Among others, increased time exposed to natural light outdoors is regarded as possible effective preventive measure against myopia development. The objective of this review is to analyse and summarize the evidence investigating the association between time outdoors and myopia prevalence and progression.Methods: A review, restricted to articles published in the last ten years, was conducted. The literature search for the included articles was performed in the following databases: PubMed, the Cochrane Library, Web of Science and Scopus. If predefined inclusion criteria were met, the studies were further categorized and data were summarized and individually evaluated.Results: Two cross-sectional studies, 7 prospective cohort studies and 3 intervention studies were reported in this review, representing the data of a total of 32,381 participants. The majority of the studies found an inverse association between myopia incidence/prevalence and increased time outdoors. The association between time outdoors and myopia progression on the other hand remains debatable; one recent randomized controlled trial indicating a protective value of increased time outdoors for further progression in myopic children.Conclusion: In summary, increasing time exposed to outdoor light seems to be a simple and effective preventive measure to decrease myopia prevalence. Also, contrasting previous review work, it may represent a potential strategy for myopia progression control. Future investigation is necessary to better define and quantify outdoor time and its effects on myopia.Keywords: myopia, prevalence, progression, exposure to sunlight, outdoor exposure, myopia controlEppenberger LSSturm VDove Medical Pressarticlemyopiaprevalenceprogressionexposure to sunlightoutdoor exposuremyopia controlOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1875-1890 (2020)
institution DOAJ
collection DOAJ
language EN
topic myopia
prevalence
progression
exposure to sunlight
outdoor exposure
myopia control
Ophthalmology
RE1-994
spellingShingle myopia
prevalence
progression
exposure to sunlight
outdoor exposure
myopia control
Ophthalmology
RE1-994
Eppenberger LS
Sturm V
The Role of Time Exposed to Outdoor Light for Myopia Prevalence and Progression: A Literature Review
description Leila Sara Eppenberger,1 Veit Sturm1,2 1Department of Health Sciences & Technology, ETH, Zurich, Switzerland; 2Eye Department, Cantonal Hospital, St. Gallen, SwitzerlandCorrespondence: Leila Sara Eppenberger Rorschacherstr. 95, St. Gallen 9007, SwitzerlandTel + 41 79 246 9703Email leila.eppenberger@uzh.chPurpose: The development of myopia as a refractive disorder seems to hold multifactorial causes. Among others, increased time exposed to natural light outdoors is regarded as possible effective preventive measure against myopia development. The objective of this review is to analyse and summarize the evidence investigating the association between time outdoors and myopia prevalence and progression.Methods: A review, restricted to articles published in the last ten years, was conducted. The literature search for the included articles was performed in the following databases: PubMed, the Cochrane Library, Web of Science and Scopus. If predefined inclusion criteria were met, the studies were further categorized and data were summarized and individually evaluated.Results: Two cross-sectional studies, 7 prospective cohort studies and 3 intervention studies were reported in this review, representing the data of a total of 32,381 participants. The majority of the studies found an inverse association between myopia incidence/prevalence and increased time outdoors. The association between time outdoors and myopia progression on the other hand remains debatable; one recent randomized controlled trial indicating a protective value of increased time outdoors for further progression in myopic children.Conclusion: In summary, increasing time exposed to outdoor light seems to be a simple and effective preventive measure to decrease myopia prevalence. Also, contrasting previous review work, it may represent a potential strategy for myopia progression control. Future investigation is necessary to better define and quantify outdoor time and its effects on myopia.Keywords: myopia, prevalence, progression, exposure to sunlight, outdoor exposure, myopia control
format article
author Eppenberger LS
Sturm V
author_facet Eppenberger LS
Sturm V
author_sort Eppenberger LS
title The Role of Time Exposed to Outdoor Light for Myopia Prevalence and Progression: A Literature Review
title_short The Role of Time Exposed to Outdoor Light for Myopia Prevalence and Progression: A Literature Review
title_full The Role of Time Exposed to Outdoor Light for Myopia Prevalence and Progression: A Literature Review
title_fullStr The Role of Time Exposed to Outdoor Light for Myopia Prevalence and Progression: A Literature Review
title_full_unstemmed The Role of Time Exposed to Outdoor Light for Myopia Prevalence and Progression: A Literature Review
title_sort role of time exposed to outdoor light for myopia prevalence and progression: a literature review
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/8bb1d9a299cd4757bb7556f6b6af0179
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