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

Clinical Ophthalmology
Leila Sara Eppenberger, Veit Sturm

Abstract

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. 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. 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 f...Continue Reading

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Citations

Apr 29, 2021·Investigative Ophthalmology & Visual Science·James S WolffsohnKyoko Ohno-Matsui
Jun 3, 2021·International Journal of Environmental Research and Public Health·Cristina Alvarez-PeregrinaMiguel Ángel Sánchez-Tena

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