Light levels, refractive development, and myopia--a speculative review.

Abstract:

:Recent epidemiological evidence in children indicates that time spent outdoors is protective against myopia. Studies in animal models (chick, macaque, tree shrew) have found that light levels (similar to being in the shade outdoors) that are mildly elevated compared to indoor levels, slow form-deprivation myopia and (in chick and tree shrew) lens-induced myopia. Normal chicks raised in low light levels (50 lux) with a circadian light on/off cycle often develop spontaneous myopia. We propose a model in which the ambient illuminance levels produce a continuum of effects on normal refractive development and the response to myopiagenic stimuli such that low light levels favor myopia development and elevated levels are protective. Among possible mechanisms, elevation of retinal dopamine activity seems the most likely. Inputs from intrinsically-photosensitive retinal ganglion cells (ipRGCs) at elevated light levels may be involved, providing additional activation of retinal dopaminergic pathways.

journal_name

Exp Eye Res

authors

Norton TT,Siegwart JT Jr

doi

10.1016/j.exer.2013.05.004

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

48-57

eissn

0014-4835

issn

1096-0007

pii

S0014-4835(13)00114-0

journal_volume

114

pub_type

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