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To evaluate the optical performance of blue-light filtering spectacle lenses and investigate whether a reduction in blue light transmission affects visual performance and sleep quality. Experiment 1: The relative changes in phototoxicity, scotopic sensitivity, and melatonin suppression of five blue-light filtering plano spectacle lenses were calculated based on their spectral transmittances measured by a spectrophotometer. Experiment 2: A pseudo-randomized controlled study was conducted to evaluate the clinical performance of two blue-light filtering spectacle lenses (BF: blue-filtering anti-reflection coating; BT: brown-tinted) with a regular clear lens (AR) serving as a control. A total of eighty computer users were recruited from two age cohorts (young adults: 18-30 yrs, middle-aged adults: 40-55 yrs). Contrast sensitivity under standard and glare conditions, and colour discrimination were measured using standard clinical tests. After one month of lens wear, subjective ratings of lens performance were collected by questionnaire. All tested blue-light filtering spectacle lenses theoretically reduced the calculated phototoxicity by 10.6% to 23.6%. Although use of the blue-light filters also decreased scotopic sensitivity by 2.4% to 9.6%, and melatonin suppression by 5.8% to 15.0%, over 70% of the participants could not detect these optical changes. Our clinical tests revealed no significant decrease in contrast sensitivity either with (95% confidence intervals [CI]: AR-BT [-0.05, 0.05]; AR-BF [-0.05, 0.06]; BT-BF [-0.06, 0.06]) or without glare (95% CI: AR-BT [-0.01, 0.03]; AR-BF [-0.01, 0.03]; BT-BF [-0.02, 0.02]) and colour discrimination (95% CI: AR-BT [-9.07, 1.02]; AR-BF [-7.06, 4.46]; BT-BF [-3.12, 8.57]). Blue-light filtering spectacle lenses can partially filter high-energy short-wavelength light without substantially degrading visual performance and sleep quality. These lenses may serve as a supplementary option for protecting the retina from potential blue-light hazard. ClinicalTrials.gov NCT02821403.

PurposeThis study aimed to determine the prevalence of myopia among children and adolescents aged 6–16 years during COVID-19 pandemic in Tianjin, China.MethodsThis was a cross-sectional study using data from the Tianjin Child and Adolescent Research of Eye between March and June in 2021. A total of 909 835 children and adolescents aged 6–16 years from 1348 primary and secondary schools in Tianjin, China were recruited. Prevalence of myopia with 95% CIs was described in different regions, sexes and ages. The regions-standardised prevalence rate and chain growth rate of myopia in different ages were described the characteristics of myopia.ResultsA total of 864 828 participants (95.05% participation rate) were included in the analysis. The age range was 6–16 with a mean age of 11.50±2.79 years. The overall prevalence of myopia was 54.71% (95% CI 54.60% to 54.81%). The prevalence of myopia was 57.58% (95% CI 57.43% to 57.73%) for girls and 52.05% (95% CI 51.91% to 52.20%) for boys. Students living in the six central districts had the highest prevalence of moderate myopia (19.09% (95% CI 19.01% to 19.17%)) and high myopia (5.43% (95% CI 5.39% to 5.48%)). The regions-standardised prevalence of myopia was increased by age and the highest chain growth rate of myopia was up to 47.99% at 8 years.ConclusionsThe prevalence of myopia in Tianjin is high during COVID-19 pandemic. The progression of myopia started to increase dramatically at 8 years, and the increasing slowed down at 14 years. For policy-makers, intervention in the lower age groups may be important to control myopia progression.

Purpose To evaluate the performance of a three-dimensional convolutional neural network (3D CNN) in detecting forme fruste keratoconus (FFKC). Methods A total of 415 anonymized corneal dynamic videos were collected for this study. The video dataset consisted of 150 patients with FFKC (150 videos) and 265 normal patients (265 videos). These patients underwent comprehensive ocular examinations, including slit lamp, Pentacam (Oculus Optikgeräte GmbH), and Corvis ST (Oculus Optikgeräte GmbH), and were classified by corneal experts. A 3D CNN-based algorithm was developed to establish a FFKC detection model. The performance of the model was evaluated using metrics such as accuracy, area under the receiver operating characteristic curve (AUC), confusion matrices, and F1 score. Gradient-weighted class activation mapping (Grad-CAM) was used to observe the regions that the model attended to. Results In the test dataset, the model achieved an accuracy of 87.95% in identifying FFKC. The ResNet3D-AUC was 0.95 with a cut-off value of 0.49, and the F1 value was 0.85. The sensitivity was 83.33% and the specificity was 90.57%. Conclusions Combining 3D CNN with Corvis ST corneal dynamic videos provides a new method for distinguishing between FFKC and normal corneas. This could offer valuable clinical insights and recommendations for detecting FFKC. Nevertheless, the generalizability of the model is still a concern, and external validation is required prior to its clinical implementation. [J Refract Surg. 2025;41(4):e356–e364.]

Myopia, or short-sightedness, is a highly prevalent refractive disorder in which the eye’s focal length is too short for its axial dimension in its relaxed state. High myopia is associated with increased risks of blinding ocular complications and abnormal eye shape. In addition to consistent findings on posterior segment anomalies in high myopia (e.g., scleral remodeling), more recent biometric and biomechanical data in myopic humans and animal models also indicate anterior segment anomalies (e.g., corneal biomechanical properties). Because the cornea is the anterior-most ocular tissue, providing essential refractive power and physiological stability, it is important to understand the biochemical signaling pathway during myopia development. This study first aimed to establish the entire chicken corneal proteome. Then, using the classical form deprivation paradigm to induce high myopia in chicks, state-of-the-art bioinformatics technologies were applied to identify eight differentially expressed proteins in the highly myopic cornea. These results provide strong foundation for future corneal research, especially those using chicken as an animal model for myopia development.

To characterize and compare the ciliary muscle thickness (CMT) between low and high myopes using swept-source anterior segment optical coherence tomography (AS-OCT). Forty visually healthy young Chinese adults aged 18-25 years were divided into two groups based on refractive errors: low myopia (n = 20, spherical-equivalent refractive error (SER) between -0.50 D to -3.00 D) and high myopia (n = 20, SER ≤ -6.00 D). Cycloplegic refractions were performed before axial length (AL) and CMT were measured using a partial coherence laser interferometer and an AS-OCT respectively. CMT was measured perpendicularly to the sclera-ciliary muscle interface at 1 mm (CMT_1), 2 mm (CMT_2), and 3 mm (CMT_3) posterior to the scleral spur, and at the location with maximal thickness (CMT_MAX). High myopes demonstrated thicker CMT at 2 mm (CMT_2, p = 0.035) and 3 mm (CMT_3, p = 0.003) posterior to the scleral spur, but thinner maximal CMT (CMT_MAX, p = 0.005) than low myopes. The apical CMT_1 and CMT_MAX were also thinner in high myopes than in low myopes (both p< 0.001). CMT_MAX, apical CMT_1, and apical CMT_MAX correlated directly with SER and inversely with AL; in contrast, CMT_2 and CMT_3 showed inverse correlations with SER but direct correlations with AL. Our findings revealed significant differences in CMT between low and high myopes, with high myopes showing thicker CMT at 2 mm and 3 mm posterior to the scleral spur, but thinner maximal CMT. These results provide new evidence of the potential structural differences in ciliary muscles during myopia development and progression.

It is well-known that correction of blur can improve visual perception. However, it is unclear how the beneficial effect of correction is affected by the regions of correction and the spatial uncertainty introduced by the retinal stimulation. The purpose of this study was two-fold: first, to compare the impacts of blur correction between isoeccentric locations of the visual field; and second, to evaluate the effect of spatial cueing in each corrected location on performing a simple task. Five subjects were asked to complete a simple detection task of a small dark spot stimulus presented randomly at four cardinal retinal locations (eccentricity: 5°) under manipulation of attention via an exogenous cue. Both clear and blurred targets were randomly displayed across the visual field and viewed monocularly through a vision simulator, used to minimize peripheral ocular aberrations. Results confirmed the advantage of clear vs/ blurred images under spatial uncertainty. It was also found that the visual benefit from blur correction is unequal at isoeccentric locations, even for a simple detection task. While manipulation of attention in the presence of spatial uncertainty significantly modulated response time (RT) performance, no differential effect was observed for clear and blurred stimuli, suggesting that attention has only a small effect on the optical benefit for a simple detection task when the display is depleted (no distractor). Those observations highlight the importance of field performance asymmetries in optical interventions and may offer useful implications for the design of extrafoveal refractive correction. Further studies are needed to elucidate how the focus of attention interacts with the perceived gain of vision correction.

Myopia (or “short-sightedness”) and astigmatism are major causes of visual impairment worldwide. Significant amounts of astigmatism are frequently observed in infants and have been associated with myopia development. Although it is well established that both myopia and astigmatism are associated with ocular structural changes from anterior to posterior segments, very little is known on how these refractive errors alter retinal functions. This study investigated the effects of experimentally induced myopia and myopic-astigmatism on retinal electrophysiology by using an image-guided, multifocal global flash stimulation in chickens, a widely used animal model for refractive error development. Myopia and myopic-astigmatism were experimentally induced, respectively, by wearing spherical (− 10 D, n = 12) and sphero-cylindrical lenses (− 6.00 DS/− 8.00 DCx90: H yperopic W ith- T he R ule, H-WTR, n = 15; − 6.00 DS/− 8.00 DCx180: H yperopic A gainst- T he- R ule, H-ATR, n = 11) monocularly for a week (post-hatching day 5 to 12). An aged-matched control group without any lens treatment provided normal data (n = 12). Multifocal electrophysiological results revealed significant regional variation in the amplitude of induced component (IC) (central greater than peripheral; both p < 0.05) in the normal and H-ATR groups, but not in the – 10 D and H-WTR groups. Most importantly, for the first time, our results showed that both H-WTR and H-ATR groups exhibited a significantly longer implicit time of the inner retinal response at the central region when compared to the normal and – 10 D groups, highlighting a significant role of astigmatism in retinal physiology.

The cornea is a soft, transparent, composite organic tissue, which forms the anterior outer coat of the eyeball. Although high myopia is increasing in prevalence worldwide and is known to alter the structure and biomechanical properties of the sclera, remarkably little is known about its impact on the biomechanics of the cornea. We developed and validated a novel optical-coherence-tomography-indentation probe-to measure corneal biomechanical properties in situ, in chicks having experimentally-induced high myopia, while maintaining intraocular pressure at levels covering the physiological range. We found that the cornea of highly myopic chicks was more steeply curved and softer, at all tested intraocular pressures, than that in contralateral, non-myopic eyes, or in age-matched normal, untreated eyes. These results indicate that the biomechanical properties of the cornea are altered in chicks developing experimentally-induced myopia.

Smartphone use has become an indispensable part of our daily life. The handy design and powerful processor allow smartphone users to perform diversified tasks even when walking. This study aimed to investigate and compare the optical aftereffect and vergence adaptation of using a smartphone while walking and sitting. Twenty-nine young healthy adults (aged 19 to 24 years old) with normal binocular and accommodative functions were recruited. Participants were asked to watch a movie for 30 minutes using a smartphone while either walking on a treadmill or sitting on a chair. Corneal aberrations and near heterophoria were measured before and after smartphone use by a corneal topographer and modified Thorington heterophoria test, respectively. Using the smartphone while walking induced a change in corneal H/V astigmatism, becoming 0.11±0.03 μm less negative (two-way ANOVA repeated measures, Bonferroni post-hoc test, p = 0.001). This optical aftereffect was significantly higher than after smartphone use while sitting by 0.10±0.03 μm (paired t-test, p = 0.003). Although smartphone use did not result in a significant change in near heterophoria (Bonferroni post-hoc test, p > 0.15), the vergence adaptation showed relatively more eso- or less exo-deviation by 0.79±0.36Δ in the walking than the sitting condition (paired t-test, p = 0.037). Eyecare practitioners should be cautious of the potential optical after effect and vergence adaptation after prolonged smartphone usage.

During the COVID-19 pandemic, the Hong Kong Government enforced a “school from home” policy between February and September 2020. This cross-sectional epidemiological study was conducted to investigate the prevalence of astigmatism and visual habits after the home confinement period. Vision screenings were conducted at three local government-funded primary schools in Hong Kong from October 2020 to December 2020. A total of 418 ethnically Chinese primary school children completed the eye examination and returned questionnaires concerning demographic information and visual habits. It was found that 46.5% (95% CI, 41.7–61.4%) of the children aged 8 to 11 years had astigmatism ≥ 0.75 D, which was predominately With-The-Rule astigmatism. The prevalence of astigmatism reported in these children is generally higher than that of studies conducted before COVID. Compared to their non-astigmatic peers, astigmatic children had a longer axial length (p < 0.001) and engaged in fewer outdoor activities (p = 0.04). Multiple linear regression analyses also revealed significant relationships between axial length and both cylindrical error and J0 astigmatism. Due to the high astigmatism prevalence, there is a pressing need for further studies on the long-term impact of the pandemic on children’s vision.