A Duration-Dependent Interaction Between High-Intensity Light and Unrestricted Vision in the Drive for Myopia Control

Sayantan Biswas, Arumugam R. Muralidharan, Bjorn Kaijun Betzler, Joanna Marie Busoy, Veluchamy A. Barathi, Royston K. Y. Tan, Wan Yu Shermaine Low, Dan Milea, Biten K. Kathrani, Noel A. Brennan, Raymond P Najjar

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To evaluate the duration-dependent and synergetic impact of high-intensity light (HL) and unrestricted vision (UnV) on lens-induced myopia (LIM) development in chickens.

Methods: Myopia was induced in one eye in chicks (10 groups, n = 126) from day 1 posthatching (D1) until day 8 (D8) using –10 diopter (D) lenses. Fellow eyes remained uncovered as controls. Nine groups were exposed daily to 2, 4, or 6 hours of HL (15,000 lux), UnV (removal of –10 D lens), or both (HL + UnV). One group served as the LIM group without any interventions. Ocular axial length (AL), refractive error, and choroidal thickness were measured on D1, D4, and D8. Outcome measures are expressed as interocular difference (IOD = experimental eye – control eye) ± SEM.

Results: By D8, LIM increased AL (0.36 ± 0.04 mm), myopic refraction (−9.02 ± 0.37 D), and choroidal thinning (−90.27 ± 16.44 µm) in the LIM group (all, P < 0.001). Compared to the LIM group, exposure to 2, 4, or 6 hours of HL, UnV, or HL + UnV reduced myopic refraction in a duration-dependent manner, with UnV being more effective than HL (P < 0.05). Only 6 hours of HL + UnV (not 2 or 4 hours) prevented LIM and was more effective than UnV (P = 0.004) or HL (P < 0.001) in reducing myopic refraction and more effective than HL (P < 0.001) in reducing axial elongation.

Conclusions: Daily exposure to 2, 4, or 6 hours of HL, UnV, or HL + UnV reduced lens-induced myopic refraction in a duration-dependent manner in chickens. Only 6 hours of HL + UnV completely stopped LIM development. The synergetic effect of HL and UnV is dependent on the duration of the interventions.
Original languageEnglish
Article number31
Number of pages10
JournalInvestigative Ophthalmology and Visual Science
Volume64
Issue number3
DOIs
Publication statusPublished - 23 Mar 2023

Bibliographical note

Copyright © 2023 The Authors. This work is licensed under a Creative Commons Attribution 4.0 International License.

Keywords

  • myopia
  • animal model
  • unrestricted vision
  • optical defocus
  • high-intensity light
  • axial length
  • choroid
  • outdoor time

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