2/2/20

Digital use around the World The Digital Eyestrain EXPLOSION!

KRIS KERESTAN GARBIG, O.D. [email protected]

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Mobile Device use Digital Device usage

§ 30% of all adults are High users spending 9+ hrs. per day

§ 45% in 2012 § 61% use 5+ hrs. per day § 67% 2019 § 47% of US smartphone users say they couldn’t live without their devices § Over 80% use at least 2 hrs. per day § 66% of smartphone users are addicted to their phones § 67% of internet users worldwide visit the web on their phone § 67% use 2 devices simultaneously

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Internet Use Digital Device Sources

§ Average time spent ONLINE is 6 hours 42 minutes per day which § 77% TV equates to close to 100 days of ONLINE time each year for every § 69% Smart Phone internet user § 58% Laptop § 52% Desktop § 58% stream TV § 43% Tablet § 30% stream gaming content § 17% Video game console § 23% watch live streams of gaming content § 67% use 2 devices simultaneously § 16% watch sporting tournaments

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Activities using Digital Devices Digital Device Impact

Gen. Z (Born between 1997-2010) § 57% “Alarm clock” § 54% Weather § Learned to use technology at a age young § 44% Work § Continually “Connected”… § 43% Recreational Reading Snap chat, Instagram, Twitter, FB, others??? § 26% Meal Preparation/Recipes § 32% Travel/Flight/Ticketing § Operate appliances, garage doors, lights, etc. § Unlimited Apps

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But wait…Generation Alpha! AOA's American Eye-Q Survey Born after 2011

§ Kids connected longer than parents think § Grow up with I-pads in hand § Will never live without a smartphone 80% use electronic devices 2+ hrs. per day § Able to transfer a thought online in secs. § 78% of parents are concerned § Most transformative generation ever § Only 29% have back to school eye exams

§ Will spend 95% of life on a device

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Risks of Digital Device Usage in Children Use of Devices in the Classroom

§ Increased Myopia § Schools are incorporating Digital Devices, 3-D § Prolonged Near range activities imaging and the latest computer applications into § Decreased exposure to Natural Outdoor light * their daily curriculum…

§ Long term Blue Light exposure § WHY???? § High Energy visible UV penetrates deeper into the eye • Learn faster • Concentrate better § Macular Degeneration • Retain better § Cataracts

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Classroom Research Kids and Digital Eye Strain

§ Between 75-90% of ALL Learning is Visual! § 46% increase in student engagement

§ 21% increase in test scores § 80% of kids report Digital Eye Strain symptoms § Tired § Increase motivation, attention, participation § Burning § Decrease behavior problems § Itchy § Blurred vision

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The Digital Disconnect Millennials / Gen. Y (Born 1977-1997):

§ 38% spend at least nine hours on digital devices each day

§ 82% report symptoms of digital eye strain

§ Average time spent on Digital devices is 6 hours § 90% own a smartphone

§ 68% less likely than other generations to own a television

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Boomers (Born 1946-1964): Gen X (Born 1965-1976):

§ 26% spend 9 hours on digital devices each day § 76% experience digital eye strain § 32% spend 9+ hours on digital devices each day § 40% say they would wear computer eyewear if an eye care provider informed them of the potential danger of blue light § 79% report symptoms of digital eye strain emitted from digital devices § 74% report not knowing about blue light damage § 81% are more likely to own a TV compared to other age

§ 48% more likely to own tablets

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Adults and Digital Eyestrain Impact on Children and Teens

§ Complex of symptoms associated with Digital device usage § Affects 80% of ALL American users § Reduced attention span (15.2 %)

§ Poor behavior (13.3 %) § Eye Strain 33% § Neck, Shoulder, Back pain 35% § Irritability (13.5 %) § Blurred Vision 28% § Eye strain, dry or irritated eyes (9.1 %) § Headache 27% § Headaches (8.8 %) § Dry Eye 27% (Reduced Blinking) § Neck/shoulder pain (5 %)

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Tear Physiology What they don’t know can hurt them! Research Study

§ 72% of adults are unaware of the potential dangers of blue light to § Office workers who experience digital eyestrain eyes undergo physiological changes in tear fluid similar to § 32% of adults do not take any people with dry eye. action to reduce symptoms of § Normal Blink Rate = 18 X min. digital eye strain § Digital use drops by half = 7- 8 X min.

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DES: Causes/Solutions DES: Causes/Solutions

1. Text on a Screen 2. Excessive Usage Time Constant refocusing in front and behind screen 62% usage of 5+ hrs/day resulting in dry tired eyes causing blur, eyestrain and HA § Solution § Solution • Increase text size • Unplug! At least 2 hours before bed (80% use 1 hr prior to bed) • Enhance contrast and brightness • Follow the 20/20/20 Rule (Only 14% take breaks) • Glare filter • Remind yourself to blink • Keep screen cleaned

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DES: Causes/Solutions DES: Causes/Solutions

3. Workstation Distance and Setup 4. Pre-existing Vision Issues Close and Intermediate range • Refractive issues • Near/Intermediate correction required? § Solution • Dry Eye • Adjust distance to arms length (Palm to screen) • Decrease overhead and surrounding light § Solution • Tilt screen to minimize glare • Correct refractive issues • Drop screen height to just below eye level • Treat Dry Eye - keep drops by computer • Blink Exercises

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DES: Causes/Solutions So what is Blue Light anyway?

5. Glare and Blue Light § HEV light that appears white, but has a large blue light component Reflection off walls and screens § Exposes the eye to hidden spikes in intensity at wavelengths within the blue portion of the spectrum. (400 to 450nm) § Solution § Emitted by digital devices and modern day lighting • Front and Back surface AR • Anti-Glare screen monitor • Adjust Room Lighting (Lamps vs. Overhead lights)

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Blue Light Research

§ Cumulative and constant exposure to blue light can damage retinal cells resulting in irreversible damage

• Macular degeneration • Cataracts

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Benefits of Blue Light? Blue Light and Sleep

§ Frequent exposure to Blue Light at bedtime excites the brain § Color vision and perception and prevents falling into natural restorative sleep. § Establishes natural circadian rhythms and sleep-wake § Blocks production of Melatonin cycles in the human body by aiding in cognitive functions § Night Shift Iphones § Alertness § SleepShield § Memory § Twilight § Emotion Regulation § LowBlueLights § Mood § BioBrite

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Teenage Boy Sleep Study Blue Blocking vs. UV Blocking

§ 13 teens between 15 -17 yrs § Individuals with sleep difficulty were divided into two groups who § 1 week wearing Blue Blocking lenses between 6pm - bed wore lenses 3 hrs prior to bed. § 1 week wearing Clear lenses between 6pm - bed § Blue-blocking – Amber tinted lenses § Ultraviolet blocking - Yellow-tinted lenses

Conclusion: § Participants who wore the blue-blocking glasses observed : § Felt sleepier with Blue Blockers § 50% increase in sleep quality § Higher Melatonin levels measured in saliva with Blue Blockers § 40% happier after they woke up

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Blue Blockers and Melatonin Production Digital Devices and Dryness

§ Melatonin level production was measured after wearing § Decreased blink rate from 18X minute to 7-8 X minute Sunglasses vs Blue Blockers: § Poor tear film stability § Regular sunglasses - 46% decrease in melatonin § Major cause of CL dropout (20% over past 10 years) § Blue-blocking glasses - 6% increase in melatonin

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Specialized Eyewear…Options Digital eyewear usage to consider…

Top 3 reasons individuals report not using § How much Time is spent in front of the computer? eyewear for digital device usage § What is your Distance from the computer? 1. They don’t think they’re necessary § What other Viewing distances are required? 2. Their eyecare provider didn’t recommend using eyewear § What are the Surrounding light conditions? 3. They are too expensive § What Type of computer work is being done?

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Digital Lens Types Digital Lens TECHNOLOGY

§ SV lenses at computer working distance - Usually +0.50 over Distance § With or without a prescription

§ Computer Office designs- wide intermediate and near with limited distance § Allows eyes to relax and adjust to intermediate-distance objects § Book, Desk (the Majority) and Room

§ Progressives- Limited function § Reduces glare during prolonged use of digital devices

§ Allows for relaxation, sharper focus and reduced blur and pixilation 73.5% of Americans do not know eyewear can be used to reduce blue light exposure and combat digital eye strain.

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Digital Lens TREATMENTS

§ Traditional AR § Reduces reflection and glare from indoor and outdoor lighting

§ Blue Blocking AR § Crizal No-Glare Lenses § Reduces reflection while blocking out potentially harmful HEV light § Eye-Sun Protection Factor (E-SPF®) of 25 § Provencia § Lenses protect your eyes from harmful UV rays § Blue Protect 25 times more than if you weren’t wearing glasses at all

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Zeiss BlueProtect Hi-Vision BlueControl

• Reflects parts of the blue-violet light emitted from § Enhanced contrast, improving LEDs as well as TV, computer or tablet screens, preventing it from entering the eye. clarity and color perception § Reduced glare for more • Reduces the transmission in the spectrum of 380–455 comfortable and relaxed vision nm (blue light hazard) while keeping the high § Reduced blue light, preventing transmission level above 460 nm eye strain and fatigue

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Digital Lens TREATMENTS

§ Colored Filters § “Protection the way Nature Intended” § Filters out harmful blue and violet light § Prevention § Prescribed to reduce harsh office lighting and balance colors. § Protection § High Performance § VA § Contrast § Night vision § Depth perception § Color perception

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ZEISS Digital Smart Lens ZEISS Office Lens Book, Desk, Room

§ Provides “Clear, Relaxed Vision All Day Long” § Wide clear distance viewing Clear, relaxed vision all day long § Digital power boost which allows for relaxed focusing § Eyes don’t have to focus and converge as they do with a traditional lens – that’s what fatigues the eye muscles § Great for Millennials and Generation X’ers

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Essilor EyeZen Are YOU a NOMOPHOBE?

§ Filters out 20% of harmful Blue light § Available as SV or non-rx § “Digital Addiction…The irrational fear of being without your mobile § Small amount of accommodative relief in lower lens device” (67%) or digital eye strain, which is determined by age § Addicted regardless of how much damage phone time may be doing to our eyes, not to mention our relationships and psyche. § +.40, +60 and +.80

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Thank you for your Attention!!

Now hurry and check your phones… Who am I kidding…you’ve been checking them this entire time! J

Dr. Kris Kerestan [email protected]

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Biofinity Energys Dailies Total 1

§ Monthly wear § Digital Zone Optics™ lens design § Combining breakthrough optical properties, a moisture-retaining material and a smooth, naturally wettable surface for long-lasting comfort

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Precision 1 Gunnar LENS DESIGN

§ Ultra light Lens with custom tints and a Highly Wrapped Frame Lens § Higher ABBE value for distortion free viewing § Medium index of refraction (1.51) allows for thinner lenses § Amber, Crystalline and Non Polarized Outdoor § Limits air currents near the eyes § Increases humidity § Enhances focus and sharpens detail § Eases eye strain § THE BENEFIT: § Reduces Dry Eye irritation § Reduces Muscular strain

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Gunnar LENS MATERIAL Gunnar LENS TINTS

q Custom lens tints qUltra light material u Filter blue light and block UV u Eliminates distortion from impurities and haze found in u Enhances contrast inferior materials u Filtered spectrum replicates natural light u Minimizes visual stress q THE BENEFIT: • Low density with lighter lenses q THE BENEFIT: • Higher light transmission rate that enhances clarity uTunes artificial blue light to enhance the physiology of the naked eye • Higher ABBE value for distortion free viewing • Medium index of refraction (1.51) allows for thinner lenses uIncreases contrast perception

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Gunnar LENS TINT Options Gunnar LENS COATINGS

u Amber Tint - designed for light that comes off computer screen. q Anti-reflection coating – Double sided to reduce Ø Enhances contrast and visual performance while minimizing screen glare and reflective light to eliminate visual glare and damage from blue UV. distraction and stress

u Crystalline Tint - Coating formula designed specifically for graphic q External hard coat - provides extended lens designers, video/film editors, and creative visual artists durability and resists scratching Ø Creates an equally balanced color spectrum.

u Non-polarized Outdoor tint create a more comfortable and rich visual experience for anyone viewing their digital devices outdoors.

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