Digital Vision
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THEME DIGITAL VISION DE SP 72 EN AUTUMN 2015 - BI-ANNUAL - OFFERED FR © 2015 ESSILOR INTERNATIONAL WWW.POINTSDEVUE.COM Points de Vue, the International Review of Ophthalmic Optics created by Essilor in 1979, is committed to providing prescribers (all eye care professional involved in prescription throughout the world) with forward-looking and useful information for their practices and effective patient care. Points de Vue is an expert-to-expert publication, sharing the latest knowledge on scientific evidence, clinical practice, market insights, patient needs and innovative solutions. ÁNGEL MERINO ROJO Luis BENOIT Céline D’ERCEVILLE Sophie ADAMOPOULOS Dora DE LARRARD Brieuc CAVANAGH Maureen JARROUSSE Marie DALEY Mike KÖHLER Joachim HILDRETH Erin MARX Sebastian LAPIERRE François PAILLÉ Damien MENICACCI Armando SUTTON Jeremy This 72nd issue welcomes 25 experts FITZPATRICK Liam sharing their perspectives on LIANG HWEE Koh “Digital Vision”. SRINIVASAN Aravind SUMMERS Helen BERNAL ESCALANTE Jaime DE JESÚS ESPINOSA GALAVIZ José CASILLAS Elizabeth SAFADY Marcus KRUGER Murray VELÁZQUEZ Berenice IF YOU HAVE COMMENTS OR QUESTIONS, CONTACT US AT: [email protected] We strive to answer within 24 hours. We are at GMT+01 summer (Paris / France) Points de Vue - International Review of Ophthalmic Optics cl2 Number 72 - Autumn 2015 Eva Lazuka-Nicoulaud Director of the Publication EDITO DIGITAL VISION Between the time spent drafting an editorial on your tablet, looking at your smartphone, checking traffic on your GPS, then arriving at the office and answering e-mails on your laptop, reading a few e-documents, attending e-conferences via hangouts, always with your eyes riveted to the screen - then returning home and checking the news and social media on your PC or leafing through your e-book, you can spend several hours a day in front of screens of various sizes. These days it’s perfectly common to live in this ultra- connected and multi-screen environment. If we’re to believe the latest research, nearly 61% of Americans spend more than five hours a day in front of a screen*. On average we use four different screens per person, either simultaneously or in succession**. That’s cer- tainly a widespread practice, but it’s poorly suited to how our vision system operates. Human eyes aren’t bio- “These days it’s perfectly logically designed for near vision, which is supposed to be limited to a brief accommodation reflex. Staring common to live in this ultra- wide-eyed into digital devices while maintaining a rigid connected and multi-screen and largely unnatural posture is bound to have physio- logical repercussions. Digital asthenopia affects up environment” to 90% of all users**, and reports of physical pain, ophthalmic disorders and endocrine disruption affecting melatonin or cortisol secretion*** - all potentially the result of overexposure to displays - are multiplying. These findings underscore the paradox between a digital society and physiological reality, and prompt the question: can we live (well) in a connected world? The vision health sector is offering a wide range of solutions for tackling that question: new diagnostic tools, personalized protocols and treatments, advances in ophthalmic optics and lens technology, patient education and awareness, and so on. The new technology itself is making a contribution, thanks to mobile apps, connected devices, big data, professional networks and sites that publish scientific studies and help in education, coordination and collaboration between stakeholders. And since the ophthal- mic optics industry is first and foremost a field of innovation, there is a continuing focus on research and development, both to design innovative devices and to conduct clinical studies that will help us identify risks and outline new preventive or curative strategies. In this 72nd issue of Points de Vue, we try to make sense of these latest trends and developments by once again calling on experts from around the world as well as digital artists, to give us a multi-faceted perspective on digital technology and its implications. Our multi-screen existence is opening up a host of technical, cultural, social and en- tertainment possibilities that are changing the way we view the world and redefining our societies... and their relationship with vision health. It’s our role to anticipate needs and face up to the major challenges posed by the digital world, to live well while being Zen and connected! *2015 report from The Vision Council, USA; see article on page 14 ** 2014 international Ipsos study; see article on page 38 *** Experts’ voice; see article on page 06 Points de Vue - International Review of Ophthalmic Optics www.pointsdevue.com Number 72 - Autumn 2015 3 CONTENT 72 AUTUMN 2015 - BI-ANNUAL - OFFERED © 2015 ESSILOR INTERNATIONAL WWW.POINTSDEVUE.COM 03 EDITORIAL 37 MARKET WATCH 38. THE WORLD OF MULTIPLE SCREENS: A REALITY 06 EXPERTS’ VOICE THAT IS AFFECTING USERS’ VISION AND POSTURE Sophie D’Erceville 06. THE CHALLENGES OF CONNECTED VISION 45. WILL “DIGITAL VISION” MEAN A BLURRY FUTURE? IN A MULTI-SCREEN WORLD Maureen Cavanagh Jaime Bernal Escalante, Elizabeth Casillas, José de Jesús Espinosa Galaviz, Pr Joachim Köhler, Dr Koh Liang Hwee, Sebastian Marx, Luis Ángel Merino Rojo, Dr Aravind Srinivasan, Helen Summers, Berenice Velázquez 14. DIGITAL EYE STRAIN IN THE USA: OVERVIEW BY THE VISION COUNCIL 53 PRODUCT Mike Daley, Dora Adamopoulos, Erin Hildreth 54. NEW OPHTHALMIC LENSES FOR A CONNECTED LIFE: EYEZEN™ FOR AMETROPES AND EMMETROPES, AND VARILUX® DIGITIME™* FOR PRESBYOPES Céline Benoît, Marie Jarrousse 21 SCIENCE 68. THE NEW RANGE OF EYEZEN™ LENSES: 22 IMPACT OF NEW DIGITAL TECHNOLOGIES WHAT ARE THE BENEFITS PERCEIVED BY WEARERS ON POSTURE DURING SCREEN USE? Damien Paillé Brieuc de Larrard 31 CLINIC 75 ART AND VISION 32. THE DIGITAL ENVIRONMENT AND ASTHENOPIA 76. DIGITAL ART: A NEW WAY OF LOOKING Interview with Marcus Safady AT THE WORLD Liam Fitzpatrick, Murray Kruger, François Lapierre, Armando Menicacci, Jeremy Sutton WE THANK ALL AUTHORS AND CO-AUTHORS FOR THEIR VALUABLE AND VOLUNTARY (UNPAID) CONTRIBUTION TO POINTS DE VUE. TO ENSURE BOTH CREDIBILITY AND IMPARTIALITY OF THE CONTENT, WE DO NOT FUND SIGNED ARTICLES, AND IN THE SAME WAY WE OFFER THE MAGAZINE FOR FREE TO READERS, BOTH THROUGH PRINT AND ONLINE. Points de Vue - International Review of Ophthalmic Optics 5 Number 72 - Autumn 2015 “DISPLAYS EXACERBATE “ THE HUMAN EYE AND BRAIN WERE EXISTING VISUAL NOT DESIGNED FOR DEFECTS AND ALSO EXTENDED NEAR AFFECT THOSE WHO DO VISION.” NOT WEAR GLASSES.” ARAVIND SRINIVASAN page 07 MARCUS SAFADY page 33 “THE LONGER AND MORE FREQUENTLY ONE USES DIGITAL DEVICES, THE “OVEREXPOSURE TO BLUE LIGHT EMITTED BY SCREENS MORE ONE IS AFFECTED CAN DISRUPT THE SECRETION VERBATIMS BY OCULAR OR PHYSICAL OF MELATONIN AND THUS SYMPTOMS” AFFECT THE QUALITY OF SLEEP.” SOPHIE D’ERCEVILLE page 41 KOH LIANG HWEE page 08 ““DIGITAL VISION” WILL LIKELY “WE HAVE A REAL HAVE A SOCIO-ECONOMIC ROLE TO PLAY IN IMPACT ON THE WORLD.” THE TREATMENT OF DISORDERS RELATED TO DIGITAL DISPLAYS.” MAUREEN CAVANAGH page 52 ELIZABETH CASILLAS page 10 “WHEN INTERACTING WITH DIGITAL DEVICES, THE SUBJECTS HAVE A HIGHLY STATIC, SOMEWHAT RIGID POSTURE.” DAMIEN PAILLÉ page 30 “THE INCREASE IN OPHTHALMIC DISORDERS IS LINKED TO THE PROLIFERATION OF SCREENS AND THE TIME SPENT WATCHING THEM” HELEN SUMMERS page 07 Points de Vue - International Review of Ophthalmic Optics 4 Number 72 - Autumn 2015 THE CHALLENGES OF DIGITAL VISION IN A MULTI-SCREEN WORLD In this new digital era, there are new risks for user eyes and new challenges for vision care professionals. Ten experts, optometrists, ophthalmologists and researchers have addressed this broad topic and offer us their experience and thoughts in the form of verbatim comments. This overview has been divided into three main thematic areas: risks and prevention, professional practices, and projections and expectations. EXPERT’S VOICE EXPERT’S Jaime Bernal Escalante, OD 1. RISKS AND PREVENTION Optometrist – Aguascalientes, Mexico Elizabeth Casillas, OD What effects do digital displays have on health? Department of Optometry – Autonomous University of Aguascalientes, Mexico The main risks, whether they are known, José de Jesús Espinosa Galaviz, OD, FCOVD-I, FCSO, MSc Optometrist – Centro visual integral, Ciudad Victoria, Mexico suspected or potential, primarily concern vision, Pr. Joachim Köhler but may also affect other functions. Experts are Professor of Optometry – Beuth Hochschule für Technik Berlin, reassuring however: good visual hygiene, regular University of Applied Science, Germany eye exams by professionals, appropriate optical Dr. Koh Liang Hwee Optometry Bsc(Hons), PhD (UK) solutions and enhanced public awareness pro- Optometrist – Pearl’s Optical, Singapore vide effective prevention. Sebastian Marx, Dipl.-Ing. (FH) AO, FIACLE JENVIS Research c/o Ernst-Abbe-University of Applied Sciences Jena, Germany Impact of digital displays on vision Luis Ángel Merino Rojo, OD Optometrist – Central Óptica Burgalesa, Burgos, Spain “Our visual system is biologically designed for Dr. Aravind Srinivasan, MD distance vision. Near vision is only an accom- Director, Projects Aravind Eye Care System, India modation reflex that helps us quickly identify Helen Summers, Master Optom; Grad Cert Oc Th; Fellow ACBO; GAICD Optometrist – Darwin, Australia objects close at hand. Our eyes are not designed to stare at screens for hours on end.” Berenice Velázquez Behavioral Optometrist, Mexico José de Jesús Espinosa Galaviz KEYWORDS