2/2/20 Digital use around the World The Digital Eyestrain EXPLOSION! KRIS KERESTAN GARBIG, O.D. [email protected] 2 3 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 4 5 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 6 7 1 2/2/20 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 8 9 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 10 11 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 12 13 2 2/2/20 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 14 15 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 16 17 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 18 19 3 2/2/20 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 %) 20 21 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. 22 23 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 24 25 4 2/2/20 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 26 27 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) 28 29 Blue Light Research § Cumulative and constant exposure to Blue light can damage retinal cells resulting in irreversiBle damage • Macular degeneration • Cataracts 30 31 5 2/2/20 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 32 33 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 34 35 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 36 37 6 2/2/20 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? 38 39 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. 40 41 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 42 43 7 2/2/20 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 44 45 Digital Lens TREATMENTS § Colored Filters § “Protection the way Nature Intended” § Filters out harmful Blue and violet light § Prevention