AIM:To determine the smartphone use patterns and effects of smartphone use on accommodation and convergence system of the eyes among Malaysian teenagers.METHODS:A total of 62 participants aged between 13 and 17y were ...AIM:To determine the smartphone use patterns and effects of smartphone use on accommodation and convergence system of the eyes among Malaysian teenagers.METHODS:A total of 62 participants aged between 13 and 17y were involved.A self-administered questionnaires containing 12 items was used to evaluate the smartphone usage patterns.This was followed by an eye examination,involving a battery of accommodation and convergence assessments before and after the smartphone use.The data analysis comprised descriptive statistics,paired t-test,and correlation coefficients.RESULTS:The use of smartphones is at a high level and at an optimal distance daily,with more than 6h a day watching video films,games,and completing school projects.Majority of the participants not reported eye strain factors and eye prescription changes with the use of digital devices.The use of a smartphone continuously for 30min was found to significantly decrease amplitude of accommodation,accommodative facility,and positive relative accommodation(P<0.001).Meanwhile,the lag of accommodation parameters and negative relative accommodation increased with the use of smartphones significantly(P<0.001).The near point of convergence(NPC)and distance and near negative fusional vergence decreased significantly(P<0.001).The NPC parameter was found to have a weak negative association with the frequency of smartphone use(R=-0.276,P<0.05).CONCLUSION:Frequent and continuous use of smartphones have increased visual stress and resulted in weakness of accommodation and vergence functions.Therefore,frequent break is mandatory when using a smartphone and appropriate visual hygiene,the 20-20-20 rule(every 20min,view something 20 feet away for 20s)are required during smartphone use to maintain visual function.展开更多
AIM:To determine the association between distance and near visual acuity(VA)and cognitive function among older adults in Selangor,Malaysia.METHODS:A total of 230 older adults(age≥60y)participated in this study.Habitu...AIM:To determine the association between distance and near visual acuity(VA)and cognitive function among older adults in Selangor,Malaysia.METHODS:A total of 230 older adults(age≥60y)participated in this study.Habitual distance and near VA were measured using the Early Treatment Diabetic Retinopathy Study Chart and Lighthouse Near Visual Acuity Chart,respectively.Global cognitive function was assessed using the Mini-Mental State Examination(M-MSE)and the Malay language version of the Montreal Cognitive Assessment(M-MoCA).Digit Symbol(DS)subtest was used to measure information processing.RESULTS:No significant association was observed between vision and M-MSE and M-MoCA scores.However,poor distance and near VA were found to be significantly associated with low DS scores[distance VA:β=-0.01,R2=0.1,P=0.02;odds ratio(OR)=2.84,95%confidence interval(CI),1.10-7.33,P=0.03;near VA:β=-0.05,R2=0.08,P=0.00;OR=3.32,95%CI,1.28-8.59,P=0.01].CONCLUSION:Poor vision is associated with a decline in information processing in older adults and substantiates the importance of preserving good vision in maintaining cognitive function.展开更多
文摘AIM:To determine the smartphone use patterns and effects of smartphone use on accommodation and convergence system of the eyes among Malaysian teenagers.METHODS:A total of 62 participants aged between 13 and 17y were involved.A self-administered questionnaires containing 12 items was used to evaluate the smartphone usage patterns.This was followed by an eye examination,involving a battery of accommodation and convergence assessments before and after the smartphone use.The data analysis comprised descriptive statistics,paired t-test,and correlation coefficients.RESULTS:The use of smartphones is at a high level and at an optimal distance daily,with more than 6h a day watching video films,games,and completing school projects.Majority of the participants not reported eye strain factors and eye prescription changes with the use of digital devices.The use of a smartphone continuously for 30min was found to significantly decrease amplitude of accommodation,accommodative facility,and positive relative accommodation(P<0.001).Meanwhile,the lag of accommodation parameters and negative relative accommodation increased with the use of smartphones significantly(P<0.001).The near point of convergence(NPC)and distance and near negative fusional vergence decreased significantly(P<0.001).The NPC parameter was found to have a weak negative association with the frequency of smartphone use(R=-0.276,P<0.05).CONCLUSION:Frequent and continuous use of smartphones have increased visual stress and resulted in weakness of accommodation and vergence functions.Therefore,frequent break is mandatory when using a smartphone and appropriate visual hygiene,the 20-20-20 rule(every 20min,view something 20 feet away for 20s)are required during smartphone use to maintain visual function.
基金Supported by the Ministry of Higher Education Malaysia Long-Term Research Grant Scheme(LRGS/BU/2012/UKM-UKM/K/01)Cabaran Perdana Grant Scheme(DCP-2017-002/1)。
文摘AIM:To determine the association between distance and near visual acuity(VA)and cognitive function among older adults in Selangor,Malaysia.METHODS:A total of 230 older adults(age≥60y)participated in this study.Habitual distance and near VA were measured using the Early Treatment Diabetic Retinopathy Study Chart and Lighthouse Near Visual Acuity Chart,respectively.Global cognitive function was assessed using the Mini-Mental State Examination(M-MSE)and the Malay language version of the Montreal Cognitive Assessment(M-MoCA).Digit Symbol(DS)subtest was used to measure information processing.RESULTS:No significant association was observed between vision and M-MSE and M-MoCA scores.However,poor distance and near VA were found to be significantly associated with low DS scores[distance VA:β=-0.01,R2=0.1,P=0.02;odds ratio(OR)=2.84,95%confidence interval(CI),1.10-7.33,P=0.03;near VA:β=-0.05,R2=0.08,P=0.00;OR=3.32,95%CI,1.28-8.59,P=0.01].CONCLUSION:Poor vision is associated with a decline in information processing in older adults and substantiates the importance of preserving good vision in maintaining cognitive function.
