Optical Prism July 2018 | Page 33

“So we need to put the two together – limit the screen time and hope that this moves children back to more outdoor play.” Those are among the recommendations for the safe use of electronic screens contained in a joint position statement by the Canadian Association of Optometrists and Canadian Ophthal- mological Society. CAO president Dr. Michael Dennis said the organizations decided to create the position statement, entitled “Effects of electronic screens on chil- dren's vision and recommendations for safe use,” because of their collective concern that too much screen time can be harmful to children's eyes. “We know screens in all forms – television, computers, smart phones – are prevalent in our society and chil- dren spend far more time on screens now than ever before,” Dennis tells Optical Prism magazine. “Myopia rates in children are soaring. A 2016 study by researchers at the University of Waterloo found that the rates of myopia were just six per cent in children aged six to eight but increased to nearly 29 per cent in chil- dren aged 11 to 13. This suggests that as kids get older, they are spending more time on screens and less time outside playing, when we know that exposure to outdoor light reduces the onset of myopia. The group reviewed current literature on ocular and visual symptoms relat- ed to electronic screen use in children and then drafted evidence-based recommendations for safe use. “So we need to put the two together – limit the screen time and hope that this moves children back to more outdoor play.” Other research, including reports from South Korea, suggested that longer use of smartphones was associated with higher odds of developing multiple ocular symptoms in childhood, the daily duration of smartphone use was a risk factor for dry eye disease in children aged nine to 11 and screen use may interfere with children's sleep due to the emission of blue light. Dennis said the guidelines were developed by a working group, which included representatives of both professions. The available research, which the report says is scant overall, included a 2014 survey of 200 American chil- dren between the ages of 10 and 17 that found that 80 per cent of participants reported burning, itchy or tired eyes after using portable electronic devices. OPTICAL PRISM | July 2018 31