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November 13, 2019British Journal of Ophthalmology

How does spending time outdoors protect against myopia? A review

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Authors

GLGareth LinghamDMDavid A. MackeyRLRobyn Lucas

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Overview

Review shows bright light exposure protects against myopia in children, indicating opportunities for targeted optical and environmental interventions.

Key Points

  • To review and evaluate the evidence for eight hypothesized environmental and physiological mechanisms through which spending time outdoors protects against childhood myopia.
  • Synthesized existing scientific evidence across eight proposed outdoor protective factors: ambient light intensity, peripheral defocus, vitamin D levels, light chromatic spectrum, physical activity, circadian rhythm entrainment, near work reduction, and high spatial frequency energies.
  • Exposure to brighter ambient light demonstrated strong, solid evidence for reducing the risk of developing myopia.
  • Peripheral defocus, light spectrum variations, circadian rhythm synchronization, and high spatial frequency characteristics represent plausible mechanisms but currently lack conclusive human evidence.
  • Elevated vitamin D levels, increased physical activity, and reduced near work appear unlikely to mediate the protective relationship between outdoor time and myopia.

Cite This Study

Lingham et al. (2019) studied this question.

synapsesocial.com/papers/69d8164e61e2ce1627d18c62https://doi.org/10.1136/bjophthalmol-2019-314675
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Research Progress on the Impact of Outdoor Activities on Myopia in Children and Adolescents2024
  2. 2IMI: The Role of Light in Refractive Development and Myopia: Evidence from Animal and Human Studies2025 · 21 citations
  3. 3Time outdoors prevents myopia in hyperopic children, but protection is weaker in premyopic children: a post-hoc analysis of a cluster-randomised trial2025
  4. 4Correlation between Screen Time, Outdoor Activity, and Myopia Progression in Urban School-aged Children: A Concise Review2025 · 2 citations
  5. 5Myopia and Environmental Risk Factors: A Comprehensive Study2024