One of the special pleasures of being Australian is driving down the long stretches of country roads and seeing into the far distance. Indeed this is one of the many benefits which our children have inherited—the vastness of our beautiful home.
Driving is more pleasurable if your eyesight is good. This is because sharp vision allows you to drive faster, and what young person doesn’t want to drive quickly, allowing hundreds of kilometres to pass under the rhythm of the wheels. But if young people have to wear glasses because they are short sighted their driving pleasure is lessened. A young 25-year-old driver should in theory be able to drive at speed, on a moon lit night without using the lights. The road should appear almost as visible as during the day—that’s what good eyesight means.
Now however short sightedness, or myopia, is becoming increasingly common among young people. In Asian countries the situation is so bad it’s almost unbelievable. In Seoul, South Korea, some 95 per cent of 19-year-old boys need to wear glasses because of myopia. According to an article by Chris Smith, published recently in The Australian newspaper, researchers found that 30 per cent of six-year-olds in Singapore need glasses, and in Britain the figure is 23 per cent of 12 and 13-year-olds. In China students fare quite badly, with about 40 to 80 per cent of students in urban areas having myopia.
Here in Australia the situation is much better. One study found that less than two per cent of Australian children starting school have myopia. At the beginning of high school this rises to about seven per cent, and by university about 30 per cent of Australian children have myopia. Most commonly, myopia starts to develop when children are in Year 1 to Year 3. While we are doing much better than Asian countries we should not be taking our eyesight for granted. It could and should be better.
Causes of myopia
There is an increasing volume of research into myopia but because it’s very difficult to gain accurate information on exactly what children do with their eyes, and collect this information over a number of years, research conclusions differ. Most studies however place the blame on children spending too much time indoors.
Chinese children spend long hours studying. In Singapore children are outside for less than half an hour a day. Australian children at the moment seem to spend two hours a day outside. Spending time outside means in the sunlight, and as a factor this is more important than the time spent on the computer screen, or reading for that matter. An Australian study found that three hours per day is required to achieve a level of protection against myopia.
Researchers agree less on the effects of using a computer screen. Some studies find no significant difference, while other experts in the field suggest that the risk is only slight, and there would need to be extensive computer screen use to produce negative effects. This might, it is hypothesised, have something to do with the constant contraction of eye muscles, at a constant distance. Books it would seem are not as bad as the distance between the eyes and the book changes from time to time.
Which brings me to the next point—the danger of smartphones. Even young children are using these devices, and very often holding them very close to their faces, perhaps less than 30 cm, which compares very unfavourably with book reading. Books are usually held from at least 40 cm from the eyes. Children can be spending one to two hours a day staring at smartphones. Some eye health professionals are now suggesting that smart phones will help achieve a myopia rate of up to 30 to 40 per cent, by the time students reach 30 years old.
If all this is not bad enough optometrists are now warning that phone and computer screens emit ‘blue light’ which could damage children’s eyes over time. An excessive dose of blue light is apparently cumulative leading to changes to the back of the retina. Young children have very clear lenses inside their eyes which allow “a lot of blue light to pass through” (see Clarissa Bye, Blinded by blue light, Daily Telegraph, 12 Nov 2016, p. 32). We can expect that from now on more research studies will be carried out.
Four rules for eye health
All these studies and results are easily available. While there is some disagreement among researchers the basic advice for children, especially young children is as follows. (1) Children need at least two to three hours out in good sunlight per day. It’s the brightness of the light which is important. (2) Screen time, especially with young children, needs to be kept as little as possible, actually in my opinion close to zero. Many things that are presently learned on computer screens can also be learned with pencil and paper. (3) Where the computer screen is being used it needs to be as far away from the eyes as is comfortable. The head should not be tilted up or down (4) Children need to give their eyes a break from looking at the screen. Opinions differ here but at least once or twice an hour children should be looking outside into the far distance, for say 1 to 10 minutes. This gives the eyes a rest.
The research findings concerning children’s eye health have implications for what happens at school, and how home work is set and done. Children should be given time outside for physical education, but too often this is the subject area which is cut in order to cope with an increasingly crowded curriculum. Parents must make up this time if necessary.
The need for outdoor time and the dangers of computer screen overuse means that less homework needs to be set. It is vital that young children do a limited amount of home work and there are quite a number of educational reasons for this as well as eyesight considerations.
Part 2
Part two of this article on screen problems is concerned with the negative effects on children’s brains and on their educational performance. Today students of all ages are spending very large amounts of time playing on the Internet, using computer games, and communicating in different ways with social media. Of course there is no doubt that these improvements in the power of information processing and communication are quite staggering.
School and university libraries started getting serious about computers from about the 1980s—and that’s not so long ago.