Using Light Meters to Investigate the Light-Myopia Association – A Literature Review of Devices and Research Methods

• Published in: Clinical ophthalmology (Auckland, N.Z.) Vol. 17; pp. 2737 - 2760
• Main Authors: Hönekopp, Astrid, Weigelt, Sarah
• Format: Journal Article
• Language: English
• Published: Dove 01.01.2023; Dove Medical Press
• Subjects: light exposure; lux; myopia; outdoor exposure; Review; wearables
• ISSN: 1177-5483; 1177-5467; 1177-5483
• DOI: 10.2147/OPTH.S420631

With the increasing prevalence of myopia, evaluating its relationship with objective light exposure as a potential adjustable environmental factor in myopia development has been an emerging research field in recent years. From a thorough literature search, we identify ten wearable light meters from human studies on light exposure and myopia and present an overview of their parameters, thereby demonstrating the wide between-device variability and discussing its implications. We further identify 20 publications, including two reanalyses, reporting investigations of light-myopia associations with data from human subjects wearing light meters. We thoroughly review the publications with respect to general characteristics, aspects of data collection, participant population, as well as data analysis and interpretation, and also assess potential patterns regarding the absence or presence of light-myopia associations in their results. In doing so, we highlight areas in which more research is needed as well as several aspects that warrant consideration in the study of light exposure and myopia.