One pupil dilated one normal9/12/2023 Reduced ability in accommodation testing.Other ocular and developmental consequences from extended screen time, according to Dr. "The problem is not in the eye directly, but it is affecting sympathetic responses that are shown in the eye." "When this pattern is present, one must suspect some type of video game syndrome," he says. "If reading, there is more tendency to focus, but it is easy to tell when I walk into the room and take a look at pupils with my retinoscope. It is more scanning during social media or playing a game, in which you have to be aware of the 'attackers' in a video game coming from all directions. You can't stop and look at them or something will attack you from another direction. This is the origin of the defocus pattern. "Defocus only occurs when we're scanning on social media or gaming," Dr. Because I have only noticed this pattern for the past 18 months to two years, I do not know what the long-term effects will be as there has been very little time to study it and its effects on other sympathetic body processes. One can imagine how a pattern of defocus could interfere with the ability to perform in the classroom and other activities requiring focus, such as school work. "Pupils are smaller during focus and larger during defocus. "I call this pattern of large pupil size defocus," he says. I have tried to link it to medications and other things but the most consistent has been device use. This is a significant change in the number seen in a very short time frame. "Now I see five or six a day in a pediatric population (our clinic defines pediatric as birth to 12 years of age). "In past years, I would see maybe one congenitally large pupil a semester," Dr. But the consistent factor among his patients, he says, appears to be prolonged phone or tablet use. Enlarged or dilated pupils can be caused by a number of factors: medications, drug use, eye and brain injuries, recreational drug use and eye diseases. Steele has taken note of enlarged pupils-extremely large pupils between 7 and 10 millimeters that may respond to light but not to accommodation-among some of the younger patients he sees. He has taught and provided patient care at Southern College of Optometry in Memphis, Tennessee, for 50 years. Steele, long-time advocate for children's vision. "There are many individuals, groups and organizations looking at this phenomenon," says Dr. He has linked this to children's use of cellphones and tablets. Steele says, so he also was concerned about what was happening with other body processes, such as accelerated heart rates, widened bronchial passageways, constricted blood vessels, perspiration and raised blood pressure. An increase in pupil size does not happen in isolation, Dr. Over the past two years, Glen Steele, O.D., has been tracking a marked increase in the magnitude of changes in pupil size and the number of children showing this pattern. "And the shift from TV to online viewing means kids are often watching content alone, and there are fewer opportunities for shared experiences with family." Seeing a pattern 29) shows worrisome indicators as our most vulnerable population-our kids-are spending a lot of time on unregulated, unrated platforms that deliver content that can be inappropriate or even dangerous," said James Steyer, Common Sense's founder/CEO. The study, which updates a 2015 Common Sense report, is based on a national representative survey of more than 1,600 young people from 8 to 18. While half of teens still read for fun at least once a week, nearly a third of them say they read for pleasure less than once a month. A majority (53%) of kids have their own smartphones by the time they are 11, 69% at age 12. The number of 8-year-olds with phones grew from 11% in 2015 to 19% in 2019. That doesn't even include the time they put in doing homework on their devices, the census' authors note.įurther, Common Sense found device users are getting younger. tweens and teens are still spending a good portion of time daily looking at screens: 8- to 12-year-olds now average nearly five hours of screen media a day (4:44), and teens from 13 to 18 view more than seven hours (7:22) per day. Its 2019 census found, among other things, that U.S. Just this week, the media advocacy group, Common Sense, issued a report on media use by young people.
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