C (Covid) Kuşağı, Ekranlı Araçlar ve Göz Sağlığı Üzerine Bir Alanyazın İncelemesi

Yıl 2022, Cilt: 11 Sayı: 1, 152 - 160, 29.04.2022

İbrahim Şahbaz

https://doi.org/10.47493/abantmedj.1070761

Öz

Çocukların davranışları farklı nesiller boyunca teknolojik ve sosyal gelişimlerden etkilenerek değişti. Koronavirüs pandemisi 2019 tarihinde ortaya çıkan virüs salgını ile birlikte bütün dünyaya yayıldı. Salgınla mücadele kapsamında gerek çalışma gerekse de eğitim ve öğretim şartları ciddi değişliklere uğradı. Uzaktan eğitimler ve ev ofis tarzında uzaktan çalışma tüm dünyada pandemi izolasyonu kapsamında uygulanmaya başladı. Bu durum akıllı telefon, bilgisayar, tablet ve diğer ekranlı araç kullanımını doğrudan yaşam tarzı haline getirerek, ekranlı dijital araçları hayatımızın ayrılmaz bir parçası olmasına sebep oldu. Bu yeni durum çocuk ve ergenlerde yeni bir kuşak olan ve C kuşağı (Covid) olarak da adlandırılabilecek dijital ekran alışkanlıkları ve yaşam farklılıkları önemli ölçüde değişen bir neslin yetişmesine yol açtı. 2019 dan itibaren C kuşağı olarak adlandırılabilecek çocuklar dünya ile iletişimlerini dijital bir ekran vasıtası ile yapar ve tanır hale geldiler. Böylece günümüz çocukları dijital akıllı cihazlarla çevrili bir dünyada büyüyorlar. Yaşamın temel bir parçası haline gelen akıllı telefonlar, televizyonlar, tabletler veya bilgisayarlar günlük yaşamlarında, evde ve okulda olduğu kadar ofis dışında da rutin kullanılan araçlar olarak hayatımızda yer aldı. Ekranlı dijital cihaz kullanım alışkanlıklarının değişmesi de beraberinde özellikle göz sağlığının ciddi oranda etkilenmesi sonucunu doğurdu. Bu araştırmada dijital ekranların göz sağlığı ve görme bozuklukları üzerine etkilerine yönelik bir alanyazın incelemesinin yapılması amaçlanmıştır. Bu doğrultuda doküman inceleme yöntemi ile bu konudaki bilimsel veriler incelenerek sentezlenmiş, günümüz dijital çağda alınabilecek koruyucu önlemler ve yenilikler ele alınmıştır.

Anahtar Kelimeler

Covid19, Göz, Işık, Miyop, Görme taraması

A Literature Review on C (Covid) Generation, Screen Devices and Eye Health

Öz

Children’s behavior has changed over different generations due to the influence of technological and social developments. The COVID-19 pandemic or coronavirus pandemic has spread all over the world with the virus outbreak that emerged in Wuhan, the capital of the Hubei region of China, on December 1, 2019. During the fight against the epidemic, both working and education conditions have undergone serious changes. Within the scope of pandemic isolation, distance education and home-office style remote working have started to be implemented all over the world. This situation has made the use of smartphones, computers, tablets and other screen devices directly into a lifestyle, and thus screened digital tools have become an integral part of our lives. This new situation has led to the growth of a new generation of children and adoles-cents, which can be called the C generation (Covid), whose digital screen habits and life differences have changed significantly. As of 2019, children who can be called C generation communicate with the world through a digital screen and become familiar with it. Thus, today's children are growing up in a world surrounded by digital smart devices. Smartphones, televisions, tablets or computers, which have become a fundamental part of daily life, have taken place in our lives as tools that are routinely used at home, school and office. The change in the usage habits of screened digital devices has resulted in a serious impact particularly on eye health. In this study, it is aimed to review the literature on the effects of digital screens on eye health and visual disorders. In this direction, the scientific data on this subject have been analyzed and synthesized with the document analysis method and the protective measures and innovations that can be taken in today’s digital age are discussed.

Anahtar Kelimeler

Covid19, Eye, Light, Myopia, Vision, Screening

Kaynakça

• Referans1.Parlak, B. (2017). Dijital çağda eğitim: Olanaklar ve uygulamalar üzerine bir analiz. Süleyman Demirel Üniversitesi, İktisadi ve İdari Bilimler Fakültesi Dergisi, 22(15), 1741–1759.
• Referans2.Mustafaoğlu, R., Zirek, E., Yasacı, Z., & Razak Özdinçler, A. (2018). The nega-tive effects of digital technology usage on children’s development and health. Addicta: The Turkish Journal on Addictions, 5, 227–247. http://dx.doi.org/10.15805/addicta.2018.5.2.0051
• Referans3.Sigman A. (2012). Time for a view on screen time. Archives of disease in childhood, 97(11), 935–942. https://doi.org/10.1136/archdischild-2012-302196
• Referans4.Sheppard, A. L., & Wolffsohn, J. S. (2018). Digital eye strain: prevalence, meas-urement and amelioration. BMJ open ophthalmology, 3(1), e000146. https://doi.org/10.1136/bmjophth-2018-000146
• Referans5.Kohsaka, A., & Bass, J. (2007). A sense of time: how molecular clocks organize metabolism. Trends in endocrinology and metabolism: TEM, 18(1), 4–11. https://doi.org/10.1016/j.tem.2006.11.005
• Referans6.Navel, V., Beze, S., & Dutheil, F. (2020). COVID-19, sweat, tears… and myopia? Clinical & experimental optometry, 103(4), 555. https://doi.org/10.1111/cxo.13086
• Referans7.Grzybowski, A., Kanclerz, P., Tsubota, K., Lanca, C., & Saw, S. M. (2020). A review on the epidemiology of myopia in school children worldwide. BMC ophthalmology, 20(1), 27. https://doi.org/10.1186/s12886-019-1220-0
• Referans8.Tedja MS, Wojciechowski R, Hysi PG, et al. (2018). Genome-wide association metaanalysis highlights light-induced signaling as a driver for refrac-tive error. Nat Gene, 50, 834–48
• Referans9.Huang, H. M., Chang, D. S., & Wu, P. C. (2015). The Association between near work activities and myopia in children-a systematic review and meta-analysis. PloS one, 10(10), e0140419. https://doi.org/10.1371/journal.pone.0140419
• Referans10.Alvarez-Peregrina, C., Sánchez-Tena, M. Á., Martinez-Perez, C., & Villa-Collar, C. (2020). The Relationship between screen and outdoor time with rates of myopia in Spanish Children. Frontiers in public health, 8, 560378. https://doi.org/10.3389/fpubh.2020.560378
• Referans11.WHO Guidelines on physical activity, sedentary behaviour and sleep for chil-dren under 5 years of age ,ISBN 978-92-4-155053-6
• Referans12.Wong, C. W., Tsai, A., Jonas, J. B., Ohno-Matsui, K., Chen, J., Ang, M., & Ting, D. (2021). Digital screen time during the COVID-19 Pandemic: Risk for a further myopia boom?. American journal of ophthalmology, 223, 333–337. https://doi.org/10.1016/j.ajo.2020.07.034
• Referans13.Holden, B. A., Fricke, T. R., Wilson, D. A., Jong, M., Naidoo, K. S., Sankaridurg, P., Wong, T. Y., Naduvilath, T. J., & Resnikoff, S. (2016). Global Preva-lence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology, 123(5), 1036–1042. https://doi.org/10.1016/j.ophtha.2016.01.006
• Referans14.Donders FC. (1864). On the Anomalies of Accommodation and Refraction of the Eye. Translated by W. D. Moore. The New Syndenham Society
• Referans15.Young, F.A. (1975). The development and control of myopia in human and subhuman primates. Contacto, 19, 16–31.
• Referans16.van Alphen G, W, H, M (1961). On emmetropia and ametropia (Part 1 of 4). Ophthalmologica, 142(suppl 1), 1–23. doi: 10.1159/000304181
• Referans17.Parsons JH. (1906). The pathology of the eye. Vol. 3. New York NY: G. P. Put-nam' s Sons.
• Referans18.Chung, K., Mohidin, N., & O'Leary, D. J. (2002). Undercorrection of myopia enhances rather than inhibits myopia progression. Vision research, 42(22), 2555–2559. https://doi.org/10.1016/s0042-6989(02)00258-4
• Referans19.Adler, D., & Millodot, M. (2006). The possible effect of undercorrection on my-opic progression in children. Clinical & experimental optometry, 89(5), 315–321. https://doi.org/10.1111/j.1444-0938.2006.00055.x
• Referans20.Hayes, J. R., Sheedy, J. E., Stelmack, J. A., & Heaney, C. A. (2007). Computer use, symptoms, and quality of life. Optometry and vision science. Offi-cial publication of the American Academy of Optometry, 84(8), 738–744. https://doi.org/10.1097/OPX.0b013e31812f7546
• Referans21.Randolph, S. A. (2017). Computer vision syndrome. Workplace Health & Safety, 65(7), 328–328. https://doi.org/10.1177/2165079917712727
• Referans22.Sheedy, J. E., Hayes, J. N., & Engle, J. (2003). Is all asthenopia the same? Optom-etry and vision science: Official publication of the American Academy of Op-tometry, 80(11), 732–739. https://doi.org/10.1097/00006324-200311000-00008
• Referans23.Ehrlich D. L. (1987). Near vision stress: vergence adaptation and accommoda-tive fatigue. Ophthalmic & physiological optics. the journal of the British College of Ophthalmic Opticians (Optometrists), 7(4), 353–357.
• Referans24.Bababekova, Y., Rosenfield, M., Hue, J. E., & Huang, R. R. (2011). Font size and viewing distance of handheld smart phones. Optometry and vision sci-ence: official publication of the American Academy of Optometry, 88(7), 795–797. https://doi.org/10.1097/OPX.0b013e3182198792
• Referans25.Portello, J. K., Rosenfield, M., & Chu, C. A. (2013). Blink rate, incomplete blinks and computer vision syndrome. Optometry and vision science: Official publication of the American Academy of Optometry, 90(5), 482–487. https://doi.org/10.1097/OPX.0b013e31828f09a7
• Referans26.Sheedy, J. E., Truong, S. D., & Hayes, J. R. (2003). What are the visual benefits of eyelid squinting? Optometry and vision science: Official publication of the American Academy of Optometry, 80(11), 740–744. https://doi.org/10.1097/00006324-200311000-00009
• Referans27.Watten, R. G., Lie, I., & Birketvedt, O. (1994). The influence of long-term visual near-work on accommodation and vergence: a field study. Journal of human ergology, 23(1), 27–39.
• Referans28.Sen, A., & Richardson, S. (2007). A study of computer-related upper limb dis-comfort and computer vision syndrome. Journal of human ergology, 36(2), 45–50.
• Referans29.American Optometric Association. Computer vision syndrome (2020). Erişim: https://www.aoa.org/healthyeyes/eye-and-vision-conditions/computer-vision-syndrome
• Referans30.Collier, J. D., & Rosenfield, M. (2011). Accommodation and convergence dur-ing sustained computer work. Optometry (St. Louis, Mo.), 82(7), 434–440. https://doi.org/10.1016/j.optm.2010.10.013
• Referans31.Wick, B., & Morse, S.E. (2002). Accommodative accuracy to video display monitors. Poster #28. Optometry and Vision Science, 79, 218.
• Referans32.van der Lely, S., Frey, S., Garbazza, C., Wirz-Justice, A., Jenni, O. G., Steiner, R., Wolf, S., Cajochen, C., Bromundt, V., & Schmidt, C. (2015). Blue blocker glasses as a countermeasure for alerting effects of evening light-emitting diode screen exposure in male teenagers. The Journal of adoles-cent health: official publication of the Society for Adolescent Medicine, 56(1), 113–119. https://doi.org/10.1016/j.jadohealth.2014.08.002
• Referans33.Mollaoğlu, H., Özgüner M. F. (2005). Yaşlanma sürecinde melatoninin rolü. S.D.Ü. Tıp Fak. Derg., 12, 52–56.
• Referans34.Çam, A., & Erdoğan M. F. (2003). Melatonin. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 56, 103–112.
• Referans35.Palavets, T., & Rosenfield, M. (2019). Blue-blocking filters and digital eye-strain. Optometry and vision science : official publication of the American Academy of Optometry, 96(1), 48–54. https://doi.org/10.1097/OPX.0000000000001318
• Referans36.Lawrenson, J. G., Hull, C. C., & Downie, L. E. (2017). The effect of blue-light blocking spectacle lenses on visual performance, macular health and the sleep-wake cycle: a systematic review of the literature. Ophthalmic & physiological optics. the journal of the British College of Ophthalmic Opti-cians (Optometrists), 37(6), 644–654. https://doi.org/10.1111/opo.12406
• Referans37.Huang, L., Kawasaki, H., Liu, Y., & Wang, Z. (2019). The prevalence of myopia and the factors associated with it among university students in Nan-jing: A cross-sectional study. Medicine, 98(10), e14777. https://doi.org/10.1097/MD.0000000000014777
• Referans38.Cohen, Y., Peleg, E., Belkin, M., Polat, U., & Solomon, A. S. (2012). Ambient illuminance, retinal dopamine release and refractive development in chicks. Experimental eye research, 103, 33–40. https://doi.org/10.1016/j.exer.2012.08.004
• Referans39. Feldkaemper, M., & Schaeffel, F. (2013). An updated view on the role of do-pamine in myopia. Experimental eye research, 114, 106–119. https://doi.org/10.1016/j.exer.2013.02.007
• Referans40.Wang, J., Li, Y., Musch, D. C., Wei, N., Qi, X., Ding, G., Li, X., Li, J., Song, L., Zhang, Y., Ning, Y., Zeng, X., Hua, N., Li, S., & Qian, X. (2021). Progres-sion of Myopia in School-Aged Children After COVID-19 Home Con-finement. JAMA ophthalmology, 139(3), 293–300. https://doi.org/10.1001/jamaophthalmol.2020.6239
• Referans41.National Aeronautics and Space Administration, Science Mission Directorate. (2010). Visible Light. Erişim: http://science.nasa.gov/ems/09_visiblelight
• Referans42.Zee PC, & Manthena, P. (2007) The brain’s master circadian clock: implica-tions and opportunities for therapy of sleep disorders. Sleep Med Rev, 11, 59–70.
• Referans43.Izac, S. M., & Eeg, T. R. (2006). Basic anatomy and physiology of sleep. Ameri-can journal of electroneurodiagnostic technology, 46(1), 18–38.
• Referans44.Szymusiak R, & McGinty D. (2008). Hypothalamic regulation of sleep and arousal. Ann N Y Acad Sci, 1129, 275–286.
• Referans45.Zhu, L., & Zee, P. C. (2012). Circadian rhythm sleep disorders. Neurologic clin-ics, 30(4), 1167–1191. https://doi.org/10.1016/j.ncl.2012.08.011
• Referans46.Rodrigues et al. (2020). BMC Public Health. 20, 902. Erişim: https://doi.org/10.1186/s12889-020-09026-4
• Referans47.Wahl S, Engelhardt M,Schaupp P, Lappe C, & Ivanov IV. (2019). The inner clock—Blue light sets the human rhythm. J. Biophotonics, 12, e201900102. https://doi.org/10.1002/jbio.201900102
• Referans48.Bayraktar, B (2019). Investigation of circadian rhythm, physiology and physi-ological melatonin rhythm.
• Referans49.Houser, K. W., & Esposito, T. (2021). Human-Centric Lighting: Foundational Considerations and a Five-Step Design Process. Frontiers in neurology, 12, 630553. https://doi.org/10.3389/fneur.2021.630553
• Referans50.Coşkuner, S., & Öztop, H. (2016), Farklı Kullanım Alanlarının Aydınlatılması: Verimlilik ve Temel İlkeler, Hacettepe Üniversitesi Sosyolojik Araştırmalar E-Dergisi, 1–20.
• Referans51.Şerefhanoğlu Sözen, M., (2001), Aydınlatma teknik ve estetik. Arrademento Mimarlık Dergisi, 5, 116.
• Referans52.Baysal L, Bebek, N., & Baykan, B. (2014). Fotosensitivite ve refleks epilepsiler. Epilepsi, 20 (Ek 1), 23–31. DOI: 10.5505/epilepsi.2014.49469
• Referans53.Erkin, E. (2012). Ofis binaları için aydınlatma enerjisi tasarruf potansiyelleri hesaplama amaçlı bir yöntem önerisi. Doktora Tezi. Enerji Bilim ve Teknoloji Anabilim Dalı Enerji Bilim ve Teknoloji Programı.
• Referans54.O'Hagan, J. B., Khazova, M., & Price, L. L. (2016). Low-energy light bulbs, computers, tablets and the blue light hazard. Eye (London, England), 30(2), 230–233. https://doi.org/10.1038/eye.2015.261
• Referans55.Ducloux, A., Marillet, S., Ingrand, P., Bullimore, M. A., Bourne, R., & Leveziel, N. (2021). Progression of myopia in teenagers and adults: a nationwide longitudinal study of a prevalent cohort. The British journal of ophthal-mology, bjophthalmol-2021-319568. Advance online publication. Erişim: https://doi.org/10.1136/bjophthalmol-2021-319568