For Better Vision, Let the Sunshine In

Jan 19, 2017 · 42 comments
Adrian (Los Angeles)
I am asking then myself that our Gov can't figure it out and still playing around with Winter and Summer time. After the change next month you will get out of work at 5pm it will be already dark, so good luck in catching some sun daylight per day :~( It had been proven for years that there is zero saving or benefit with the Summer and Winter Time Change.. Rather health issues do the change ! EU will finally get rid of the time change !
Colleen (Pittsburgh)
I wonder if the rise is not that more people are actually near sightedness, or a rise in eyesight just being tested more. More and more schools are actually testing eyesight at school, and I'm sure proper eye care is now more accessible to more Americans. I also wonder if the bad eyesight is actually being caused by too much screen time at a young age.
Frank (Sydney Oz)
apart from the sunlight>dopamine story, it could simply be that more time focusing on near objects like small screens allows the eye muscles to decide that's the primary need whereas more time outdoors, where I think more than 15 feet away may be effectively infinity for the eyes focal range, allows the eye muscles to work out - hey, I need muscles for the full range of near and far please !
Barbara (SC)
When I was a child, more than six decades ago, my mother believed that children belonged outdoors most of the day. Though we had a television, we didn't have computers, smartphones, tablets, etc., and the first TV show came on at 5 p.m. Nonetheless, by age 6, I was very nearsighted and finally got glasses at age 7. I will never forget how high I stepped when I first walked with glasses: the floor was so close! Studies like this are only the first step in determining correlation, let alone causation.
1954Stratocaster (Salt Lake City)
Is it just coincidence that this months-old article appeared in the Well newsletter just days after a new study was published in BMJ? My own decades-old myopia (or as the BMJ terms it, “shortsightedness”) began when I was 12 years old. My brothers are not nearsighted, but all of my cousins on my mother’s side are as nearsighted as I am. So yes, there can be a substantial component of heredity. Some of them have had ophthalmic surgery to correct it, but after reading the (again) recent clinical studies and analyses regarding adverse effects of such surgery, I am glad I still have my eyeglasses instead. The cure is indeed worse than the disease for many.
David Holzman (Massachusetts)
I am skeptical that the critical factor is sunlight. I think it's more likely that it is factors associated with being outside, including less close up work (reading), and possibly engaging in more activities that develop hand-eye coordination, such as ball sports. I read a lot beginning in second grade. I also spent a lot of time outside in the warmer months, much of it riding my bicycle, but I was not interested in ball sports. Close work engages the eye muscles to focus up close, which possibly could reduce the eyes' ability to focus in the distance. Activities involving hand-eye coordination likely help guide the eyes' development as the body grows.
Paulo (Brazil)
I've been coming across articles carrying weird theories about nearsightedness recently. This is one of them. How can anyone in her right mind suggest that computers have anything to do with myopia knowing that this condition has existed for millennia whereas the personal computer is not even 40 years old yet? And what's up with this sunlight theory? I was born in northeastern Brazil, where the sun practically comes down to Earth in the summer and hangs around pretty close throughout the rest of the year. Nevertheless, that didn't stop me from developing an extreme case of nearsightedness requiring me to wear a correction of -11 on the left eye and -21 on the right. Actually, I've seen more people wearing thick glasses in the northeast, a decidedly sunny region, than in the other parts of the country.
Cormac (NYC)
I think you’ve rather missed the point of the researchers quoted. No one is saying that myopia is a new thing, they are theorizing that the dramatic increase in the percentage of people with it in industrialized countries in the last generation may be due to changes in habit around getting sun exposure and staring at radioactive screens. People have gotten cancer for millennia, but that doesn’t mean smoking tobacco doesn’t increase the rate. People have gotten obese for millennia, but that doesn’t mean that our current diet isn’t a factor in the sudden surge. Never draw conclusions for a whole population from a single person’s (in this case your own) experience.
Grace (NY NY)
Sunlight has little to do with it. Looking into the far distance counteracts nearsightedness caused by sitting in from of a computer screen, tv, and the four walls of any room. AND, genetic profiles matter. That is COMMON SENSE. I am VERY farsighted, but never required glasses for reading etc. I am one of nine children with equally great vision. Our mother's eyesight was identical, until her mid 60's when she required reading glasses. Her very pale blue eyes, and the fact she, like her nine children, never wore sunglasses subjected her to Macular Degeneration. She was legally blind by her early 80's. It is no wonder that my very light eyes, that absorbed all that sunlight and its UVB rays are riddled with melanin deposits in both irises. In addition, the right eye has a "freckle" on the retina, which is monitored every six months for malignant melanoma, along with the freckles in both irises.

Your article is lacking in COMMON SENSE, SCIENTIFIC FACT and LOGIC. Genes anyone? Darker eyes are protected from the damaging UVB rays of the sun, as is darker skin. WHY? Those darker eyes & skin have more melanin. Sunglasses & sun block would have saved my eyes & skin. I now have Macular Degeneration, and cataracts. Both from the sun, along with the melanoma- threatening "freckles." My only child never had a computer, cell phone, or tv. He was outside playing. He has pale green eyes, and he is very nearsighted as of 12 yrs of age. So was his dear old Dad.

Genes!
1954Stratocaster (Salt Lake City)
If you want “COMMON SENSE, SCIENTIFIC FACT, and LOGIC”, then read the related study which was published just days ago in BMJ (to which I subscribe). https://www.bmj.com/content/361/bmj.k2022
Sarah Gray (Peoria, IL)
I was wondering if the authors had considered the idea that the reason being outside may be beneficial may not be related to sunlignt itself, but rather that it allows people to focus their eyes on distant objects rather than things confined to the shorter distances allowed by inside spaces. I know that when I go outside on my bicycle and am forced to scan up ahead into the distance it often relieves eye strain and reduces tension headaches. Perhaps the original study considers other variables, however, in this Times piece, it is not clear how causation can be deduced from this correlation.
Tina H (Portland, OR)
I was wondering something similar, only I was thinking about how being outside encourages open focus and non-focal vision, where your eyes will just be more relaxed.
WK (MD)
I've been warned that because I had lots of sun exposure as a teen that I was at heightened risk of cataracts.
GiGi (<br/>)
Being outside most of the day all summer long as a child didn't help me. I was very nearsighted by age 11, but so was my mother.

The upside: even in my seventies I can read tiny print and my far vision is improving.
Maggie Taylor (Denver, CO)
In the documentary, "Running from Crazy" Mariel Hemingway waves some kind of magnifying glass over her eyes in the sunlight... I've tried to look it up but always wondered if this type of article was her motivation for doing so. Or maybe to eliminate dark periorbital circles? Curious if anyone knows any more of this. Thanks.
GB (South Orange, NJ)
Sunlight? Really? Being outdoors requires one to focus on distant objects. Being indoors, especially doing indoor tasks, requires one to focus on nearby objects.

Sunlight? Really?
Andrea (Chicago)
What a flawed study to use to suggest that people expose their eyes and their children's eyes to the sun/UV (which has proven potential for injury to the delicate structures of the eye). Does it not seem more likely that people with myopia simply tend to spend more time inside because the hobbies that are most suited to near-sightedness include close work like reading instead of outdoor activities?
REB (Maine)
Agreed. I'm 76 and developed myopia at age 8 (and later astigmatism) and have worn glasses ever since. I read voraciously but also spent a lot of time outside. We didn't have TV until I was 13. I started with bifocals (lineless) in my 50s. With increasingly progressive myopia, I had cataract surgery last year and now my eyes are 20/20 right, 20/30 left but I still need my bifocals for reading. My eye surgeon said that our lends start aging from birth on. The also turn yellowish brown, verified by my observation that everything is brighter, bluer, and more purple.
kathryn (boston)
Um, why wouldn't genetics explain the increase? Especially with contacts, we nearsighted folks are so much more attractive!
Menno Aartsen (Seattle, WA)
Determining historical sunlight exposure by asking a person "how often they remembered being outside during various stages of their lives" is one of the most unscientific methods I've ever seen published. I get myopic just from reading this nonsense.
Marianne Cohen (Huntington Beach California)
Am am now an old lady now but I remember playing outdoors all the time and spent summers outdoors all the time. I spent plenty of time in the sun but, still, I started wearing corrective lenses in the fourth grade. I would say this theory needs more study
M. L. Chadwick (Portland, Maine)
Same here--I grew up in sunny southern California, always on my bike or roller skating Santa Monica sidewalks, yet by age 8 or 9 my vision was around 20/100.

Interesting, though, that my eye doctor asked what grades I was getting, and when I said "Straight As" he smiled and told me I should aim for a C average so my eyes wouldn't get any worse. Maybe he was already on the sunlight bandwagon back in 1955?
RJ (Tucson)
When I'm outdoors I look far away at mountains and trees as well as closer objects and was fortunate to grow up outside a good deal and have prefered it to the great indoors. However years of architecture did catch up and got a pair of readers at 50 years. While close working I would often look away and try to focus on small items to give my eyes a stretch. Now over 70 my far vision now down to 20/20 from nearly 20/10 as a kid. Could be some genetics as my Father had been a Navy pilot.
Honeybee (Dallas)
Eyesight/shape of the eyes is almost 100% genetic.

As for the readers, you had to get them because as ALL of us age, the muscles that help us focus in on smaller print stiffen. You did not have to get readers because you spent years doing architecture (or anything else). You had to get readers because age made the muscles around your eyes stiffened, just as your face got wrinkles and your hair turned gray as you aged.
Steve Singer (Chicago)
I was decidedly myopic by the time I turned twelve. I suspect it was already present, just unnoticed, when I was about eight years old. I recall watching movies in movie theaters without a problem. Perhaps I just wasn't aware I had one.

I was forced to learn how to read and write and do arithmetic beginning in the 2nd grade. Letters and numbers. I still recall how difficult that was. Classes, of course, were held indoors. Did staring at printed symbols like numbers and letters on pieces of paper a foot from my nose everyday change the shape of my eyeballs?

Would being a normally-sighted semi-literate adult be preferable?

No computer screens back then, let alone cellphone screens and iPADs. Just books, booklets and hand-outs -- class materials, tests, magazines, that sort of thing. Don't recall watching much television. Although I didn't realize it at the time, it was very new. I had no frame of reference for it. It didn't become a significant part of my life until my early teens, although a TV set was in the house by the time I was six years old. I remember watching Steve Allen.

But I played outside almost every day and went to the beach a lot.

I don't think it mattered.
mecook (Seattle)
I would be more comfortable if you would add a caution that by exposure to direct sunlight you do NOT mean ever causing anyone to look straight at the sun. Easy for you to do, and, trust me, there are millions of people who think that is safe.
Marc (Utah)
Sun deprivation had been known to associate to myopia for many years, but it is only one of the downsides of avoiding the sun, which associates with cancer, mood disorders, multiple sclerosis and numerous other maladies. Here is a list of reasons that sun exposure is so vital to human health:

• The Melanoma International Foundation states that since 1935, melanoma incidence has INCREASED BY 3,000%. At the same time, sun exposure in the U.S. has DECREASED by 90%.
•A Spanish study shows that women who seek the sun have one-eleventh the hip fracture risk as those who avoid sun.
•Men who work outdoors have half the risk of melanoma.
•Women who totally avoid the sun have 10-times the risk of breast cancer.
•Women who sunbathe regularly have half the risk of death during a 20-year period compared to those who stay indoors.
•Sun exposure dramatically improves mood.
•Beyond vitamin D, sun exposure also stimulates the production of endorphin, nitric oxide and BDNF, all of which are vital to human health.
•Regular sun exposure also reduces high blood pressure, heart disease, psoriasis and multiple sclerosis (MS).
For the scientific references, visit http://sunlightinstitute.org/
Renee Hoewing (Illinois)
...all sounds very dramatic but these are likely correlational (just like the study described here). A lot of people who spend all their time inside may have other health issues as the root cause so it will take more sophisticated studies to sort it all out. BTW - what is the operational definition of a "sunseeker" and someone who "totally avoids the sun" (vampire?)?
Charles Justice (Prince Rupert, BC)
I was outdoors all the time when I was young, but I didn't learn to read until after I was diagnosed with nearsightedness and got glasses in grade I. Also there was no computers and video games in those days. My mother needed glasses. It must have been heredity.
Rob (<br/>)
Another expert who doesn't realize that UVB is a. not even present except in midday most the year, b. is not present at all if the sun is not above 30º, and c. is at its highest concentration at solar noon. A little sun in the middle of the day is a much better recommendation.
Smarty"s Mom (NC)
Idiotic
Anne-Marie Hislop (Chicago)
There also seems to be a strong genetic factor in development of myopia. My dad was very nearsighted; he got lots of sun growing up. Ditto for my two brothers who both got glasses for myopia by their early teens. I, however, like my mother, did not need glasses until I developed presbyopia (literally "old eyes" = "farsightedness") in my 40s. My brothers and I certainly got similar amounts of sun light while growing.
PacNW (Cascadia)
It may be adaptive. If you spend lots of time indoors, where everything you look at is fairly close, the eyes get set up so you can still see near objects clearly later in life when presbyopia sets in. Nearsighted presbyopes usually can see up close with the naked eye, but non-nearsighted presbyopes need reading glasses.
kcvata (Ankara)
Myopia: not the angle the light enters the eye but the angle the light distored while falling on the retina.. social media and media became the root of knowledge pollution. Everybody knows little of everything and that little is wrong. Hiding behind the money coming from day to day work and hiding behind social media shows people are shallower than ever.. that is the real myopia, the distorted angle of information falling onto the brain... PERIOD !.
Nasty Man aka Gregory (Boulder Creek, Calif.)
Exactamo! And, evidently you didn't vote for our future ex president. Now, this article is very interesting, as it hits on the point of the increasing amount of myopia occurring in the world; if this is actually happening, (i'm not a denier of anything science-based), it is just among one of many more annoyances that are going to begrudge me in my gradually increasing old age: Diabedes; I can't eat what I want to eat, when I want, and the markedly less-than-binge amounts that I used to eat. And to be able to consume that measly amount of food, I have to fumble around for One of my numerous pairs of reading glasses, that I seem to lose or break soon after purchase (i'm very hard on lightning charging cords too) - just to see that forked-food before it is hurriedly masticated.

This trend of human "Evolution" might be disturbing to some, but I feel it is only fitting in my gradually increasing old age that some of the systems that I was endowed with at birth are either in need of "calibration", refurbishing, or replacement.
REB (Maine)
Not so subtle politicization, inappropriate and irrelevant.
Pete Thurlow (NJ)
Well, I was outdoors all the time as a child and I started wearing glasses in third grade for nearsightedness. So, genetics must have some say in the matter (although both Mom and Dad had good vision).
A corollary to being indoors most of the time is a lack of appreciation and comprehension of the outdoors. And if that outdoors is from an urban or suburban setting, this would lead to a lack of appreciation, comprehension or even awareness of nature. All the great ecologists, from Thoreau to Carson to Abbey to E.O. Wilson grew up close up to nature. I suspect that all ecologists have a deep rooted from childhood involvement in nature, not city streets or
suburban playgrounds. And this may be the case for current and future ecologists. Those who discount the environment, the natural world, probably never really knew it as a child. I wonder if that's the case with those who are climate change deniers, for example. If the trend is for people to move to the cities, the suburbs, to grow up there, coupled with increased indoor activities, this will be troublesome for future ecologists. Fewer and fewer will listen to them.
J (Boston)
A sample of one (you) does not a conclusion make.

More important, I almost got whiplash trying to follow this stream-of-consciousness post. It would appear more than your eyes have a problem with focusing.
Carol (SF bay area, California)
I think this article overlooks an important point. When people are outdoors, they are more likely to use eye muscle action which enables far vision. However, spending a great deal of time indoors results in disuse and weakness of the far vision eye muscles, and perhaps this contributes to the elongation of the eyeball.

I once read that military personnel assigned to work in underground nuclear missile control rooms often become near-sighted within a year. This problem was reduced by incorporating some kind of optical effect in the screens these crews looked at, which tricked their eyes into focusing at a longer distance.
RoughAcres (New York)
Screen watching by younger people is up, "freezing" their eye muscles at a short focal length for long periods of time.

I wonder, too, about light quality/spectrum and its effect.
Barbara Pines (Germany)
It's not just screen watching that keeps young people indoors. Heavier homework loads for college-oriented high school students, after-school care for younger children whose mothers have full-time jobs, the end of family farms on which children had spent some after-school outdoor time helping out, the car culture, the growth of dense suburbs that leave children with fewer outdoor things to do unless they're in an organized outdoor sport, have all contributed. And in East Asia, a lot of children even from elementary school age have a school day that goes right up to suppertime, with homework to be done afterwards.
Cheryl (Yorktown Heights)
That's one weird - and effective - illustration!

But this is a report on a hunch, and an association, not evidence that defines any connection. Moderation is the advice - don't let kids hunker down by their screens - for myriad reasons.
From a long time myope who did spend hours outside, as well as hours lost in books...