Evidence map›Paper›PMID 40531309›Full record

SynthesisGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025

The effect of digital devices screen use on intraocular pressure: A systematic review and meta-analysis.

Ali Arman, Hadi Vahedi, Ali Jafarizadeh, Reza Moshfeghinia, Mohammadreza Talebnezhad, Mojtaba Heydari, Reza Razeghinejad

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ali Arman *Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Hadi Vahedi *Nikookari Eye Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Ali JafarizadehNikookari Eye Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Reza MoshfeghiniaStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammadreza TalebnezhadPoostchi Ophthalmology Research Center, Department of Ophthalmology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Mojtaba HeydariPoostchi Ophthalmology Research Center, Department of Ophthalmology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. drmojtabaheydari@gmail.com.ORCID http://orcid.org/0000-0001-9612-0936
Reza RazeghinejadWills Eye Hospital, Philadelphia, PA, USA. razeghinejad@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe widespread adoption of digital screens has raised concerns about potential impacts on ocular health, particularly intraocular pressure (IOP). This systematic review and meta-analysis aimed to examine the association between digital screen use and changes in IOP.

methodsWe conducted a comprehensive search across multiple electronic databases through January 2024, and reported adhering to PRISMA guidelines. Eligible studies included clinical trials published in English, evaluating the effects of digital screen use on IOP. Statistical analyses were performed with Stata software, calculating the overall effect size using the weighted mean difference (WMD) of IOP changes among healthy and glaucomatous participants before, during (5, 15, 25, 30, 45, and 60 min), and after screen exposure.

resultsNine studies involving 675 eyes were included. Among healthy participants, IOP significantly increased at 25 min, with an increase of 1.53 mmHg [0.83, 2.24] (p = 0.00). Other time intervals (5, 15, 30, 45, and 60 min) showed no significant changes. Post-exposure, IOP returned to baseline levels without any significant change from baseline (p > 0.05). In glaucomatous individuals, IOP rose by 1.13 mmHg [0.46, 1.80] at 5 min (p < 0.001) and 2.49 mmHg [0.33, 4.65] at 25 min (p = 0.02), with no significant changes at other intervals.

conclusionScreen exposure can lead to temporary IOP increases, especially in individuals with glaucoma. Larger, well-designed clinical trials are necessary to confirm these findings, understand underlying mechanisms, and identify risk factors. This study highlights the potential ocular health risks associated with prolonged screen use. KEY MESSAGES: What is known Using digital screen has been associated with various ocular effects including eye strain, dry eye, and changes in Intra ocular pressure (IOP). Previous studies have suggested temporary IOP changes with digital screen use, however findings were inconsistent. What is new This systematic review and meta-analysis highlights that digital screen exposure leads to significant IOP increases at specific intervals, in both healthy and glaucomatous individuals. Glaucomatous participants experience more pronounced IOP elevations, emphasizing the need for tailored recommendations for this group. The study identifies potential mechanisms, including accommodation, postural influences, and blue light exposure, that contribute to these changes, underscoring the complexity of digital screen use's impact on ocular health.

Indexed as

GlaucomaIntraocular PressureHumansTonometry, OcularDigital screenGlaucomaIntraocular pressure IOPMeta-AnalysisSmartphone

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.