Myles William E, McFadden Sally A, Hoang Quan V
Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Ocular Imaging Research Group, Singapore Eye Research Institute, Duke-NUS Medical School, Singapore, Singapore.
Invest Ophthalmol Vis Sci. 2025 Aug 1;66(11):42. doi: 10.1167/iovs.66.11.42.
Children who spend less time outdoors or who live in urban areas are more likely to develop myopia (short-sightedness). This may stem from the altered spatial distribution of contrast in manmade environments, which contain large featureless surfaces that may potentially produce regional environmental form deprivation (eFD).
Images (n = 590) from natural, mixed-urban, urban, and indoor environments, were subdivided into 36 × 36 zones (1.6° × 1.2° visual angle). The weighted contrast energy (CEw) of each zone was calculated by filtering the fast Fourier transform with a filter describing the contrast sensitivity of the human retina at that eccentricity. Zones with less CEw than in images taken through white Perspex ocular diffusers that induce form-deprivation myopia in guinea pigs were classified as eFD. The spatial complexity of CEw signals across the visual field were compared among the environments.
Featureless manmade structures such as blank walls, ceilings, and roads contain low CEw and thus cause regional eFD, particularly when present in the peripheral retina where spatial resolution is low. Based on the images analyzed from indoor environments, 29.5% of the human visual field would potentially experience eFD, a percentage greater than that likely experienced in outdoor urban (15.2%, P < 0.001), mixed-urban (6.7%, P < 0.001), and natural (2.8%, P < 0.001) environments. The complexity of the contrast energies perceived across the visual field were also significantly less in indoor environments than in all other settings, meaning eye movements are less likely to result in a change in contrast, thus regional eFD is more likely to be temporally maintained. Furthermore, this effect was exaggerated in the visual periphery during gaze-limiting tasks such as reading or using a mobile phone.
Widespread eFD is potentially experienced across the visual field in manmade environments. The extensive peripheral eFD and diminished contrast complexity of manmade environments suggest that gaze-limiting activities such as reading or using a mobile phone result in extended periods of peripheral eFD, which may contribute to myopia development. Therefore, enhancing the distribution of contrast in artificial environments to limit regional eFD may serve to prevent myopia onset.
户外活动时间较少或居住在城市地区的儿童更易患近视(近视)。这可能源于人造环境中对比度的空间分布改变,人造环境包含大面积无特征表面,可能会导致区域性环境形态剥夺(eFD)。
从自然、混合城市、城市和室内环境中获取的图像(n = 590)被细分为36×36个区域(视角为1.6°×1.2°)。通过用描述人眼视网膜在该偏心度下对比度敏感度的滤波器对快速傅里叶变换进行滤波,计算每个区域的加权对比度能量(CEw)。CEw低于通过白色有机玻璃眼扩散器拍摄的图像(该扩散器会在豚鼠中诱发形觉剥夺性近视)的区域被归类为eFD。比较了不同环境中整个视野内CEw信号的空间复杂性。
无特征的人造结构,如空白墙壁、天花板和道路,CEw较低,因此会导致区域性eFD,特别是当它们出现在空间分辨率较低的周边视网膜时。根据对室内环境图像的分析,29.5%的人类视野可能会经历eFD,这一比例高于户外城市环境(15.2%,P < 0.001)、混合城市环境(6.7%,P < 0.001)和自然环境(2.8%,P < 0.001)中可能经历的比例。在室内环境中,整个视野内感知到的对比度能量的复杂性也明显低于所有其他环境,这意味着眼球运动导致对比度变化的可能性较小,因此区域性eFD更有可能在时间上持续存在。此外,在阅读或使用手机等限制注视的任务中,这种效应在视觉周边更为明显。
在人造环境中,整个视野可能普遍存在eFD。人造环境中广泛的周边eFD和对比度复杂性降低表明,阅读或使用手机等限制注视的活动会导致周边eFD持续较长时间,这可能会促进近视的发展。因此,增强人工环境中的对比度分布以限制区域性eFD可能有助于预防近视的发生。