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What Is the Possible Mechanism of Ocular Damage?

Studies of animal models indicate that a variety of mechanisms may be responsible for eye damage attributed to blue light. Experimental evidence indicates that exposure to blue light triggers premature programmed cell death (apoptosis) of photoreceptor cells in the retina. This may be due to light-induced damage to the DNA of the retinal pigment epithelium. Another possible mechanism may be cell necrosis caused by free-radical molecules produced by blue light.

Blue Light and Contrast Sensitivity

Blue light may also have a detrimental effect on contrast sensitivity, particularly for older patients. A recent study showed that a filter blocking 3 specific spectral bands—including <400 nm, blue light (the precise nm were not provided in the published study), and 575 nm—improved contrast sensitivity in daylight conditions for elderly subjects.

References:

  • Nilsson SE, Sundelin SP, Wihlmark U, Brunk UT. Aging of cultured retinal pigment epithelial cells: oxidative reactions, lipofuscin formation and blue light damage. Doc Ophthalmol. 2003;106(1):13-16.
  • Sakamoto Y, Sasaki K, Kojima M, Sasaki H, Sakamoto A, Sakai M, Tatami A. The effects of protective eyewear on glare and crystalline lens transparency. Dev Ophthalmol. 2002;35:93-103.
  • Sparrow JR, Zhou J, Cai B. DNA is a target of the photodynamic effects elicited in A2E-laden RPE by blue-light illumination. Invest Ophthalmol Vis Sci. 2003;44(5):2245-2251.
  • Taylor HR, West S, Muñoz B, Rosenthal FS, Bressler SB, Bressler NM. The long-term effects of visible light on the eye. Arch Ophthalmol. 1992;110(1):99-104.
  • Weko Y, Pang J, Tokoro T, Ichinose S, Mochizuki M. Blue light-induced apoptosis in cultured retinal pigment epithelium cells of the rat. Graefes Arch Clin Exp Ophthalmol. 2001;239:47-52.
  • Wu J, Seregard S, Spångberg B, Oskarsson M, Chen E. Blue light induced apoptosis in rat retina. Eye. 1999;13(Pt 4):577-583.
  • Wu J, Chen E, Soderberg PG. Failure of ascorbate to protect against broadband blue light-induced retinal damage in rat. Graefes Arch Clin Exp Ophthalmol. 1999;237:855-860.
 
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