{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:48:54Z","timestamp":1787071734811,"version":"build-2736575974"},"reference-count":57,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the effect of ambient light on transient changes in refraction and ocular biometry after near work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This single-blind, randomized clinical trial included 87 participants randomly assigned to three groups based on ambient light levels: Group 1 (100\u2013200 lux), Group 2 (300\u2013400 lux), and Group 3 (500\u2013700 lux). Each participant performed 1 h of computer-based text reading at 40 cm. Objective refraction and ocular biometric parameters, including axial length (AL), keratometry, anterior chamber depth (ACD), and lens thickness, were measured before and immediately after the task.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean \u00b1 standard deviation change in spherical equivalent (SE) was \u22120.72 \u00b1 0.57 diopter in Group 1, \u22120.39 \u00b1 0.34 diopter in Group 2, and \u22120.11 \u00b1 0.33 diopter in Group 3 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). AL increased in all groups, with the largest change in Group 1 (45.16 \u00b1 21.60 \u03bcm), followed by Group 2 (26.78 \u00b1 13.19 \u03bcm) and Group 3 (17.83 \u00b1 9.76 \u03bcm) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Changes in keratometry (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.08), ACD (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.693), and lens thickness (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.999) were not statistically different across the groups. Correlation analysis showed the highest association between SE and AL change in Group 1 (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u22120.703). The multiple generalized estimating equation model revealed a significant association between changes in SE and AL (\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      = \u22120.019), lens thickness (\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      = \u22120.001), and baseline SE (\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      = \u22120.485) in Group 1; AL (\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      = \u22120.009) and baseline SE (\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      = \u22120.735) in Group 2; and AL (\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      = \u22120.016) and baseline SE (\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      = \u22120.72) in Group 3.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Near visual tasks induce transient myopic shifts and biometric changes, primarily through axial elongation and increased lens power. This effect is influenced by ambient light, with myopic shift intensifying as light levels decrease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joco.joco_149_25","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T15:00:19Z","timestamp":1763132419000},"page":"115-123","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Ambient Light Intensity on Transient Changes in Refraction and Ocular Biometric Components following Near Work: A Randomized Clinical Trial"],"prefix":"10.4103","volume":"37","author":[{"given":"Masood","family":"Mehravin","sequence":"first","affiliation":[{"name":"Rehabilitation Research Center, Department of Optometry, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Iribarren","sequence":"additional","affiliation":[{"name":"Drs. 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