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Editors Selection IGR 23-1
Miscellaneous: Do digital screens raise IOP? A meta-analysis weighs in
Comment by Ewald Lindner on:
128363 The effect of digital devices screen use on intraocular pressure: A systematic review and meta-analysis, Arman A; Vahedi H; Jafarizadeh A et al., Graefe's Archive for Clinical and Experimental Ophthalmology, 2025; 263: 2857-2866
Arman A., Vahedi H., Jafarizadeh A., et al. The effect of digital devices screen use on intraocular pressure: A systematic review and meta-analysis. Graefe's Arch Clin Exp Ophthalmol 2025;263:2857-2866. doi:10.1007/s00417-025-06876-9. This meta-analysis provides an important exploration into the impact of digital screen use on intraocular pressure (IOP), particularly among healthy and glaucomatous individuals. The authors systematically reviewed nine studies and found a statistically significant rise in IOP at specific intervals of screen exposure, particularly at the 25-minute mark. Notably, glaucomatous individuals experienced more pronounced IOP elevations than healthy participants, highlighting the potential risks for this vulnerable population. The study's methodology adheres to rigorous PRISMA guidelines, and statistical analysis was robust, utilizing a random-effects model to account for study variability. However, the heterogeneity in study designs, including varying exposure times and device types, limits the generalizability of the findings. Furthermore, while the study demonstrates a temporary rise in IOP, it remains unclear whether prolonged screen exposure has a cumulative effect on IOP or whether this temporary change can lead to long-term ocular damage. This study's findings underscore the need for further research, especially larger, multicenter trials with standardized protocols, to validate the results and explore the underlying mechanisms. The inclusion of diverse populations and a broader range of screen exposure times would enhance the relevance of these findings to clinical practice. In conclusion, while the data is promising, especially for glaucoma patients, the clinical implications remain inconclusive without further evidence. It would be prudent for clinicians to advise individuals with glaucoma on managing screen time, though more definitive recommendations will require additional high-quality research.
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