Yellow-tinted Lenses Research Articles

Comparison of post-op quality of vision of spheric IOL and aspheric hydrophilic acrylic yellow tinted intraocular lens implantation following phacoemulsification cataract surgery

Purpose: To compare the post-op visual quality of spheric and aspheric acrylic yellow tinted intraocular lens following phacoemulsification cataract surgery. Place of study: Al-Majeed Laser Eye Hospital. Methods: Total 60 subjects (aged 40-65years) with age related mature cataracts were included. Data was assembled by non-probability convenient sampling technique at Al-Majeed Laser Eye Hospital. All patients presenting with mature cataract were include in this study without any other pathology and fundus abnormality. Pre and post-operative visual acuity was measured by using standard snellen visual acuity testing chart. For the purpose of accuracy repetitive values were taken for each patient. Post-operative vision was recorded one month followed by phacoemulsification. Comparisons was made between spheric and asphereic acrylic yellow tinted intraocular lens by applying (descriptive) statistics and paired sample t test for the analysis of results. Results: Quality of vision was compared post-operatively after implantation of aspheric hydrophilic acrylic IOL and spheric IOL in posterior chamber under the same phaco surgeon. All subjects after intra ocular implantation had better corrected visual acuity of 6/9 and more improved 6/6. There were found statistically differences in recorded visual acuity with aspheric yellow tinted iol implanation and spheric iol (p = 0.15) between the two types of intra-ocular lens. The mean, standard deviation, t-value found with spheric IOL were.1867, .18889, 2.517 respectively. However, of aspheric hydrophilic acrylic intra-ocular lens mean, standard deviation and t values found .800, .13493 and 2.5493 respectively. There was significant variance in statistics and quality of vision between the two types of lenses. Conclusions: This study concludes that post –operative improvement in quality of vision was better with aspheric hydrophilic yellow tinted lenses than spheric iol implantation. Implanting a foldable aspheric acrylic IOL gave much advantage in visual outcome to pseudophakes by protecting retina from light of shorter wavelength and decrease of chromatic aberration under the photopic circumstances particularly in subjects at hazard of age-related macular degeneration (AMD).

256 Spectrophotometric Properties of 31 Different Commercially Available Blue Blocking Glasses Under Electric Room Lighting

Abstract Introduction Blue blocking glasses are often marketed to promote relaxation, sleep, and circadian health by attenuating melatonin-suppressing light exposure. But these glasses represent a wide range of tint and other lens properties. Further, the utility of these glasses under ecologically valid indoor conditions (where light is typically generated from overhead broadspectrum fluorescent lamps) is still unclear, especially across various products. Methods A calibrated spectroradiometer (Ocean Insight), cosine corrector, optic fiber, and software package were used to measure the absolute irradiance (uW/cm^2/nm) emitted from overhead fluorescent lighting in a closeted dark room. Thirty-one commercially available blue blockers were individually placed between the cosine corrector and the luminaire, at a standardized distance and angle, where intensity was measured and analyzed. Each lens was evaluated individually relative to the light source under identical conditions. Then, lenses were collapsed by type into the following groups: red-tinted lenses (RTL), orange-tinted lenses (OTL), orange-tinted lenses with blue reflectivity (OBL), brown-tinted lenses (BTL), yellow-tinted lenses (YTL), and clear reflective blue lenses (RBL). Results There was significant variation in light-blocking across lens types (one-way ANOVA, p < 0.0001). On average, RTL and BTL restricted 59% of the visible light measured from 380-780nm. OTL blocked 47% of the light in this range, while OBL blocked 29%. Both YTL and RBL blocked 14% of the exposure. When narrowing the range of light to 440-530nm (the part of the spectrum most likely to produce a response from melanopsin-expressing retinal ganglion cells), we estimated the following performance: the RTL and OTL blocked close to 100% of the light, OBL blocked 98%, BTL blocked 80%, YTL blocked 33%, and RBL blocked 15%. These differences were statistically significant (one-way ANOVA, p < 0.0001). Individual lenses performed variably within groups, but these differences were small. Conclusion Focusing on the portion of the visible spectrum most likely to suppress melatonin secretion, RTL and OTL blocked exposure the best, followed by OBL, BTL, YTL, and (lastly) RBL. Support (if any) R01MD011600, R01DA051321

257 How Much Blue Do Blue-Blockers Block if Blue-Blockers Do Block Blue?

Abstract Introduction Short-wavelength light (440-530nm) can suppress endogenous melatonin secretion from the pineal gland. This has been observed in realworld settings when people use electronic media at night that emits light from this part of the visible spectrum. Blue-blocking glasses are a possible intervention to reduce blue light exposure. The present study evaluated the ability of commercially available blue-blockers to block blue light emitted by LEDs. Methods A calibrated spectroradiometer (Ocean Insight), cosine corrector, optic fiber, and software package were used to measure the absolute irradiance (uW/cm^2/nm) generated from a blue light source (Phillips Go Lite Blu) in an otherwise completely dark room. Thirty-one different commercially-available blue-blockers were individually placed between the cosine corrector and the light source at a standardized distance, and then intensity was measured and analyzed. Lenses were evaluated with regards to the amount of blue light they suppressed both individually and grouped by lens tint: red-tinted lenses (RTL), orange-tinted lenses (OTL), orange-tinted lenses with blue reflectivity (OBL), brown-tinted lenses (BTL), yellow-tinted lenses (YTL), and clear lenses with blue reflectivity (RBL). Results RTL blocked 100% of the short-wavelength light, while OTL and OBL blocked 99%, BTL blocked 66%, YTL blocked 38%, and RBL blocked 11% of it. This represented a statistically significant between-group difference (one-way ANOVA, < 0.0001). Within groups, there was variability in performance among individual lenses, though this variability was small compared to the between-group differences. Conclusion The RTL, OTL, and OBL block light best capable of suppressing melatonin secretion at night (440-530 nm); with slightly less efficacy, BTL and YTL also restricted much of the light exposure. Lastly, RBL were not effective at curtailing short-wavelength light. Those looking to optimize blue-blocking capabilities should use RTL, OTL, and OBL, rather than other lens types. Support (if any):

255 Spectrophotometric Properties of Commercial Blue-Blocking Lenses in Sunlight

Abstract Introduction Blue-blocking glasses are increasingly used as an intervention for jet-lag and other situations where an individual wishes to promote a “dark” signal despite the presence of ambient light. However, most studies on blue-blockers are done under controlled laboratory settings using emissions generated from electric light sources. The present study evaluated the performance of commercially available blue-blockers under daytime sunlight conditions. Methods A calibrated spectroradiometer (Ocean Insight), cosine corrector, optic fiber, and software package were used to measure the absolute irradiance (uW/cm^2/nm) available midday in a standardized location that received direct sunlight. Thirty-one commercially available blue-blockers were individually placed in front of the cosine corrector and intensity was measured and analyzed. Each lens was tested for its ability to block visible light, as well as light within the 440-530nm range. Lenses were evaluated individually and grouped by lens type: red-tinted lenses (RTL), orange-tinted lenses (ORL), orange-tinted lenses with blue reflectivity (OBL), brown-tinted lenses (BTL), yellow-tinted lenses (YTL), and clear lenses with blue reflectivity (RBL). Results Across the full spectrum, RTL blocked 66% of the light, OTL blocked 60%, OBL blocked 43%, BTL blocked 56%, YTL blocked 28%, and RBL blocked 20%. When the range was restricted to 440-530nm, RTL blocked 99%, OTL blocked 96%, OBL blocked 90%, BTL blocked 66%, YTL blocked 38%, and RBL blocked 17% of the light. Variation across lens types was significant for the full spectrum (one-way ANOVA, p < 0.0001) as well as the 440-530nm range (one-way ANOVA, p < 0.0001). Individual lenses showed variability in performance, though this variability was smaller than the between-group differences. Conclusion Under daylight conditions, red and orange lenses (RTL, OTL, and OBL) blocked at least 90% of the light in the 440-530nm range. Notably, RBL lenses restricted the most short-wavelength light as a proportion of the total light blocked. These data suggest that RTL, OTL, and OBL are effective at blocking the most circadian photosensitive components of daylight at the cost of reducing total illumination. Support (if any) R01MD011600, R01DA051321

258 Blue Blockers’ Ability to Block Circadian-Active Light Emitted from a Tablet

Abstract Introduction Short-wavelength light emitted from electronic devices in the evening can harm circadian health by suppressing endogenous melatonin and phase-delaying the timing of the wake-sleep cycle. Blue-blocking glasses are one possible intervention to reduce this exposure. The present study evaluated the differential ability of commercially available blue-blockers to filter out the blue range of visible-spectrum light emitted by a common electronic device. Methods A calibrated spectroradiometer (Ocean Insight), cosine corrector, optic fiber, and software package were used to measure the absolute irradiance (uW/cm^2/nm) emitted from a commercially-available computer tablet (iPad) displaying a blank white screen in a closeted dark room. Thirty-one commercially-available blue-blockers were individually placed between the cosine corrector and the tablet. At a standardized distance and angle, the resulting intensity profile was measured and analyzed. Each lens was evaluated individually relative to the light source and then evaluated across subtypes, including red-tinted lenses (RTL), orange-tinted lenses (OTL), orange-tinted lenses with blue reflectivity (OBL), brown-tinted lenses (BTL), yellow-tinted lenses (YTL), and clear reflective blue lenses (RBL). Results There was significant variation in tablet-generated light-blocking across the full spectrum (one-way ANOVA, p < 0.0001) and for the 440-530nm range in particular (one-way ANOVA, p < 0.0001). RTL blocked 99%, OTL blocked 81%, OBL blocked 75%, BTL blocked 83%, YTL blocked 33%, and RBL blocked 17% of broadspectrum light (380-780nm). In the 440nm-530nm range, RTL, OTL, and OBL blocked 100% of the emission, while BTL blocked 81%, YTL blocked 47%, and RBL blocked 18% of it. Conclusion When using a popular tablet device, RTL, OTL and OBL blocked the most circadian photosensitive parts of the light exposure, indicating they can best preserve the timing of endogenous melatonin secretion in the presence of tablet light at night. By contrast, RBL demonstrated very little efficacy. Support (if any) R01MD011600, R01DA051321

Effects of yellow tinted lenses of the different spectral transmittance on the contrast sensitivity under glare

Effects of yellow tinted lenses of the different spectral transmittance on the contrast sensitivity under glare

황색착색렌즈를 이용한 착색 청색광차단렌즈의 분석과 평가 방법에 관한 고찰

황색착색렌즈를 이용한 착색 청색광차단렌즈의 분석과 평가 방법에 관한 고찰

LED Light Characteristics for Surgical Shadowless Lamps and Surgical Loupes.

Background:Blue light has more energy than longer wavelength light and can penetrate the eye to reach the retina. When surgeons use magnifying loupes under intensive surgical shadowless lamps for better view of the surgical field, the total luminance is about 200 times brighter than that of typical office lighting. In this study, the effects of 2 types of shadowless lamps were compared. Moreover, the effect of various eyeglasses, which support magnifying loupes, on both the light energy and color rendering was considered.Methods:The light intensity and color rendering were measured on 3 variables: light transmittance, light intensity, and color rendering.Results:Under shadowless lamps, the light energy increased with low-magnification loupes and decreased with high-magnification loupes. Filtering eyeglasses reduced the energy, especially in conditions where the low-magnification loupe was used. The best color-rendering index values were obtained with computer eyeglasses under conventional light-emitting diode shadowless lamps and with no glass and with lightly yellow-tinted lenses under less-blue light-emitting diode.Conclusions:Microsurgeons are exposed to strong lighting throughout their career, and proper color rendering must be considered for easier recognition. Light toxicity and loss of color rendering can be reduced with an appropriate combination of shadowless lamps and colored eyeglasses.

Effect of Yellow-Tinted Lenses on Visual Attributes Related to Sports Activities

The purpose of this study was to clarify the effect of colored lenses on visual attributes related to sports activities. The subjects were 24 students (11 females, 13 males; average age 21.0 ±1.2 years) attending a sports university. Lenses of 5 colors were used: colorless, light yellow, dark yellow, light gray, and dark gray. For each lens, measurements were performed in a fixed order: contrast sensitivity, dynamic visual acuity, depth perception, hand-eye coordination and visual acuity and low-contrast visual acuity. The conditions for the measurements of visual acuity and low-contrast visual acuity were in the order of Evening, Evening+Glare, Day, and Day+Glare. There were no significant differences among lenses in dynamic visual acuity and depth perception. For hand-eye coordination, time was significantly shorter with colorless than dark gray lenses. Contrast sensitivity was significantly higher with colorless, light yellow, and light gray lenses than with dark yellow and dark gray lenses. The low-contrast visual acuity test in the Day+Glare condition showed no significant difference among the lenses. In the Evening condition, low-contrast visual acuity was significantly higher with colorless and light yellow lenses than with dark gray lenses, and in the Evening+Glare condition, low-contrast visual acuity was significantly higher with colorless lenses than with the other colors except light yellow. Under early evening conditions and during sports activities, light yellow lenses do not appear to have an adverse effect on visual attributes.

Low energy lamps and eye lens autofluorescence

Tungsten filament lamps are rapidly being displaced from the market-place by compact fluorescent lamps. Although the colour temperature and total luminous output of a fluorescent lamp may be similar to that of an incandescent lamp, the output spectrum is very different. The peaks of the mercury vapour spectrum at 365.4nm (UV) and at 435.8nm (blue) are close to the peak fluorescence excitation wavelengths in the human lens, and it has been shown that such fluorescence can lower sensitivity to low contrast objects. This effect could also explain the reported preference for brown, red and yellow tinted lenses often reported by elderly patients, as these coincidentally block the ultraviolet and blue exciting wavelengths.

Kataraktextraktion und Blaulicht – Wirkung auf die Netzhaut

This review focuses on the scientific background for the use of "yellow artificial lenses". We will address the fact that numerous basic scientific publications point to a rationale for this practice although it is often difficult to derive clear-cut evidence from clinical epidemiological studies for the preventive use of yellow artificial lenses. In the first part we refer to studies showing that especially the shortwave part of the visible spectrum of light can be harmful for the retina and optic nerve. For this, we have screened the literature for the major sources of radical production and for the targets of oxidative stress after impingement of "blue light" on the retina. Furthermore, we can show that many studies in cell and molecular biology, animal experiments and first clinical trials point to a preferential use of yellow-tinted lenses especially in the elderly and AMD patients.

Frequency Doubling Technology Perimetry After Clear and Yellow Intraocular Lens Implantation

To evaluate the effect of intraocular lens (IOL) color on frequency doubling technology (FDT). Randomized clinical trial. For 26 eyes of 26 patients, FDT perimetry (24-2-threshold test) was measured three months after cataract surgery. An acrylic IOL was randomly selected from clear (VA60BB, HOYA) and yellow-tinted lenses (YA60BB, HOYA), which only differed by color. As a control, a further 14 cataractous eyes with visual acuity > or =20/30 were examined. We analyzed mean deviation (MD) and pattern standard deviation (PSD) among the three groups. After cataract surgery, MD significantly improved (Fisher protected least significant difference (PLSD): P < .05), but PSD did not change (analysis of variance (ANOVA): P = .94) compared with control values. There was no significant difference between the two IOLs for either MD (Mann-Whitney test; P = .15) or PSD (Mann-Whitney test; P = .84). When interpreting the results of FDT, the effect of cataract should be considered but that of IOL color does not need consideration.

Effect of yellow-tinted lenses on brightness

Magnitude estimates of brightness were obtained for small (5-deg diameter) and large (15 deg X 20 deg) targets viewed through yellow-tinted lenses (ytl's) and luminance-matched neutral lenses. The results indicate that brightness perception with ytl's is up to 40% greater than that with neutral lenses when the spatial extent of the stimulus exceeds the fovea. The onset of the enhancement effect is coincident with the chromatic threshold, and its end point is coincident with psychophysical estimates of rod saturation. In a second experiment, brightness estimates were obtained for the ytl's and neutral lenses during the cone plateau of the dark adaptation curve when rods, but not cones, were desensitized by bleach. The brightness-enhancement effect was negligible. These results confirm the subjective impression that brightness perception is enhanced by ytl's and indicate that this effect is mediated, in large part, by the contribution of rod signals to the chromatic pathway.

Effect of yellow-tinted lenses on contrast sensitivity.

The effectiveness of yellow-tinted lenses (Norton Visitor Wrap-Around) on contrast thresholds for achromatic sinusoidal gratings was measured on a large sample of healthy, young adults. These measurements were compared with those obtained through luminance-matched neutral goggles. Contrast sensitivity functions for stationary and drifting (2 cycles per second) gratings were measured on two groups of subjects. The results of both experiments show that those subjects demonstrating a subjective preference preferred the yellow tint to the neutral lenses by 2:1. Despite the subjective impression, however, contrast thresholds obtained with the yellow and neutral lenses were not statistically different for either the stationary or drifting gratings.