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<h4>Journal Entry from Hamza Ali </h4><h4> Date: July 2025</h4><ul><li><strong>Article 1</strong> – attached with this email + link to the article: <a style="color: #0000ff;" href="https://bioj-online.com/articles/10.22599/bioj.396">(https://doi.org/10.22599/bioj.396)</a></li></ul>
“Effects of Visual Display Unit on Ocular Accommodation in Young Adults”
Comments:
One question we commonly get asked about the effects of increased digital device usage. While reviewing the literature, I came across an interesting article that highlights how gaming on digital devices can lead to a decrease in accommodative parameters, potentially causing ocular fatigue and binocular vision anomalies.
Reflective Practice:
This finding aligns with a similar article shared by Trish last year, authored by the same researchers. Both papers emphasize the importance of following their recommended guidelines to help prevent visual symptoms.
- Article 2 – abstract only and link to article (https://www.tandfonline.com/doi/full/10.1080/2576117X.2024.2374817)
“Clinical Characteristics and Management of Patients with Esotropia and Moderate Myopia”
Apologies, I was unable to include the full article because of restrictions under the New Zealand Copyright Act 1994, I’ve provided a link to the abstract. Fortunately, our library staff were extremely helpful in assisting me to obtain a copy for private study, and I encourage you all to make use of the local library services to access the full text.
Comments:
I chose this article due to the increasing number of patients presenting with acquired esotropia associated with moderate myopia, particularly in the context of greater demands on near vision tasks.
Take Home Message:
The key takeaway from this article for me was a better understanding of the clinical characteristics, pathophysiology, and treatment modalities for acquired esotropia in relation to moderate myopia with the question in mind whether digital eye strain and prolonged near work contributing to anatomical or functional changes leading to this subtype.
From a pathophysiology perspective, the article highlights that while “heavy eye syndrome (HES)” is well-defined on imaging with established surgical treatments, the mechanisms underlying esotropia due to moderate myopia remain less well understood. It emphasizes the potential value of further MRI-based research to identify anatomical differences and refine treatment approaches.
Regarding management, the authors reported that augmented bilateral medial rectus (BMR) recessions have shown a high success rate in these patients. Conversely, botulinum toxin (BT) injections are no longer recommended due to poor outcomes, and vergence exercises lack robust evidence of effectiveness in this specific group.
<h2>“Effects of Visual Display Unit on Ocular Accommodation in Young Adults”
“Clinical Characteristics and Management of Patients with Esotropia and Moderate Myopia”
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