Comparative Effect of Green and Blue Filters on Near Point of Accommodation among Emmetropes and Myopes

Green and Blue Filters: Accommodation among Emmetropes and Myopes

Authors

  • Sundas Saleem Department of Optometry and Orthoptics, Rashid Latif Institute of Allied Health Sciences, Lahore, Pakistan
  • Rabia Bushra Ehsan Riphah International University, Faisalabad, Pakistan
  • Maryam Muhammad Nadeem Department of Optometry, The University of Faisalabad, Faisalabad, Pakistan
  • Muhammad Abdullah Department of Optometry and Orthoptics, Rashid Latif Institute of Allied Health Sciences, Lahore, Pakistan
  • Tuba Sanaullah Department of Optometry and Orthoptics, Rashid Latif Institute of Allied Health Sciences, Lahore, Pakistan
  • Eesha Ishaq Department of Optometry and Orthoptics, Rashid Latif Institute of Allied Health Sciences, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v7i3.3062

Keywords:

Accommodation, Asthenopia, Eye Protective Devices, Myopia

Abstract

Coloured filters are optical devices that selectively transmit certain wavelengths of light while absorbing others. Green and blue filters can reduce glare and improve contrast. Objectives: To determine the effect of green and blue filters on relieving excessive near point of accommodation among emmetropes and myopes. Methods: This analytical cross-sectional study was conducted at the Rashid Latif Khan University, Lahore, Pakistan, from May 2023 to January 2024. 110 participants of both genders, aged 15-30 years, were included. The participants were divided into emmetropes and myopes, with 55 participants in each group. The near point of accommodation (NPA) was assessed objectively using the RAF rule. Both groups were examined initially without any filter and then using green and blue filters. Data were analysed using SPSS-24. A repeated-measures ANOVA test was applied to compare the effect of green and blue filters in emmetropes and myopes. Results: Mean NPA ± SD without filter, with green filter, and with blue filter in emmetropes was 14.89 ± 1.64, 12.07 ± 1.15, and 12.25 ± 1.03, respectively, with (p<0.001) while, mean NPA ± SD without filter, with a green filter, and with a blue filter in myopes was 13.92 ± 1.68, 11.92 ± 0.58, and 12.53 ± 0.55, respectively, with (p<0.001) suggesting that both green and blue filters contribute to a reduction in excessive accommodation among emmetropes and myopes. Conclusions: The use of green and blue filters could decrease excessive NPA both in emmetropes and myopes (mild to moderate myopes).

References

Tian L, Zhu M, Song Y, Wang Y, Jiang Y. The Prevalence of Myopia and Eye Health Behaviours among 3 to 18 Years: A Cross-Sectional Survey Study. BioMed Central Public Health. 2025 May; 25(1): 1688. doi: 10.1186/s12889-025-22906-x.

Liang J. Trend and Projection of Myopia in Children and Adolescents from 1990 to 2050: A Comprehensive Systematic Review and Meta-analysis”. British Journal of Ophthalmology. 2025; 362: 109. doi: 10.1136/bjo-2024-325427.A

Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P et al. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 Through 2050. Ophthalmology. 2016 May; 123(5): 1036-42. doi: 10.1016/j.ophtha.2016.01.006.

Biswas S, El Kareh A, Qureshi M, Lee DM, Sun CH, Lam JS et al. The Influence of the Environment and Lifestyle on Myopia. Journal of Physiological Anthropology. 2024 Jan; 43(1): 7. doi: 10.1186/s40101-024-00354-7.

Pirindhavellie GP, Yong AC, Mashige KP, Naidoo KS, Chan VF. The Impact of Spectacle Correction on the Well-Being of Children with Vision Impairment Due to Uncorrected Refractive Error: A Systematic Review. BioMed Central Public Health. 2023 Aug; 23(1): 1575. doi: 10.1186/s12889-023-16484-z.

Al Nahedh T. Current Concepts of Myopia, Etiology, and Recent Treatments in Saudi Arabia. Journal of Health Informatics in Developing Countries. 2023 May; 17(01).

Hsu CC, Huang N, Lin PY, Fang SY, Tsai DC, Chen SY et al. Risk Factors for Myopia Progression in Second-Grade Primary School Children in Taipei: A Population-Based Cohort Study. British Journal of Ophthalmology. 2017 Dec; 101(12): 1611-7. doi: 10.1136/bjophthalmol-2016-309299.

Huang L, Zhang D, Zhou J. Myopia Development: Multifactorial Interplay, Molecular Mechanisms and Possible Strategies. Frontiers in Medicine. 2025 Aug; 12: 1638184. doi: 10.3389/fmed.2025.1638184.

Brennan NA, Toubouti YM, Cheng X, Bullimore MA. Efficacy In Myopia Control. Progress in Retinal and Eye Research. 2021 Jul; 83: 100923. doi: 10.1016/j.preteyeres.2020.100923.

Evans BJ and Allen PM. A Systematic Review of Controlled Trials on Visual Stress Using Intuitive Overlays or the Intuitive Colorimeter. Journal of Optometry. 2016 Oct; 9(4): 205-18. doi: 10.1016/j.optom.2016.04.002.

Boere K and Krigolson OE. The Effects of Multi-Coloured Light Filtering Glasses on Human Brain Wave Activity. BioMed Central Neuroscience. 2024 Apr; 25(1): 21. doi: 10.1186/s12868-024-00865-0.

Andersson E, Langemeyer J, Borgström S, McPhearson T, Haase D, Kronenberg J et al. Enabling Green and Blue Infrastructure to Improve Contributions to Human Well-Being and Equity in Urban Systems. BioScience. 2019 Jul; 69(7): 566-74. doi: 10.1093/biosci/biz058.

Leung TW, Li RW, Kee CS. Blue-Light Filtering Spectacle Lenses: Optical and Clinical Performances. PLOS One. 2017 Jan; 12(1): e0169114. doi: 10.1371/journal.pone.0169114.

Li X, Kelly D, Nolan JM, Dennison JL, Beatty S. The Evidence Informing the Surgeon’s Selection of Intraocular Lens on the Basis of Light Transmittance Properties. Eye. 2017 Feb; 31(2): 258-72. doi: 10.1038/eye.2016.266.

Silvani MI, Werder R, Perret C. The Influence of Blue Light on Sleep, Performance and Wellbeing in Young Adults: A Systematic Review. Frontiers in Physiology. 2022 Aug; 13: 943108. doi: 10.3389/fphys.2022.943108.

Kibwana UO, Manyahi J, Sensa V, Yongolo SC, Lyamuya E. Predictors of Surgical Site Infections among Patients Undergoing Open Urological Surgery at a Tertiary Hospital, Tanzania: A Cross-Sectional Study. East African Health Research Journal. 2022 Jul; 6(1): 113-8. doi: 10.24248/eahrj.v6i1.686.

Saw SM, Chua WH, Hong CY, Wu HM, Chan WY, Chia KS et al. Nearwork in Early-Onset Myopia. Investigative Ophthalmology and Visual Science. 2002 Feb; 43(2): 332-9.

Mutti DO, Jones LA, Moeschberger ML, Zadnik K. AC/A Ratio, Age, and Refractive Error in Children. Investigative Ophthalmology and Visual Science. 2000 Aug; 41(9): 2469-78.

Bullimore MA, Reuter KS, Jones LA, Mitchell GL, Zoz J, Rah MJ. The Study of Progression of Adult Nearsightedness (SPAN): Design and Baseline Characteristics. Optometry And Vision Science. 2006 Aug; 83(8): 594-604. doi: 10.1097/01.opx.0000230274.42843.28.

Nadeem MM, Mansoor A, Younus M, Ehsan RB, Ata F, Tehreem F. Effect of Green and Red Filters on High and Low Ac/A Ratio Emmetropes. Gomal Journal of Medical Sciences. 2023 Oct; 21(4): 255-9.

Downloads

Published

2026-03-31
CITATION
DOI: 10.54393/pjhs.v7i3.3062
Published: 2026-03-31

How to Cite

Saleem, S., Ehsan, R. B., Nadeem, M. M., Abdullah, M., Sanaullah, T., & Ishaq, E. (2026). Comparative Effect of Green and Blue Filters on Near Point of Accommodation among Emmetropes and Myopes: Green and Blue Filters: Accommodation among Emmetropes and Myopes. Pakistan Journal of Health Sciences, 7(3), 36–40. https://doi.org/10.54393/pjhs.v7i3.3062

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)