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Author (up) Schmoll, C.; Khan, A.; Aspinall, P.; Goudie, C.; Koay, P.; Tendo, C.; Cameron, J.; Roe, J.; Deary, I.; Dhillon, B. url  doi
  Title New light for old eyes: comparing melanopsin-mediated non-visual benefits of blue-light and UV-blocking intraocular lenses Type
  Year 2014 Publication The British Journal of Ophthalmology Abbreviated Journal Br J Ophthalmol  
  Volume 98 Issue 1 Pages 124-128  
  Keywords Aged; Cataract/*physiopathology; Circadian Rhythm/physiology; Cognition/*physiology; Female; Humans; Lens Implantation, Intraocular; *Lenses, Intraocular; Light; Male; Phacoemulsification; Prospective Studies; Questionnaires; Reaction Time/physiology; Regression Analysis; Rod Opsins/*physiology; Sleep/*physiology; Physiology; Retina; blue blocker; blue light  
  Abstract BACKGROUND/AIMS: Melanopsin-expressing photosensitive retinal ganglion cells form a blue-light-sensitive non-visual system mediating diverse physiological effects including circadian entrainment and cognitive alertness. Reduced blue wavelength retinal illumination through cataract formation is thought to blunt these responses while cataract surgery and intraocular lens (IOL) implantation have been shown to have beneficial effects on sleep and cognition. We aimed to use the reaction time (RT) task and the Epworth Sleepiness Score (ESS) as a validated objective platform to compare non-visual benefits of UV- and blue-blocking IOLs. METHODS: Patients were prospectively randomised to receive either a UV- or blue-blocking IOL, performing an RT test and ESS questionnaire before and after surgery. Optical blurring at the second test controlled for visual improvement. Non-operative age-matched controls were recruited for comparison. RESULTS: 80 participants completed the study. Those undergoing first-eye phacoemulsification demonstrated significant improvements in RT over control (p=0.001) and second-eye surgery patients (p=0.03). Moreover, reduced daytime sleepiness was measured by ESS for the first-eye surgery group (p=0.008) but not for the second-eye group (p=0.09). Choice of UV- or blue-blocking IOL made no significant difference to magnitude of cognitive improvement (p=0.272). CONCLUSIONS: Phacoemulsification, particularly first-eye surgery, has a strong positive effect on cognition and daytime alertness, regardless of IOL type.  
  Address Princess Alexandra Eye Hospital, , Edinburgh, UK  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0007-1161 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:24158845 Approved no  
  Call Number IDA @ john @ Serial 342  
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