Environmental and Behavioral Factors in Childhood Myopia

dc.contributor.advisorOstrin, Lisa A.
dc.contributor.committeeMemberRichdale, Kathryn L.
dc.contributor.committeeMemberStevenson, Scott B.
dc.contributor.committeeMemberHarb, Elise N.
dc.creatorBhandari, Khob R
dc.creator.orcid0000-0003-3187-423X
dc.date.accessioned2022-06-19T00:01:21Z
dc.date.createdAugust 2021
dc.date.issued2021-08
dc.date.submittedAugust 2021
dc.date.updated2022-06-19T00:01:22Z
dc.description.abstractPurpose: Near work and light exposure are known risk factors for myopia. This dissertation validates the Clouclip, a rangefinding device, to assess its utility in measuring viewing distance and ambient illumination, and to use it along with an actigraph device and questionnaire to measure environmental and behavioral risk factors for myopia in four different studies. Methods: Study 1 validated the Clouclip for measuring distance and ambient light, and measured viewing behaviors during four near tasks in adults. Study 2 measured viewing behaviors in children during similar tasks as in study 1. Study 3 utilized the Clouclip and Actiwatch in participant’s habitual environment over a one week measurement period in adults. Study 4 used the Clouclip, Actiwatch, and a questionnaire to comprehensively quantify visual behaviors over one week in myopic and non-myopic schoolchildren. Results: Study 1) Clouclip measured distance and ambient light levels were comparable to actual values, and viewing distance in adults differed by type of near task but not by refraction. Study 2) Viewing distance and posture differed in children by type of near task 3) Clouclip- and Actiwatch-measured illumination were correlated, while questionnaire overestimated compared to objective sensors. Study 4) Objective measures showed that myopic children spent a greater amount of time on near + intermediate viewing and less time outdoors compared to non-myopic children. Questionnaire-derived electronic device use was 12.0 ± 0.7 hrs per day with no differences between refractive error groups. Conclusion: Wearable objective sensors allowed precise quantification of behavioral components related to myopia. Findings demonstrate that several factors differ in the visual environment between myopic and non-myopic children.
dc.description.departmentOptometry, College of
dc.format.digitalOriginborn digital
dc.format.mimetypeapplication/pdf
dc.identifier.citationPortions of this document appear in: Bhandari, Khob R., and Lisa A. Ostrin. "Validation of the Clouclip and utility in measuring viewing distance in adults." Ophthalmic and Physiological Optics 40, no. 6 (2020): 801-814.
dc.identifier.urihttps://hdl.handle.net/10657/9395
dc.language.isoeng
dc.rightsThe author of this work is the copyright owner. UH Libraries and the Texas Digital Library have their permission to store and provide access to this work. UH Libraries has secured permission to reproduce any and all previously published materials contained in the work. Further transmission, reproduction, or presentation of this work is prohibited except with permission of the author(s).
dc.subjectlight exposure, myopia, near work, rangefinder, sensors
dc.titleEnvironmental and Behavioral Factors in Childhood Myopia
dc.type.dcmiText
dc.type.genreThesis
dcterms.accessRightsThe full text of this item is not available at this time because the student has placed this item under an embargo for a period of time. The Libraries are not authorized to provide a copy of this work during the embargo period.
local.embargo.lift2023-08-01
local.embargo.terms2023-08-01
thesis.degree.collegeCollege of Optometry
thesis.degree.departmentOptometry, College of
thesis.degree.disciplinePhysiological Optics and Vision Science
thesis.degree.grantorUniversity of Houston
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy
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