The refractive behaviour of the human eye under different ambient lighting conditions

Background: Adjustment of the ocular accommodative system is an important phenomenon allowing for optimal vision at different distances. Aim: The study compared the refractive behaviour of the human eye under different ambient lighting conditions for different target brightness. Setting: Auto-refraction measurements were taken of the participants in the Department of Optometry at the University of Johannesburg. Methods: Five African participants from a single ethnic group aged between 20 years and 25 years, had 40 successive auto-refractor (Nidek AR 610) measurements taken on the right eye of each participant in a bright and dark room using the illuminated and dark targets (LL and DL); dark target in the illuminated and dark room (LD and DD). Results: A change in the refractive state of all participants was observed on LL and LD, except for one, who experienced myopic shifts. The largest significant difference in the variance-covariances and the means was approximately 2.40 dioptre (D). The other participants’ shifts in means were approximately the same and varied between 1.00 D and 1.50 D stigmatic shift. For the DL to DD conditions all participants, except for one, underwent a hyperopic shift of about 0.50 D. Conclusion: The refractive behaviour of the human eye appears to be dependent on ambient light conditions as well as target illumination or luminance. Contribution: The study is scientific and clinical, and focuses on changes in refractive behaviour under different lighting conditions, falling within the scope of the journal. Key insights are that there is a change in the refractive behaviour of the eye under different ambient conditions.