Ophthalmology, Environment, and Lifestyle: New Pathways in Diagnosis and Treatment

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Ophthalmology".

Deadline for manuscript submissions: 20 September 2025 | Viewed by 245

Special Issue Editors


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Guest Editor
Instituto Universitario Fernández-Vega, University of Oviedo, 33012 Oviedo, Spain
Interests: ocular surface; ocular inflammation; allergy; dry eye; refractive surgery; uveitis; ocular regenerative medicine; ocular pharmacology; ocular immunology; ophthalmology education

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Guest Editor Assistant
Colonia Avellaneda (Entre Ríos) Argentina Consejo Argentino de Oftalmología, Research and Developments, Buenos Aires city, Argentina
Interests: visual sciences; ophthalmology; medical devices; ocular surface, ocular immunology; ocular pharmacology; translational research; methodology; evidence-based medicine; epidemiology

Special Issue Information

Dear Colleagues,

Scientific evidence is continuing to emerge highlighting the impact of the environment and lifestyle on overall health, including the visual system. For example, during and after the COVID-19 pandemic, natural light was recognized as a key factor in myopia progression, while excessive screen use was linked to dry eye. Diet and nutrition remain a topic of debate, with challenges in separating science from myth. Meanwhile, technological advancements such as artificial intelligence are transforming diagnostics and treatment.

From early life stages to aging populations, environmental and lifestyle factors shape ocular health, influencing risks for preventable blindness. These factors can act as protective or risk elements for various visual conditions.

We invite the scientific community to contribute original research, narrative reviews, and systematic reviews focusing on epidemiology, diagnostics, and treatment and exploring the environment–lifestyle–vision nexus. Clinical cases offering unique insights into this relationship are also welcome as we expand our understanding of how to protect and optimize visual health.

Prof. Dr. Jesús Merayo-Lloves
Guest Editor

Dr. Rodrigo Martin Torres
Guest Editor Assistant

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Keywords

  • vision science
  • ophthalmology
  • environment
  • lifestyle
  • aging

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Published Papers (1 paper)

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Research

17 pages, 3119 KB  
Article
The Effect of Physical Activity on Anterior Segment Structures and the Retinal Nerve Fiber Layer: A Comparison of Elite Athletes and Sedentary Individuals
by Çiğdem Deniz Genç, Esra Korkmaz Salkılıç, Berna Anıl, Enes Akdemir, Coşkun Yılmaz and Ali Kerim Yılmaz
Medicina 2025, 61(9), 1623; https://doi.org/10.3390/medicina61091623 - 8 Sep 2025
Abstract
Background and Objectives: The study aims to evaluate the effects of regular physical activity on ocular structures by comparing eye anterior segment structures and retinal nerve fiber layer (RNFL) parameters between elite individual athletes and sedentary persons. Materials and Methods: This cross-sectional observational [...] Read more.
Background and Objectives: The study aims to evaluate the effects of regular physical activity on ocular structures by comparing eye anterior segment structures and retinal nerve fiber layer (RNFL) parameters between elite individual athletes and sedentary persons. Materials and Methods: This cross-sectional observational study included 75 participants (33 female and 42 male) aged 18–32 years. Participants consisted of 33 elite individual athletes (66 eyes) aged 18–32 years and 42 sedentary individuals (84 eyes) aged 18–28 years. The elite athlete group consisted of participants who had trained ≥ 3 times per week for the past 5 years and had competition experience in tennis (n = 11), badminton (n = 8), and short/middle distance running (n = 14). Sedentary participants had not engaged in regular physical activity for the last 2 years. Anterior segment structures were measured with ultrasound biomicroscopy (UBM), RNFL parameters were measured with spectral-domain optical coherence tomography (SD-OCT), and intraocular pressure (IOP) was measured with a non-contact pneumotonometer. Results: When the anterior segment parameters were compared, a significance was found in the group effect (p = 0.021, ƞp2  = 0.036) in the TIA500 value, but the effects of side and gender were insignificant (p > 0.05). While the gender effect was found to be significant for the AOD500 (p = 0.030, ƞp2  = 0.032) and ARA500 (p = 0.019, ƞp2  = 0.038) variables, the group and side effects were statistically insignificant (p > 0.05). There was a significant difference in IOP values between sedentary individuals (15.82 ± 2.69) and athletes (14.61 ± 1.80) (p = 0.004, ƞp2  = 0.057). There was a significant difference between the right (15.71 ± 2.70) and left (14.87 ± 2.02) sides (p = 0.027, ƞp2  = 0.033). The effect of gender was not significant (p > 0.05). When the results were evaluated, a significant effect of the TEMPORAL side in RNFL parameters (p = 0.003, ƞp2 = 0.058) was observed. Correlations were seen between the anterior segment and RNFL parameters in both groups (p < 0.05). Conclusions: Athletes exhibited lower IOP compared with sedentary individuals, with similar RNFL parameters but distinct correlation patterns with anterior segment structures. These findings suggest that ocular parameters should be evaluated in an integrated manner and that physical activity may support ocular health by contributing to IOP reduction and potentially slowing the progression of eye diseases. Full article
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