Screen Time Soars and Vision Suffers: How School Closures During the Pandemic Affected Children and Adolescents' Eyesight.

ABSTRACT

This study aimed to determine the impact of school closures on visual acuity and screen time among students in Qatar. An analytical cross-sectional study was conducted, targeting governmental school students. Data were collected via telephone interviews with parents, and visual acuity measurements were extracted from the electronic health records. We interviewed 1546 parents of selected students, about 24% reported their children's history of visual disturbances, primarily refractive errors. The mean screen time across the week increased significantly by 11.5 ± 11.6 h during school closures. We observed a significant decline of visual acuity during the closure compared to the pre-closure period across the entire sample, both sexes, and the younger age group. Furthermore, logistic regression analysis showed that local students and those with a history of visual disturbances were 1.7 times (AOR 1.73, 95%CI 1.18-2.54, p = 0.005) and 2.5 times (AOR 2.52, 95%CI 1.69-3.76, p < 0.001) more likely to experience decline of visual acuity respectively. School closures in Qatar were associated with a significant increase in screen time among students and a notable decline in their visual acuity. This deterioration highlights the need to monitor children's screen time and implement cost-effective measures to reduce screen exposure and enhance overall eye health among students.