Summary: A once-weekly three-minute exposure to long-wave deep red light activates mitochondria in the retina, helping to naturally boost declining vision.

Source: UCL

Just three minutes of exposure to deep red light once a week, when delivered in the morning, can significantly improve declining eyesight, finds a pioneering new study by UCL researchers.

Published in Scientific Reports, the study builds on the team’s previous work, which showed daily three-minute exposure to longwave deep red light ‘switched on’ energy producing mitochondria cells in the human retina, helping boost naturally declining vision.

For this latest study, scientists wanted to establish what effect a single three-minute exposure would have, while also using much lower energy levels than their previous studies. Furthermore, building on separate UCL research in flies that found mitochondria display ‘shifting workloads’ depending on the time of day, the team compared morning exposure to afternoon exposure.

In summary, researchers found there was, on average, a 17% improvement in participants’ color contrast vision when exposed to three minutes of 670 nanometre (long wavelength) deep red light in the morning and the effects of this single exposure lasted for at least a week. However, when the same test was conducted in the afternoon, no improvement was seen.

Scientists say the benefits of deep red light, highlighted by the findings, mark a breakthrough for eye health and should lead to affordable home-based eye therapies, helping the millions of people globally with naturally declining vision.

Lead author, Professor Glen Jeffery (UCL Institute of Ophthalmology), said: “We demonstrate that one single exposure to long wave deep red light in the morning can significantly improve declining vision, which is a major health and wellbeing issue, affecting millions of people globally.

“This simple intervention applied at the population level would significantly impact on quality of life as people age and would likely result in reduced social costs that arise from problems associated with reduced vision.”

Naturally declining vision and mitochondria

In humans around 40 years old, cells in the eye’s retina begin to age, and the pace of this aging is caused, in part, when the cell’s mitochondria, whose role is to produce energy (known as ATP) and boost cell function, also start to decline.

Mitochondrial density is greatest in the retina’s photoreceptor cells, which have high energy demands. As a result, the retina ages faster than other organs, with a 70% ATP reduction over life, causing a significant decline in photoreceptor function as they lack the energy to perform their normal role.

In studying the effects of deep red light in humans, researchers built on their previous findings in mice, bumblebees and fruit flies, which all found significant improvements in the function of the retina’s photoreceptors when their eyes were exposed to 670 nanometre (long wavelength) deep red light.

“Mitochondria have specific sensitivities to long wavelength light influencing their performance: longer wavelengths spanning 650 to 900nm improve mitochondrial performance to increase energy production,” said Professor Jeffery.

Morning and afternoon studies

The retina’s photoreceptor population is formed of cones, which mediate color vision, and rods, which adapt vision in low/dim light. This study focused on cones and observed color contrast sensitivity, along the protan axis (measuring red-green contrast) and the tritan axis (blue-yellow).

All the participants were aged between 34 and 70, had no ocular disease, completed a questionnaire regarding eye health prior to testing, and had normal color vision (cone function). This was assessed using a ‘Chroma Test’: identifying colored letters that had very low contrast and appeared increasingly blurred, a process called color contrast.

Using a provided LED device all 20 participants (13 female and 7 male) were exposed to three minutes of 670nm deep red light in the morning between 8am and 9am. Their color vision was then tested again three hours post exposure and 10 of the participants were also tested one week post exposure.

On average there was a ‘significant’ 17% improvement in color vision, which lasted a week in tested participants; in some older participants there was a 20% improvement, also lasting a week.

A few months on from the first test (ensuring any positive effects of the deep red light had been ‘washed out’) six (three female, three male) of the 20 participants, carried out the same test in the afternoon, between 12pm to 1pm. When participants then had their color vision tested again, it showed zero improvement.

Professor Jeffery said: “Using a simple LED device once a week, recharges the energy system that has declined in the retina cells, rather like re-charging a battery.

In summary, researchers found there was, on average, a 17% improvement in participants’ color contrast vision when exposed to three minutes of 670 nanometre (long wavelength) deep red light in the morning and the effects of this single exposure lasted for at least a week. Image is in the public domain

“And morning exposure is absolutely key to achieving improvements in declining vision: as we have previously seen in flies, mitochondria have shifting work patterns and do not respond in the same way to light in the afternoon—this study confirms this.”

For this study the light energy emitted by the LED torch was just 8mW/cm2, rather than 40mW/cm2, which they had previously used. This has the effect of dimming the light but does not affect the wavelength. While both energy levels are perfectly safe for the human eye, reducing the energy further is an additional benefit.

Home-based affordable eye therapies

With a paucity of affordable deep red-light eye-therapies available, Professor Jeffery has been working for no commercial gain with Planet Lighting UK, a small company in Wales and others, with the aim of producing 670nm infra-red eye ware at an affordable cost, in contrast to some other LED devices designed to improve vision available in the US for over $20,000.

“The technology is simple and very safe; the energy delivered by 670nm long wave light is not that much greater than that found in natural environmental light,” Professor Jeffery said.

See also

This shows the developing cerebral cortex of a mouse

“Given its simplicity, I am confident an easy-to-use device can be made available at an affordable cost to the general public.

“In the near future, a once a week three-minute exposure to deep red light could be done while making a coffee, or on the commute listening to a podcast, and such a simple addition could transform eye care and vision around the world.”

Study limitations

Despite the clarity of the results, researchers say some of the data are “noisy”. While positive effects are clear for individuals following 670nm exposure, the magnitude of improvements can vary markedly between those of similar ages. Therefore, some caution is needed in interpretating the data. It is possible that there are other variables between individuals that influence the degree of improvement that the researchers have not identified so far and would require a larger sample size.

About this visual neuroscience research news

Author: Chris Lane
Source: UCL
Contact: Chris Lane – UCL
Image: The image is in the public domain

Original Research: Open access.
“Weeklong improved colour contrasts sensitivity after single 670nm exposures associated with enhanced mitochondrial function” by Harpreet Shinhmar, Chris Hogg, Magella Neveu & Glen Jeffery. Scientific Reports


Abstract

Weeklong improved colour contrasts sensitivity after single 670nm exposures associated with enhanced mitochondrial function

Mitochondrial decline in ageing robs cells of ATP. However, animal studies show that long wavelength exposure (650–900 nm) over weeks partially restores ATP and improves function.

The likely mechanism is via long wavelengths reducing nanoscopic interfacial water viscosity around ATP rota pumps, improving their efficiency. Recently, repeated 670 nm exposures have been used on the aged human retina, which has high-energy demands and significant mitochondrial and functional decline, to improve vision.

We show here that single 3 min 670 nm exposures, at much lower energies than previously used, are sufficient to significantly improve for 1 week cone mediated colour contrast thresholds (detection) in ageing populations (37–70 years) to levels associated with younger subjects. But light needs to be delivered at specific times. In environments with artificial lighting humans are rarely dark-adapted, hence cone function becomes critical.

This intervention, demonstrated to improve aged mitochondrial function can be applied to enhance colour vision in old age.



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