Morning Exposure to Deep Red Light Improves Declining Eyesight

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 long-wave deep red light switched energy-producing mitochondria cells in the human retina, helping boost naturally declining vision.

For this latest study, scientists wanted to establish a single three-minute exposure effect while 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 contrast vision when exposed to three minutes of 670 nanometres (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 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 well-being issue, affecting millions of people globally.’

‘This simple intervention applied at the population level would significantly impact the 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 eyes begin to age. The pace of this ageing 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. They lack the energy to perform their usual 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 receptors when their eyes were exposed to 670 nanometres (long wavelength) deep red light.

‘Mitochondria has 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 comprises cones, which mediate colour vision, and rods, which adapt vision in low/dim light. This study focused on cones and observed colour contrast sensitivity along the protan axis (measuring red-green contrast) and the Tritan axis (blue-yellow).

All the participants were aged 34 and 70, had no ocular disease, completed a questionnaire regarding eye health before testing, and normal colour vision (cone function). This was assessed using a Chroma Test: identifying coloured letters with very low contrast and appearing increasingly blurred, a process called colour contrast.

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

On average, there was a significant 17% improvement in colour vision, which lasted a week in tested participants; in some older participants, there was a 20% improvement, also staying a week. A few months after 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 12 pm to 1 pm.  When participants then had their colour vision tested again, it showed zero improvements.

Professor Jeffery said: ‘Using a simple LED device once a week re-charge the energy system that has declined in the retina cells, rather like re-charging a battery. And morning exposure is key to improving declining vision: as we have previously seen in flies, mitochondria have shifting work patterns. They do not respond to light in the afternoon in the same way – this study confirms this.’

For this study, the light energy emitted by the LED torch was 8mW/c2, 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 lack 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, to produce 670nm infra-red eyewear 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. ‘Given its simplicity, I am confident an easy-to-use device can be made available at an affordable cost to the general public. Shortly, 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 evident for individuals following 670nm exposure, the magnitude of improvements can vary markedly between similar ages. Therefore, some caution is needed in interpreting the data. Other variables between individuals may influence the degree of progress that the researchers have not identified and require a larger sample size.