Quantitative calculation of human melatonin suppression induced by inappropriate light at night

Phosphor-converted laser-diode-based white lighting module with high luminous flux and color rendering index

A laser-diode-based white lighting module is fabricated via spectral component optimization, which can achieve both high luminous flux and high color rendering index (CRI). In this work, the laser module is constituted by blue laser diodes (LDs) which excite YAG:Ce-Al₂O₃ and red LDs that can compensate for the lack of red spectrum to improve the CRI of the light source. To fulfill the requirements of flexibility and compactness of light source, the blue and red LDs beams are combined by optical fiber coupling. A simulation framework is employed to optimize the dominant wavelength of red LDs and the power ratio of red to blue LDs. According to the results of the integrating sphere, high luminous flux of 1102 lm and high CRI of 77.8 are achieved simultaneously, which is consistent with the simulation results. The tunable correlated color temperature (CCT) varying from 4000 K to 2800 K and high angular color uniformity (ACU) can be obtained.

Estimation of the melatonin suppression index through clear and yellow-tinted intraocular lenses

PURPOSE

To estimate the melatonin suppression index (MSI), which may reflect the nonvisual photoreception function, through commercially available foldable, clear and yellow-tinted intraocular lenses (IOLs).

METHODS

The MSIs for 13 IOL models (6 clear IOLs, 7 yellow-tinted IOLs) with three lens powers were calculated based on previously reported data about the melatonin suppression spectrum, spectral intensity of a 20-W white fluorescent lamp and spectral transmission of IOLs in wavelengths from 300 to 800 nm. The models tested were the SA60AT and SN60AT (Alcon Japan); the VA-60BBR, YA-60BBR, and NM-1 (Hoya); the AU6K and AN6K (Kowa); the N4-18B and N4-18YG (Nidek); the X-60 and NX-60 (Santen); and the KS-3Ai and KS-AiN (Staar Japan).

RESULTS

The MSIs of the clear IOLs ranged from 1.12 to 1.18 mW cm(-2) sr(-1) and those of the yellow-tinted IOLs from 0.74 to 1.01 mW cm(-2) sr(-1). All yellow-tinted IOLs had significantly lower MSIs (P < 0.0001-0.0021) than the clear IOLs; the %MSI cutoff values for yellow-tinted IOLs compared to the clear IOLs were 11.4-36.2 %. The MSIs of the six clear IOLs did not differ based on lens powers (P = 0.2159-0.6144). Except for one IOL model, all yellow-tinted IOLs had a lower MSI with higher lens powers compared to those with lower lens powers (P < 0.0001-0.0055). Compared to phakic eyes (MSI, 1.03 mW cm(-2) sr(-1)), the MSIs of the clear IOLs were higher (%MSI cutoff, -14.6 to -8.4 %), whereas those of the yellow-tinted IOLs were lower (2.6-28.1 %). Compared to aphakic eyes (MSI, 1.21 mW cm(-2) sr(-1)), the MSIs of the clear (2.1-7.4 %) and yellow-tinted (16.7-38.6 %) IOLs were lower.

CONCLUSIONS

Yellow-tinted IOLs absorb more circadian rhythm-associated light than clear IOLs. The difference in the lens power is significantly related to the MSI value in some yellow-tinted IOLs. To correlate the current data with the clinical relevance of these findings, the percent loss of the MSI leading to a circadian rhythm disorder needs to be clarified.