A recent report highlights a troubling increase in myopia, or shortsightedness, among school-aged children in Fiji, attributing this trend to increased screen time, limited outdoor activities, and intense academic pressures. These factors are causing significant concern among eye-care professionals, particularly as a nationwide school screening initiative conducted in 2025 uncovered that approximately one in ten children has been diagnosed with a refractive error leading to blurred vision. This initiative, supported by a mission of visiting specialists, also indicated that a considerable number of adults in Fiji are in need of vision correction.
The effects of prolonged screen use combined with poor posture are contributing to eye strain and fatigue, exacerbating existing vision issues over time. Experts have pointed out that while technology is often blamed, the reality is that various lifestyle changes are intertwining to create this public health challenge. Research indicates that extended periods of near work, such as reading or using digital devices, can strain the eye’s accommodation system, leading to a higher risk of myopia progression. Furthermore, reduced outdoor time diminishes exposure to natural daylight, which is crucial for proper eye development. Studies have indicated that for every hour children spend in front of screens, their chances of becoming shortsighted increase.
Moreover, poor ergonomic practices and environmental lighting can heighten visual strain and cause musculoskeletal discomfort. These health issues are more closely tied to how individuals use their devices rather than the blue light emitted by screens. Notably, the combination of increased screen time, particularly in urban settings, alongside existing barriers to healthcare access in rural Fiji, presents a serious public health concern that requires urgent action.
To combat this growing threat, health experts recommend several actionable strategies for families, communities, and policymakers. They suggest limiting prolonged periods of near work by implementing breaks, such as the 20-20-20 rule, which encourages individuals to look at something 20 feet away for 20 seconds every 20 minutes. Parents are also urged to promote outdoor activities to balance screen time, with recommendations for children to spend around three to four hours outdoors daily to help mitigate myopia progression.
Ergonomics can significantly improve comfort; positioning screens at or slightly below eye level, ensuring they are at a comfortable viewing distance, and adjusting lighting to counteract glare are essential steps. Regular eye check-ups remain vital, especially for children more prone to developing vision problems. Supporting screening initiatives in schools, particularly in rural areas with limited access to eye care, can enhance early detection and treatment options.
Raising awareness about eye health in relation to digital lifestyles, as well as traditional risks like cataracts and UV exposure, is imperative. Additionally, increasing the accessibility of eye care services through mobile clinics and community outreach partnerships can further bolster support for regions that face health service shortages.
While the rising rates of myopia signal an urgent public health challenge, they also present an opportunity for communities to make informed changes. By integrating responsible screen habits, emphasizing outdoor play, and ensuring accessible vision care, Fiji can strive toward a future of healthier vision in an increasingly digital environment. With collective awareness and proactive strategies, there is hope for communities to create a sustain environment for eye health amid the challenges brought by modern technology.

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