did not reach statistical significanceP = 0.3341
Our data suggest that performing screening colonoscopies with ambient light may improve the change in ADR from the beginning of the day to the end of the work day, as compared with low lighting, where ours and other studies have demonstrated that ADR decreases during a day of procedures 7 . Improvement in ADR between the first and last colonoscopy (as opposed to the expected decrease in ADR) may be related to improved symptoms of eye strain, even though the measured decrease in the average eye strain score (8.12 vs 5.63) did not reach statistical significance ( P = 0.3341).