Sometimes even that's not enough and I'll use the accessibility settings to make things even redder.
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Yeah, I have mine cranked all the way to the most amber. And when reading in bed at night, I'll also have the brightness at the absolute minimum.
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YOu get the most eye-friendly setup by going further in Accessibility settings and enabling VoiceOver. Start off with a slow speech setting, and try reading a few pages of text with it. I guess the most useful gesture for this is two-fingers-swipe-down, which will introduce VoiceOver to read all page elements from the current select one onwards
iBooks also has (or at least had last time I tried) pretty good VoiceOver support, will turn the pages automatically if you read with the mentioned two-fingers-swipe-down gesture.
The speech synth might need a little getting used to, but rest assured, what you're getting is way better then what people used to use in the 90s and earlier. Speech synths sounded a lot more unnatural then these days. I am mentioning this because it is actually a built-in feature. No need to install third-party apps. Of course, strictly speaking, this is a screen reader developed for the blind, but that shouldn't stop anyone to benefit from it when it comes to giving your eyes a break.