Incidence of myopia and biometric characteristics of premyopic eyes among Chinese children and adolescents

Abstract Background To determine the one-year incidence and progression rates of myopia and its association with baseline ocular biometric parameters in school-based samples of children and adolescents in China. Methods Two thousand four hundred thirty two grade 1 and 2346 grade 7 students living in...

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Main Authors: Lan Li, Hua Zhong, Jun Li, Cai-Rui Li, Chen-Wei Pan
Format: Article
Language:English
Published: BMC 2018-07-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-018-0836-9
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author Lan Li
Hua Zhong
Jun Li
Cai-Rui Li
Chen-Wei Pan
author_facet Lan Li
Hua Zhong
Jun Li
Cai-Rui Li
Chen-Wei Pan
author_sort Lan Li
collection DOAJ
description Abstract Background To determine the one-year incidence and progression rates of myopia and its association with baseline ocular biometric parameters in school-based samples of children and adolescents in China. Methods Two thousand four hundred thirty two grade 1 and 2346 grade 7 students living in the southwest part of China participated in the baseline survey. After 1 year, 2310 (95.0%) grade 1 and 2191 (93.4%) grade 7 students attended the follow-up examination. Refractive error was measured after cycloplegia using the same autorefractor and by the same optometrists in the baseline and follow-up examination. Myopia was defined as spherical equivalent of less than − 0.50 diopter. Results The overall one-year incidence of myopia was 33.6% (95% confidence interval [CI]: 31.7–35.5) among grade 1 students and 54.0% (95% CI: 51.5–56.5) for grade 7 students. The one-year myopia progression rate was − 0.97 D (95% CI: -1.22 to − 0.71) in grade 1 students and − 1.02 D (95% CI: -1.07 to − 0.96) in grade 7 students. Per mm increase in baseline axial lengths increased the risk of myopia onset by 28% among grade 1 students and 22% among grade 7 students after 1 year. The incidence rates of myopia were found to be higher in grade 7 students with thinner premyopic lenses. Conclusions The incidence and progression rates of myopia were very high in Chinese children and adolescents in recent years. Premyopic eyes were characterized with longer axial lengths and thinner lenses. These data had considerable implications for formulating myopia prevention strategies in China.
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spelling doaj.art-2a307345b1644c899d72d0bdaf3cc44e2022-12-21T22:24:14ZengBMCBMC Ophthalmology1471-24152018-07-011811810.1186/s12886-018-0836-9Incidence of myopia and biometric characteristics of premyopic eyes among Chinese children and adolescentsLan Li0Hua Zhong1Jun Li2Cai-Rui Li3Chen-Wei Pan4Department of Ophthalmology, the First People’s Hospital of Kunming CityDepartment of Ophthalmology, the First Affiliated Hospital of Kunming Medical UniversityDepartment of Ophthalmology, the Second People’s Hospital of Yunnan ProvinceDepartment of Ophthalmology, the First Affiliated Hospital of Dali UniversitySchool of Public Health, Medical College of Soochow UniversityAbstract Background To determine the one-year incidence and progression rates of myopia and its association with baseline ocular biometric parameters in school-based samples of children and adolescents in China. Methods Two thousand four hundred thirty two grade 1 and 2346 grade 7 students living in the southwest part of China participated in the baseline survey. After 1 year, 2310 (95.0%) grade 1 and 2191 (93.4%) grade 7 students attended the follow-up examination. Refractive error was measured after cycloplegia using the same autorefractor and by the same optometrists in the baseline and follow-up examination. Myopia was defined as spherical equivalent of less than − 0.50 diopter. Results The overall one-year incidence of myopia was 33.6% (95% confidence interval [CI]: 31.7–35.5) among grade 1 students and 54.0% (95% CI: 51.5–56.5) for grade 7 students. The one-year myopia progression rate was − 0.97 D (95% CI: -1.22 to − 0.71) in grade 1 students and − 1.02 D (95% CI: -1.07 to − 0.96) in grade 7 students. Per mm increase in baseline axial lengths increased the risk of myopia onset by 28% among grade 1 students and 22% among grade 7 students after 1 year. The incidence rates of myopia were found to be higher in grade 7 students with thinner premyopic lenses. Conclusions The incidence and progression rates of myopia were very high in Chinese children and adolescents in recent years. Premyopic eyes were characterized with longer axial lengths and thinner lenses. These data had considerable implications for formulating myopia prevention strategies in China.http://link.springer.com/article/10.1186/s12886-018-0836-9MyopiaIncidenceAxial lengthEpidemiology
spellingShingle Lan Li
Hua Zhong
Jun Li
Cai-Rui Li
Chen-Wei Pan
Incidence of myopia and biometric characteristics of premyopic eyes among Chinese children and adolescents
BMC Ophthalmology
Myopia
Incidence
Axial length
Epidemiology
title Incidence of myopia and biometric characteristics of premyopic eyes among Chinese children and adolescents
title_full Incidence of myopia and biometric characteristics of premyopic eyes among Chinese children and adolescents
title_fullStr Incidence of myopia and biometric characteristics of premyopic eyes among Chinese children and adolescents
title_full_unstemmed Incidence of myopia and biometric characteristics of premyopic eyes among Chinese children and adolescents
title_short Incidence of myopia and biometric characteristics of premyopic eyes among Chinese children and adolescents
title_sort incidence of myopia and biometric characteristics of premyopic eyes among chinese children and adolescents
topic Myopia
Incidence
Axial length
Epidemiology
url http://link.springer.com/article/10.1186/s12886-018-0836-9
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