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Myopia Prevalence and Ocular Biometry Features in a General Japanese Population: The Nagahama Study
Shin-Ya Nakao1, Masahiro Miyake2, Yoshikatsu Hosoda3
1Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan; Department of Ophthalmology, Tenri General Hospital, Nara, Japan.
Ophthalmology
|August 31, 2020
Summary
This study reveals that myopia prevalence in Japanese adults is increasing, possibly due to environmental factors. However, extreme myopia appears to have a strong genetic component, with stable prevalence across age groups.
Area of Science:
- Ophthalmology
- Human Biology
- Population Health
Background:
- Ocular biometry and refractive error distributions are crucial for understanding visual health in populations.
- Previous studies on Japanese adults have provided baseline data, but recent environmental changes may be altering these parameters.
- The Nagahama Prospective Cohort Study offers a valuable resource for examining current ocular health trends.
Purpose of the Study:
- To describe the current distribution of ocular biometry and refractive error in a large cohort of Japanese adults.
- To determine the prevalence of myopia, high myopia, and extreme myopia in this population.
- To investigate potential age and gender-related differences in ocular parameters.
Main Methods:
- A cross-sectional analysis was performed on data from 9850 participants (aged 34-80) in the Nagahama Study (2013-2016).
- Ocular biometry measurements included axial length (AL), anterior chamber depth (ACD), corneal diameter, and central corneal thickness (CCT).
- Refraction (spherical equivalent, SE) and corneal curvature (CC) were measured, and distributions and prevalences were calculated after standardization.
Main Results:
- Standardized mean axial length was 24.21 mm and mean spherical equivalent was -1.44 D.
- Prevalence of myopia (SE ≤ -0.5 D) was 49.97% and high myopia (SE ≤ -6.0 D) was 7.89%.
- Myopia was more common in younger individuals, but extreme myopia prevalence remained stable across ages, particularly in women, suggesting a potential genetic influence.
Conclusions:
- The study provides detailed ocular biometry and refraction data for Japanese adults, indicating higher myopia and high myopia prevalence compared to earlier studies.
- Increased myopia prevalence likely reflects recent environmental changes.
- Consistent prevalence of extreme myopia across all ages suggests a significant genetic predisposition for this phenotype.
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