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Complex Interplay Between COVID-19 Lockdown and Myopic Progression

Tao Cai1,2,3, Lianghui Zhao2,3, Ling Kong2,3

  • 1Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.

Frontiers in Medicine
|April 7, 2022
PubMed

Insights

The COVID-19 pandemic significantly increased myopia progression in children by 35% due to reduced outdoor time and increased screen use. Factors like heredity and close work exacerbated this, while rest and sleep offered protection.

Area of Science:

  • Ophthalmology
  • Public Health
  • Pediatrics

Background:

  • Myopic progression is a growing concern in children.
  • The coronavirus disease 2019 (COVID-19) pandemic led to widespread home confinement, altering lifestyle factors.
  • Understanding the impact of these changes on pediatric myopia is crucial.

Purpose of the Study:

  • To compare myopic progression in children before and during COVID-19 home confinement.
  • To identify factors influencing myopia progression during this period.

Main Methods:

  • A cross-sectional study involving 115 myopic children.
  • Compared axial length and refractive errors before and after 3 months of strict home confinement.
  • Utilized questionnaires and visual function tests to assess influencing factors.

Main Results:

  • Monthly axial elongation increased by 35% during confinement (0.046 vs. 0.033 mm/month).
  • Severe asthenopia doubled during confinement.
  • Heredity, close indoor work, and screen time were risk factors; age, rest, sleep, and viewing distance were protective.

Conclusions:

  • COVID-19 home confinement accelerated myopia progression by approximately one-third.
  • Reduced outdoor activities and increased digital screen exposure are key drivers.
  • Lifestyle modifications are essential for managing pediatric myopia during pandemics.
Abstract

Keywords:
COVID-19asthenopiae-learninghome confinementmyopia

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