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Updated: Jul 25, 2025

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Published on: March 29, 2022
Myopia and sleep in children-a systematic review
Xiao Nicole Liu1,2, Thomas John Naduvilath1,2, Padmaja R Sankaridurg1,2
1School of Optometry and Vision Science, University of New South Wales, Sydney, SYD, Australia.
The link between childhood myopia and sleep is unclear, with current evidence insufficient. More research is needed to understand how sleep duration, quality, and timing impact myopia progression in children.
Area of Science:
- Ophthalmology
- Pediatrics
- Sleep Science
Background:
- Childhood myopia (short-sightedness) affects one in three globally, posing risks for vision-threatening complications.
- Early-onset myopia in children is associated with higher progression rates and increased risk of severe eye conditions.
- The role of sleep in childhood myopia is an emerging area of research with mixed findings.
Approach:
- A comprehensive literature search was conducted across PubMed, Embase, and Scopus up to October 31, 2022.
- Seventeen studies examining sleep duration, quality, timing, and efficiency in relation to childhood myopia were reviewed.
- Methodological limitations and research gaps in the existing literature were identified.
Key Points:
- Current evidence on the association between sleep and childhood myopia is insufficient and inconclusive.
- Studies have explored various sleep aspects, including duration, quality, timing, and efficiency.
- Significant limitations exist in the methodologies of current research, necessitating further investigation.
Conclusions:
- The precise role of sleep in the development and progression of childhood myopia remains poorly understood.
- Future research should prioritize objective sleep assessments, diverse populations, and control for confounders like light exposure and educational load.
- A holistic approach to myopia management, including sleep hygiene education for children and parents, is recommended.
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