Characteristics of refractive development in children aged 4 months to 8 years in urban China: A retrospective

Yarong Yan1,2, Xuewen Xia3, Qinghui Zhang3

  • 1Clinical College of Ophthalmology, Tianjin Medical University, Tianjin, China.

Insights

Refractive errors and amblyopia risk factors are common in young children, especially under one year old. Myopia prevalence increased in older children, with significant changes observed in those aged 5-8 years.

Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Public Health

Background:

  • Refractive errors are a significant global health concern in children.
  • Early detection and intervention are crucial for preventing vision impairment.

Purpose of the Study:

  • To analyze refractive error screening data in young children.
  • To identify trends in refractive error and amblyopia risk factors.

Main Methods:

  • Retrospective study of 14,987 children (4 months to 8 years) in Beijing.
  • Cross-sectional and longitudinal analyses of refractive error without cycloplegia.
  • Assessment of spherical equivalent, cylinder, axial length, and amblyopia risk factors.

Main Results:

  • Higher prevalence of refractive errors and amblyopia risk factors in children under 1 year.
  • Boys had longer axial length than girls from 4 years old.
  • Increased myopia prevalence in 5-8 year olds between 2018-2019 and 2020-2021.
  • Annual myopic shift observed in children aged 5-8 years.

Conclusions:

  • Significant variation in refractive error exists in early childhood.
  • A trend towards myopia in older children (5-8 years) warrants attention.
  • Myopia prevalence increased, particularly in recent years, highlighting the need for ongoing screening.
Abstract

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