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Myopia Progression in School-Age Children During the COVID-19 Pandemic
Gülce Gökgöz Özışık1, Hayati Yilmaz2
1Department of Ophthalmology, Faculty of Medicine, Hitit University, 19030 Corum, Turkey.
Insights
Myopia progression significantly increased in school-aged children during the COVID-19 pandemic. Younger children experienced the most substantial changes in their refractive error, highlighting the need for targeted interventions.
Area of Science:
- Ophthalmology
- Pediatrics
- Public Health
Background:
- Myopia, or nearsightedness, is a growing global health concern.
- The COVID-19 pandemic introduced lifestyle changes, including increased screen time and reduced outdoor activities, potentially impacting myopia progression.
- Understanding these impacts is crucial for developing effective management strategies.
Purpose of the Study:
- To investigate the changes in refractive error among myopic school-aged children during the COVID-19 pandemic.
- To analyze myopia progression rates across different age groups during the pandemic years (2018-2021).
Main Methods:
- Retrospective analysis of cycloplegic prescriptions for 825 myopic children (aged 7-18 years).
- Data collected from 2018 to 2021.
- Children categorized into three age groups: ≤10 years, 11-14 years, and ≥15 years.
Main Results:
- Overall annual myopia progression showed a significant increase between 2018 and 2021.
- The youngest age group (≤10 years) exhibited the most significant increase in myopia progression, particularly in 2020.
- A negative correlation was found between myopia progression and age from 2020 to 2021.
Conclusions:
- Myopia progression accelerated in school-aged children during the COVID-19 pandemic.
- Younger children were disproportionately affected by increased myopia progression.
- Pandemic-related factors, such as distance learning, necessitate consideration in myopia management plans for children.
Abstract:
Objectives: This study aimed to investigate changes in refraction error in myopic school-age children during the COVID-19 pandemic. Methods: The data of 825 myopic children aged 7-18 years were retrospectively screened from the hospital data access system. The cycloplegic prescriptions of the patients in 2018, 2019, 2020, and 2021 were recorded. The patients were divided into three groups according to their ages: ≤10 years (Group A), 11-14 years (Group B), and ≥15 years (Group C). The mean refraction values and annual progression values were compared between the years and age groups. Results: The mean age of the patients was 13.8 ± 3.17 years. Statistical analysis for the overall sample indicated that the annual myopia progression significantly differed between 2018 and 2021 (-0.42 ± 0.37 and -0.53 ± 0.47, respectively) (p < 0.001), and there was also a significant difference in myopia progression observed in all years in the younger age group (-0.34 ± 0.44 for 2018, -0.50 ± 0.49 for 2019, and -0.76 ± 0.59 for 2020). The highest progression (-0.76 ± 0.59) was determined in the younger age group in 2020. Linear regression analysis showed a negative correlation between myopia progression from 2020 to 2021 and age (B = 0.049 and p < 0.001). Conclusions: Myopia progression has increased in school-age children during COVID-19, with the younger age group being more affected. During the COVID-19 pandemic, myopia progression in younger children has increased statistically significantly. Thus, at times when distance learning is required, it would be appropriate to plan by taking into account the myopia progression of children.
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