Myopia progression in young adults: insights from real-world clinical data

  • 0Brien Holden Eye Research Centre, Brien Holden Institute of Optometry and Vision Sciences, L V Prasad Eye Institute, Hyderabad, India.

|

|

Summary

This summary is machine-generated.

Myopia can progress in adulthood, with 12.7% of young adults experiencing progression. Younger age, high spherical equivalent, and high astigmatism are linked to increased myopia progression.

Area Of Science

  • Ophthalmology
  • Optometry
  • Public Health

Background

  • Myopia progression can continue into adulthood.
  • Clinical trials are needed to assess adult myopia control interventions.

Purpose Of The Study

  • To determine the proportion of young adults with myopia progression (<-0.50 D).
  • To identify factors associated with myopia progression in real-world clinical settings.

Main Methods

  • Retrospective study of 2,683 myopes (SE: -0.50D to -14.75D).
  • Myopia progression calculated using spectacle prescription changes over one year.
  • Binary logistic regression analysis to identify associated factors.

Main Results

  • Annual myopia progression averaged -0.22 ± 0.38D.
  • 12.7% of participants showed myopia progression (<-0.50 D).
  • Younger age (18-20 years), high spherical equivalent, and high astigmatism were significantly associated with increased myopia progression.

Conclusions

  • Approximately 1 in 20 adult myopes experience significant progression (≥1.00 D).
  • Regular biometric monitoring in young adults with high refractive error and astigmatism can help identify those at risk for progression.