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Myopia Management in Ontario, Canada.

Amy H Y Chow1,2, Barbara Caffery3, Sarah Guthrie1

  • 1School of Optometry and Vision Science, University of Waterloo, 200 Columbia Street West, Waterloo, ON N2L 3G1, Canada.

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|July 29, 2025
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Summary
This summary is machine-generated.

Canadian optometrists are increasingly using myopia control interventions for children, shifting from single-vision glasses to earlier and more frequent myopia management strategies over time.

Keywords:
myopiamyopia controlmyopia managementpre-myopiaretrospective review

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Area of Science:

  • Ophthalmology
  • Pediatric Optometry
  • Myopia Management

Background:

  • Myopia is a growing public health concern in children.
  • Effective myopia management strategies are crucial to prevent long-term vision complications.

Purpose of the Study:

  • To investigate the management practices of pediatric myopia by optometrists in Canada.
  • To analyze trends in myopia management over time.

Main Methods:

  • Retrospective chart review of children aged 6-10 years from 2017-2021 in Ontario, Canada.
  • Analysis of demographic information, refractive errors, and prescribed interventions.
  • Logistic regression to model factors influencing myopia control prescription.

Main Results:

  • Single-vision spectacle correction prescription declined from 98.2% (2017) to 56.7% (2023).
  • Myopia control intervention use increased from 1.8% to 43.3% during the study period.
  • Interventions were initiated at lower myopic refractive errors over time.

Conclusions:

  • Optometrists in Ontario are increasingly adopting myopia control interventions.
  • The trend indicates earlier initiation of myopia management for pediatric patients.
  • While single-vision correction is still common, myopia control is gaining prevalence.