Uncorrected refractive errors, visual impairment and need for spectacles among children and adolescents in eastern,

Yue Zhou1, Qi Cai1, Xiaojuan Chen1

  • 1Department of Ophthalmology, Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, China.

Plos One
|September 16, 2025
PubMed

Insights

Uncorrected refractive errors (URE) and the need for spectacles are high in Chinese youth, despite low visual impairment (VI) rates. Myopia is a key risk factor, highlighting the need for targeted interventions to prevent vision loss.

Area of Science:

  • Ophthalmology
  • Public Health
  • Pediatrics

Background:

  • Uncorrected refractive errors (URE) are a leading cause of preventable visual impairment (VI) in children globally.
  • China faces high myopia prevalence and insufficient spectacle coverage among youth.
  • Data on URE, VI, and spectacle needs in eastern China are scarce, especially concerning anisometropia.

Purpose of the Study:

  • To evaluate the prevalence of URE, VI, and the need for spectacles in children and adolescents in Nantong, China.
  • To identify risk factors associated with URE, VI, and spectacle needs, including anisometropia.
  • To inform targeted interventions for preventing visual impairment.

Main Methods:

  • A cross-sectional school-based study involving 9,438 participants aged 7-19 years in Nantong, China.
  • Assessment of uncorrected visual acuity, presenting visual acuity (PVA), and best-corrected visual acuity.
  • Non-cycloplegic autorefraction to define URE, VI, and spectacle needs.

Main Results:

  • The prevalence of URE was 15.7%, VI was 4.9%, and the need for spectacles was 55.9%.
  • Myopia, hyperopia, anisometropia, female sex, and older age were significant risk factors for URE and spectacle needs.
  • Myopia and rural residence were associated with VI.

Conclusions:

  • While VI prevalence was low, URE and spectacle needs were high among eastern Chinese youth.
  • Myopia is the primary risk factor for URE, VI, and spectacle needs; anisometropia also plays a significant role.
  • Intervention strategies require adjustment to eliminate preventable visual impairments.
Abstract

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