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Myopic Progression of Children Before and During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Peng Ye1, Chao Huang1, Yuxuan Liu1

  • 1Clinical Medical College & Affiliated Hospital & College of Preclinical Medicine, Chengdu University, Chengdu, Sichuan, China.

Ophthalmic Epidemiology
|March 19, 2026
PubMed

Insights

The COVID-19 pandemic accelerated myopia progression in children. Increased changes in spherical equivalent refraction and axial length were observed during pandemic-related home confinement, particularly for those already myopic or outside East Asia.

Area of Science:

  • Ophthalmology
  • Public Health
  • Pediatrics

Background:

  • Myopia, or nearsightedness, is a growing global health concern.
  • The COVID-19 pandemic introduced lifestyle changes, including increased screen time and reduced outdoor activity, potentially impacting vision.
  • Understanding the pandemic's effect on myopia progression is crucial for pediatric eye care.

Conclusions:

  • Home confinement during the COVID-19 pandemic accelerated myopia progression in children.
  • The effect was more pronounced in children with existing myopia and those from regions outside East Asia.
  • Findings highlight the need for interventions to mitigate myopia progression in response to environmental changes.
Abstract

Keywords:
Axial lengthCOVID-19meta-analysismyopiaspherical equivalent refraction

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