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Related Experiment Video

Updated: May 19, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

Premyopia Management in China: From Biometrics to Clinical Management.

Lizhen Chen¹, Li Sun, Hiu Ying Leung

¹The Primasia International Eye Research Institute (PIERI) (H.Y.L., J.Z., D.S.C.L.), School of Medicine, The Chinese University of Hong Kong (Shenzhen), Shenzhen, China; Department of Ophthalmology (L.C., L.S., D.S.C.L.), Zhujiang Hospital, Southern Medical University, Guangzhou, China; Department of Ophthalmology and Visual Sciences (D.S.C.L.), The Chinese University of Hong Kong, Hong Kong, China; Eye Department (L.C., H.Y.L., J.Z., D.S.C.L.), C+ Health CKJ (Shenzhen) Hospital, Shenzhen, China; C-MER (Guangzhou) Dennis Lam Eye Hospital (L.C. L.S.), Guangzhou, China; C-MER (Shenzhen) Dennis Lam Eye Hospital (L.C., H.Y.L., J.Z., D.S.C.L.), Shenzhen, China; and The C-MER Dennis Lam and Partners Eye Center (H.Y.L. D.S.C.L.), C-MER International Eye Care Group, Hong Kong, China.

Eye & Contact Lens

|May 18, 2026

Summary

Effective premyopia management in China involves biometric monitoring and interventions like outdoor time and low-concentration atropine. A risk-stratified approach is crucial to combat the rising myopia epidemic in children.

Keywords:

Biometric predictors High-risk premyopia Insufficient hyperopic reserve Premyopia Premyopia management

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Area of Science:

Ophthalmology
Public Health
Pediatrics

Background:

Myopia is a significant global health issue, with increasing prevalence in Chinese children.
Premyopia presents a critical window for intervention to prevent myopia progression.

Purpose of the Study:

To review evidence on premyopia management strategies in China.
To outline a risk-stratified clinical framework for premyopia interventions.

Main Methods:

Summarized biometric predictors: hyperopic reserve, axial length (AL), and AL/CR ratio.
Reviewed interventions: outdoor time, optical methods, low-concentration atropine (LCA), combination therapy, and red-light therapy.
Proposed a clinical management framework integrating biometric data and interventions.

Main Results:

Biometric parameters effectively predict myopia risk.
Various interventions show promise, but challenges in compliance, safety, and regulation persist.
A structured, evidence-based approach is feasible for managing premyopia.

Conclusions:

Integrating biometric monitoring with tiered interventions is essential for controlling childhood myopia in China.
Addressing challenges is key to successful implementation of premyopia management strategies.