Evidence map›Paper›PMID 30822446›Full record

ArticleOphthalmology2019

Prevalence, Characteristics, and Risk Factors of Moderate or High Hyperopia among Multiethnic Children 6 to 72 Months of Age: A Pooled Analysis of Individual Participant Data.

Xuejuan Jiang, Kristina Tarczy-Hornoch, Douglas Stram, Joanne Katz, David S Friedman, James M Tielsch, Saiko Matsumura, Seang-Mei Saw, Paul Mitchell, Kathryn A Rose and 3 more

Open access · greenAbstract read
In one paragraph

Article in Ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 35 citations in OpenAlex.

  1. Study of strabismus in young Singaporean males.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  2. Article
  3. The Changing Natural History of Anisometropia: A Scoping Review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  4. Article
  5. Impact of uncorrected hyperopia on visual function and academic performance in preschool and school-age children.Optometry and vision science : official publication of the American Academy of Optometry · 2026
    Review
  6. Attention to text and pictures during storybook reading in preschool children with moderate hyperopia.Optometry and vision science : official publication of the American Academy of Optometry · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. How Do Most Young Moderate Hyperopes Avoid Strabismus?Investigative ophthalmology & visual science · 2023
    Article
  12. Article
  13. Article
  14. Myopia Genetics and Heredity.Children (Basel, Switzerland) · 2022
    Review
  15. Review
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 3 countries.

Xuejuan JiangUSC Roski Eye Institute, Department of Ophthalmology, Keck School of Medicine of the University of Southern California, Los Angeles, California; Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California. Electronic address: xuejuanj@usc.edu.
Kristina Tarczy-HornochDepartment of Ophthalmology, University of Washington, Seattle, Washington; Department of Ophthalmology, Seattle Children's Hospital, Seattle, Washington.
Douglas StramDepartment of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California.
Joanne KatzDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
David S FriedmanWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
James M TielschDepartment of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC.
Saiko MatsumuraSingapore Eye Research Institute, Singapore, Republic of Singapore.
Seang-Mei SawSingapore Eye Research Institute, Singapore, Republic of Singapore; Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Republic of Singapore.
Paul MitchellCentre for Vision Research, Westmead Institute, Sydney, Australia.
Kathryn A RoseDiscipline of Orthoptics, Graduate School of Health, University of Technology Sydney, Ultimo, Australia.
Susan A CotterSouthern California College of Optometry, Marshall B. Ketchum University, Fullerton, California.
Rohit VarmaSouthern California Eyecare and Vision Research Institute, CHA Medical Group PC, Hollywood Presbyterian Medical Center, Los Angeles, California.
Population-Based Pediatric Eye Disease Study Consortium
Johns Hopkins University · USUniversity of Southern California · USMarshall B. Ketchum University · USMilken Institute · USNational University of Singapore · SGPenn Presbyterian Medical Center · USSeattle Children's Hospital · USSingapore Eye Research Institute · SGUniversity of Technology Sydney · AUWestmead Institute · AU

Funding

The Pediatric Eye Disease Consortium: a Pooled Analysis of Individual-Participant Data from Population-based StudiesR21EY025313 · NEI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JIANG, XUEJUAN · 2015 to 2016
$484k
NEI NIH HHS R21 EY025313
6 · The paper itself

Abstract

purposeTo describe the prevalence, ocular characteristics, and associated risk factors of moderate to high hyperopia in early childhood.

designPooled analysis of individual participant data from population-based studies.

participantsSix- to 72-month-old multiethnic children who participated in 4 population-based studies of pediatric eye diseases.

methodsThe pooled studies conducted comparable parental interviews and ocular examinations including cycloplegic autorefraction. Presence of hyperopia was defined based on cycloplegic refractive error in the worse eye. Multivariate analyses were performed to evaluate the association of potential risk factors with hyperopia risk.

main outcome measuresPrevalence and odds ratios of moderate to high hyperopia (≥4.0 diopters [D]).

resultsCycloplegic refraction was completed in 15 051 children 6 to 72 months of age. Among these children, the overall prevalence of moderate to high hyperopia (≥4.0 D) in the worse eye was 3.2% (95% confidence interval, 2.9%-3.5%), accounting for 15.6% of all hyperopia (≥2.0 D). Among children with moderate to high hyperopia, both eyes were affected in 64.4%, 28.9% showed spherical anisometropia of 1.0 D or more, and 19.5% showed astigmatism of 1.5 D or more. Among 36- to 72-month-old children with moderate to high hyperopia, 17.6% wore glasses. Prevalence of moderate to high hyperopia was slightly less in 12- to 23-month-old children and was relatively stable in children 24 months of age and older. Non-Hispanic and Hispanic white race and ethnicity, family history of strabismus, maternal smoking during pregnancy, and being a participant in the United States studies were associated with a higher risk of moderate to high hyperopia (P < 0.05).

conclusionsBy assembling similarly designed studies, our consortium provided robust estimates of the prevalence of moderate to high hyperopia in the general population and showed that in 6- to 72-month-old children, moderate to high hyperopia is not uncommon and its prevalence does not decrease with age. Risk factors for moderate to high hyperopia differ from those for low to moderate hyperopia (2.0-<4.0 D) in preschool children, with family history of strabismus and maternal smoking during pregnancy more strongly associated with moderate to high hyperopia than low to moderate hyperopia.

Indexed as

HyperopiaChild, PreschoolEthnicityFemaleHumansInfantMaleMultivariate AnalysisOdds RatioPrevalenceRefraction, OcularRisk FactorsUnited States

Identifiers

PMID30822446
PMCPMC6589395
OpenAlexW2915752908

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.