ArticleInternational ophthalmology2020
School-based epidemiology study of myopia in Tianjin, China.
Article in International ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 47 citations in OpenAlex.
- Incidence and Risk Factors of Refractive Error in Children in Spain: CISViT Project.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Article
- Centile curves of refraction in children and adolescents aged 5-18 in Hubei Province: a study based on GAMLSS to predict refraction development.International journal of ophthalmology · 2026Article
- Combining visual acuity with refraction reduces overestimation of myopia prevalence in school screenings: an age-stratified analysis.Frontiers in medicine · 2026Article
- Artificial intelligence-quantified fundus tessellated density and its association with myopia severity in Chinese children: a cross-sectional study.Frontiers in cell and developmental biology · 2026Article
- Interaction effect of age and axial length-to-corneal radius ratio on myopia in children and adolescents: a cross-sectional study in China.Journal of translational medicine · 2025Article
- A concept reflecting relative visual acuity insufficiency among low and moderate myopia students in east of China: Yicheng Myopia Study.BMC public health · 2025Article
- Trends in myopia prevalence among children and adolescents: a large-scale cross-sectional study in Shihezi, China.BMC public health · 2025Article
- Effect of optical technical of guiding emmetropization lenses on myopia prevention in children without myopia.Scientific reports · 2025Article
- The Impact of School Education on High Myopia in Children and Adolescents.International journal of general medicine · 2025Article
- Development of a nomogram for predicting myopia risk among school-age children: a case-control study.Annals of medicine · 2024Article
- Survey on pattern of myopia in school children in Hangzhou after the COVID-19 pandemic: a school-based vision screening study.BMC public health · 2024Article
- Large-scale study in Chengdu, China: The prevalence of myopia full-correction decreased with increasing myopia in adolescents.Heliyon · 2024Article
- Prevalence of myopia among children and adolescents aged 6-16 during COVID-19 pandemic: a large-scale cross-sectional study in Tianjin, China.The British journal of ophthalmology · 2024Article
- Cutoff values of axial length/corneal radius ratio for determining myopia vary with age among 3-18 years old children and adolescents.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024Article
- From inception to innovation: bibliometric analysis of the evolution, hotspots, and trends in implantable collamer lens surgery research.Frontiers in medicine · 2024Article
- Article
- Baseline Refractive Error, Habitual Accommodative Tone, and Its Association With Myopia in Children: The Lhasa Childhood Eye Study.Investigative ophthalmology & visual science · 2023Article
- Analysis of Secondhand Smoke Exposure and Myopia Among Children Aged 6 to 8 Years in Hong Kong.JAMA network open · 2023Article
- Prevalence of myopia among senior students in Fenghua, Eastern China, before and during the COVID-19 pandemic.Frontiers in public health · 2023Article
- Design, methodology, and baseline of eastern China student health and wellbeing cohort study.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
15 authors at 5 institutions in 2 countries.
Funding
Abstract
purposeTo study the epidemiology of myopia in school-aged children in Tianjin and the relationship between visual acuity-based screening and refraction-based screening.
methodThis school-based prospective cohort study was performed on children from 42 elementary schools and 17 middle schools in Tianjin, China. Totally 14,551 children, ages ranging from 5 to 16 years, were included in this study. Uncorrected visual acuity (UCVA) was determined by logarithmic tumbling E chart. Non-cycloplegic photorefraction was examined by the Spot (v2.1.4) photoscreener. The relationship between the UCVA and refractive error was investigated for different age groups.
resultsThe overall prevalence of myopia at this school based screen is 78.2%, ranged from 10% at age of 5 to 95% at age of 16. The most dramatic increase in prevalence is from age of 6 (14.8%) to age of 7 (38.5%). The overall prevalence of high myopia is 2.5%. UCVA is found corresponding to spherical equivalent refraction (SER) in a manner of normal distribution and is significantly affected by age. When using UCVA to estimate the prevalence of myopia, the overall sensitivity and specificity are 0.824 and 0.820, respectively. Age-dependent optimal cutoff points and 95% confident intervals of such estimation are reported.
conclusionsMyopia is heavily affecting school-aged children in Tianjin, China. The refraction screening is preferable for myopia screening, whereas the UCVA screening results need to be interpreted in an age-dependent manner for myopia estimation.
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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.