Evidence map›Paper›PMID 33851974›Full record

ArticleInvestigative ophthalmology & visual science2021

Rapid Myopic Progression in Childhood Is Associated With Teenage High Myopia.

Carla Lanca, Li-Lian Foo, Marcus Ang, Chuen-Seng Tan, Biten Kathrani, Hla Myint Htoon, Donald Tan, Quan V Hoang, Noel Brennan, Seang-Mei Saw and 1 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Investigative ophthalmology & visual science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Review
  2. The application of artificial intelligence in myopia prediction for children and adolescents: a review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  13. Axial elongation as a marker to identify obvious myopic shift in non-myopic eyes of Chinese children.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
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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

11 authors.

Carla LancaSingapore Eye Research Institute, Singapore.
Li-Lian FooSingapore Eye Research Institute, Singapore.
Marcus AngSingapore Eye Research Institute, Singapore.
Chuen-Seng TanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Biten KathraniJohnson & Johnson Vision, Johnson & Johnson Vision Care, Singapore.
Hla Myint HtoonSingapore Eye Research Institute, Singapore.
Donald TanOphthalmology and Visual Science Academic Clinical Program, Duke-NUS Medical School, Singapore.
Quan V HoangSingapore Eye Research Institute, Singapore.
Noel BrennanJohnson & Johnson Vision, Johnson & Johnson Vision Care, Jacksonville, FL, United States.
Seang-Mei SawSingapore Eye Research Institute, Singapore.
Charumathi SabanayagamSingapore Eye Research Institute, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to evaluate the association of childhood progression of spherical equivalent (SE) with high myopia (HM) in teenagers in the Singapore Cohort of Risk factors for Myopia (SCORM). Methods: We included 928 SCORM children followed over a mean follow-up of 6.9 ± 1.0 years from baseline (6-11 years old) until their teenage years (12-19 years old). Cycloplegic autorefraction and axial length (AL) measurements were performed yearly. The outcomes in teenagers were HM (SE ≤ -5 diopter [D)], AL ≥ 25 mm, SE and AL. Three-year SE and AL progression in childhood and baseline SE and AL with outcomes were evaluated using multivariable logistic or linear regression models, with predictive performance of risk factors assessed using the area under the curve (AUC). Results: At the last visit, 9.8% of teenagers developed HM and 22.7% developed AL ≥ 25 mm. In multivariate regression analyses, every -0.3 D/year increase in 3-year SE progression and every 0.2 mm/year increase in 3-year AL progression were associated with a -1.14 D greater teenage SE and 0.52 mm greater teenage AL (P values < 0.001). The AUC (95% confidence interval [CI]) of a combination of 3-year SE progression and baseline SE for teenage HM was 0.97 (95% CI = 0.95 - 0.98). The AUC of 3-year AL progression and baseline AL for teenage AL ≥ 25 mm was 0.91 (95% CI = 0.89 - 0.94). Conclusions: Three-year myopia progression in childhood combined with baseline SE or AL were good predictors of teenage HM. Clinicians may use this combination of factors to guide timing of interventions, potentially reducing the risk of HM later in life.

Indexed as

AdolescentAxial Length, EyeChildDisease ProgressionFemaleFollow-Up StudiesHumansIncidenceMaleMyopia, DegenerativeProspective StudiesRefraction, OcularRisk FactorsSingaporeTime FactorsYoung Adult

Identifiers

PMID33851974
PMCPMC8054625

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Registered trials

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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.