Evidence map›Paper›PMID 35019150›Full record

ArticleOphthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists)2022

Prevalence of myopia among urban and suburban school children in Tamil Nadu, South India: findings from the Sankara Nethralaya Tamil Nadu Essilor Myopia (STEM) Study.

Aparna Gopalakrishnan, Jameel Rizwana Hussaindeen, Viswanathan Sivaraman, Meenakshi Swaminathan, Yee Ling Wong, James A Armitage, Alex Gentle, Simon Backhouse

Open access · hybridAbstract read
In one paragraph

Article in Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Urban-Rural and School-Type Disparities in the Prevalence of Myopia and High Myopia in South India.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
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  12. Prevalence of myopia among urban and suburban school children in Tamil Nadu, South India: findings from the Sankara Nethralaya Tamil Nadu Essilor Myopia (STEM) Study.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2022
    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

8 authors at 2 institutions in 2 countries.

Aparna GopalakrishnanMyopia Clinic, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, India.ORCID 0000-0002-3815-0333
Jameel Rizwana HussaindeenMyopia Clinic, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, India.ORCID 0000-0001-6569-5251
Viswanathan SivaramanMyopia Clinic, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, India.ORCID 0000-0002-0114-9806
Meenakshi SwaminathanMyopia Clinic, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, India.ORCID 0000-0002-2226-6526
Yee Ling WongR&D AMERA, Essilor International, Singapore, Singapore.ORCID 0000-0002-3331-7368
James A ArmitageSchool of Medicine, Faculty of Health, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-3762-0911
Alex GentleSchool of Medicine, Faculty of Health, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0003-0661-4196
Simon BackhouseSchool of Medicine, Faculty of Health, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-5988-1469
Sankara Nethralaya · INDeakin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the baseline prevalence of myopia among school children in Tamil Nadu, South India from a prospective cohort study.

methodsChildren between the ages of 5 and 16 years from 11 schools in two districts of Tamil Nadu underwent vision screening. All children underwent visual acuity assessment using a Pocket Vision Screener followed by non-cycloplegic open-field autorefraction (Grand Seiko WAM-5500). Myopia was defined as a spherical equivalent (SE) refraction of ≤-0.75 D and high myopia was defined as SE ≤ -6.00 D. Distribution of refraction, biometry and factors associated with prevalence of myopia were the outcome measures.

resultsA total of 14,699 children completed vision screening, with 2% (357) of them having ocular abnormalities other than refractive errors or poor vision despite spectacle correction. The remaining 14,342 children (7557 boys; 52.69%) had a mean age of 10.2 (Standard Deviation [SD] 2.8) years. A total of 2502 had myopia in at least one eye, a prevalence of 17.5% (95% CI: 14.7-20.5%), and 74 (0.5%; 95% CI: 0.3-0.9%) had high myopia. Myopia prevalence increased with age (p < 0.001), but sex was not associated with myopia prevalence (p = 0.24). Mean axial length (AL; 23.08 (SD = 0.91) mm) and mean anterior chamber depth (ACD; 3.45 (SD = 0.27) mm) positively correlated with age (p < 0.001). The mean flat (K1; 43.37 (SD = 1.49) D) and steep (K2; 44.50 (SD = 1.58) D) corneal curvatures showed negative correlation with age (p = 0.02 and p < 0.001, respectively). In the multivariable logistic regression, older age and urban school location had higher odds for prevalence of myopia.

conclusionThe baseline prevalence of myopia among 5- to 16-year-old children in South India is larger than that found in previous studies, indicating that myopia is becoming a major public health problem in this country.

Indexed as

MyopiaVision ScreeningAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansIndiaMalePrevalenceProspective StudiesRefraction, Ocularmyopiaprevalencerefractionschool childrenSouth India

Identifiers

PMID35019150
PMCPMC9304285
OpenAlexW4206303936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.