Evidence map›Paper›PMID 37126360›Full record

ArticleInvestigative ophthalmology & visual science2023

IMI-Management and Investigation of High Myopia in Infants and Young Children.

Ian Flitcroft, John Ainsworth, Audrey Chia, Susan Cotter, Elise Harb, Zi-Bing Jin, Caroline C W Klaver, Anthony T Moore, Ken K Nischal, Kyoko Ohno-Matsui and 6 more

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Optical coherence tomography characteristics in myopic children with large cup-disc ratios.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  4. Aetiology, characteristics and workup of early onset high myopia.The British journal of ophthalmology · 2026
    Article
  5. Article
  6. Article
  7. The Changing Natural History of Anisometropia: A Scoping Review.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Observational
  13. Article
  14. The prevalence and costs of optical correction for childhood myopia in Scotland.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  15. IMI-Myopia Genetics Report.Investigative ophthalmology & visual science · 2025
    Review
  16. Article
  17. Review
  18. Access to Myopia Care in the United States-A Narrative Review.Investigative ophthalmology & visual science · 2025
    Review
  19. Myopia is predominantly genetic or predominantly environmental?Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  20. Clinical and Molecular Landscape of GLRA2 in X-Linked Early-Onset High Myopia.Investigative ophthalmology & visual science · 2025
    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

16 authors at 14 institutions in 9 countries.

Ian FlitcroftChildren's Health Ireland (CHI) at Temple Street, Dublin, Ireland.
John AinsworthBirmingham Children's Hospital, Steelhouse Lane Birmingham, United Kingdom.
Audrey ChiaSingapore National Eye Center, Singapore.
Susan CotterSouthern California College of Optometry, Marshall B Ketchum University, Fullerton, California, United States.
Elise HarbWertheim School Optometry and Vision Science, Berkeley, California, United States.
Zi-Bing JinBeijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Caroline C W KlaverDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, The Netherlands.
Anthony T MooreUniversity of California - San Francisco, School of Medicine, San Francisco, California, United States.
Ken K NischalUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States.
Kyoko Ohno-MatsuiTokyo Medical and Dental University, Tokyo, Japan.
Evelyn A PaysseBaylor College of Medicine and Texas Children's Hospital, Houston, Texas, United States.
Michael X RepkaWilmer Eye Institute, The John Hopkins University School of Medicine, Baltimore, Maryland, United States.
Irina Y SmirnovaOphthalmology Center Glazka, Novosibirsk, Russia.
Martin SneadDepartment of Vitreoretinal Research, John van Geest Centre for Brain Repair, University of Cambridge, United Kingdom.
Virginie J M VerhoevenDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, The Netherlands.
Pavan K VerkicharlaL V Prasad Eye Institute, Hyderabad, India.
University of California, San Francisco · USBaylor College of Medicine · USBeijing Tongren Hospital · CNBirmingham Children's Hospital · GBChildren's Hospital of Pittsburgh · USErasmus MC · NLJohns Hopkins University · USL V Prasad Eye Institute · INMarshall B. Ketchum University · USRadboud University Nijmegen · NLSingapore National Eye Center · SGTechnological University Dublin · IETokyo Medical and Dental University · JPUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The purpose of this study was to evaluate the epidemiology, etiology, clinical assessment, investigation, management, and visual consequences of high myopia (≤-6 diopters [D]) in infants and young children. Findings: High myopia is rare in pre-school children with a prevalence less than 1%. The etiology of myopia in such children is different than in older children, with a high rate of secondary myopia associated with prematurity or genetic causes. The priority following the diagnosis of high myopia in childhood is to determine whether there is an associated medical diagnosis that may be of greater overall importance to the health of the child through a clinical evaluation that targets the commonest features associated with syndromic forms of myopia. Biometric evaluation (including axial length and corneal curvature) is important to distinguishing axial myopia from refractive myopia associated with abnormal development of the anterior segment. Additional investigation includes ocular imaging, electrophysiological tests, genetic testing, and involvement of pediatricians and clinical geneticists is often warranted. Following investigation, optical correction is essential, but this may be more challenging and complex than in older children. Application of myopia control interventions in this group of children requires a case-by-case approach due to the lack of evidence of efficacy and clinical heterogeneity of high myopia in young children. Conclusions: High myopia in infants and young children is a rare condition with a different pattern of etiology to that seen in older children. The clinical management of such children, in terms of investigation, optical correction, and use of myopia control treatments, is a complex and often multidisciplinary process.

Indexed as

MyopiaBiometryChildChild, PreschoolEyeHumansInfantRefraction, OcularVision Tests

Identifiers

PMID37126360
PMCPMC10153576
OpenAlexW4367600498

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.