ArticleInvestigative ophthalmology & visual science2025
Prevalence of Myopia and Axial Length Distribution in China: The Wuhu Children and Adolescents Eye Study.
Article in Investigative ophthalmology & visual science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Trend of Myopia Incidence Among Adolescents (2018-2025) in Senior High School: An 8-Year Retrospective Study in Multi-Regions of China, With Projections to 2030.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026Article
- Targeted Cycloplegia in Refractive Screening of Children and Adolescents: Development and Internal Validation of a Pre-Cycloplegia Risk Prediction Model - 10 PLADs, China, 2020-2024.China CDC weekly · 2026Article
- Age Modifies the Comparative Effectiveness of DIMS Versus HAL Spectacle Lenses for Myopia Control: A Real-World Study.Translational vision science & technology · 2026Article
- Peripheral retinal defocus in children and adolescents with different refractive statuses and its relationship with refractive parameters.BMC ophthalmology · 2026Article
- Application of spot vision screening combined with axial length measurement for early identification of myopia risk in Chinese Young children.Frontiers in pediatrics · 2026Article
- Article
- Ocular biometric characteristics in young Saudi adults across varying degrees of myopia.PeerJ · 2026Article
- Predicting myopia risk using a machine learning model based on fundus imageomics.Scientific reports · 2025Article
- Effects of different powers of repeated low-level red light on form-deprivation myopia inhibition in guinea pigs.Scientific reports · 2025Article
- Perceptions of Spectacle Use Among Undergraduate Students in Oman: Visual Symptoms, Convenience, and Disadvantages.Healthcare (Basel, Switzerland) · 2025Article
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11 authors.
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Abstract
Purpose: To re-assess myopia prevalence, update the database of ocular biometric parameters, and assess the prevalence of fundus abnormalities in schoolchildren and adolescents in Wuhu, Anhui Province, China. Methods: The Wuhu Children and Adolescents Eye Study (WCAES) is a longitudinal population-based cohort study, and the cross-sectional analysis results of the baseline assessment are reported here. It included 315,569 out of 330,173 eligible children and adolescents (95.6%), ages 2 to 19 years, from 513 schools with measurements of presenting distance visual acuity (PDVA) and uncorrected distance visual acuity (UDVA), non-cycloplegic autorefractometry, ocular biometry, and color fundus photography. Fundus abnormalities were assessed by an artificial intelligence-based system. Results: Prevalences of likely myopia (-1.00 D < refractive error ≤ -0.50 D), myopia (refractive error ≤-1.00 D), low myopia (-3.00 D < refractive error ≤ -1.00 D), moderate myopia (-6.00 D < refractive error ≤ -3.00 D), and high myopia (refractive error ≤ -6.00 D) were 13.58% (95% confidence interval [CI], 13.46-13.70), 56.92% (95% CI, 56.74-57.10), 32.87% (95% CI, 32.70-33.04), 19.74% (95% CI, 19.60-19.88), and 4.31% (95% CI, 4.24-4.38), respectively. Among high-school students, myopia prevalence was 92.18% (95% CI, 91.68-92.68). High myopia prevalence rates in kindergarten, elementary, middle, and high schools were 0.30% (95% CI, 0.18-0.43), 1.53% (95% CI, 1.48-1.59), 9.05% (95% CI, 8.86-9.24), and 18.57% (95% CI, 17.84-19.29), respectively. Higher prevalence of overall myopia and high myopia was associated (all P < 0.001) with female sex (odds ratio [OR] = 0.81 and OR = 0.91, respectively), older age (OR = 1.45 and OR = 1.48, respectively), longer axial length (OR = 3.71 and OR = 5.89, respectively), and higher prevalence of fundus tessellation (OR = 1.10 and OR = 1.21, respectively.). The percentage of myopic individuals using vision correction and the prevalence of an age-dependent defined suboptimal PDVA in the myopic population were 48.05% (95% CI, 47.81-48.28) and 65.84% (95% CI, 65.51-66.16), respectively. Conclusions: Compared with previous studies, the present investigation suggests a further rise in the prevalence of myopia, particularly high myopia, in the younger generations in China.
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