Observational studyFrontiers in public health2025
Hyperopic reserve as a predictor of myopia incidence in schoolchildren aged 6-12 years: a 24-month prospective cohort study.
Observational study in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Operationalizing a minimal-metric school screening pathway: using non-cycloplegic spherical equivalent as a first-stage triage metric for hyperopia-reserve insufficiency in Chinese schoolchildren.BMC ophthalmology · 2026Article
- Hyperopic reserve insufficiency and myopic pre-disposition in pre-school children aged 3-6 years: a large-scale cross-sectional survey.Frontiers in medicine · 2026Article
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Authors and funding
9 authors.
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Abstract
Purpose: To investigate the age-specific prevalence of hyperopic reserve deficiency and its predictive value for incident myopia among 6-12-year-old schoolchildren in Xi'an, China. Methods: This prospective cohort study enrolled 15,046 students from 30 primary schools. Diopter and visual acuity were assessed at baseline (2021) and follow-up (2023). Hyperopic reserve thresholds followed Chinese national guidelines (SE: <+1.00D for ages 6-8, <+0.50D for age 10). Multivariable logistic regression identified risk factors for myopia progression. Results: Myopia prevalence increased significantly with age (10.25% at 6 years to 49.77% at 12 years; Conclusion: Hyperopic reserve -0.5D to 0D identifies high-risk subgroups for myopia development, particularly among females. Preventive interventions targeting reserve preservation should commence by age 6, integrating school-based strategies and personalized clinical protocols.
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