Evidence map›Paper›PMID 41664029›Full record

ArticleBMC ophthalmology2026

Association between fusion visual function deficits and myopia in school-aged children: an analysis based on competitive binocular vision screening.

Chen Chen, Xiaohan Zhang, Yingqing Yu

Abstract read
In one paragraph

Article in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Chen ChenEye Institute, Affiliated Children's Hospital of Jiangnan University, Wuxi, Jiangsu Province, 214023, People's Republic of China.
Xiaohan ZhangEye Institute, Affiliated Children's Hospital of Jiangnan University, Wuxi, Jiangsu Province, 214023, People's Republic of China.
Yingqing YuEye Institute, Affiliated Children's Hospital of Jiangnan University, Wuxi, Jiangsu Province, 214023, People's Republic of China. 61404496@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEven after refractive correction, myopic children remain at a significantly higher risk of visual function deficits compared to non-myopic children. Competitive binocular visual function testing is a screening method designed to simulate complex visual environments, specifically developed for the large-scale and rapid assessment of children’s visual performance under challenging conditions. This study aims to investigate whether visual function deficits observed in simulated complex environments are associated with myopia, thereby informing potential strategies for myopia prevention and control.

methodsA cross-sectional study was conducted involving 1,430 school-aged children from grades 1 to 6 at an elementary school in Wuxi in 2022. Competitive binocular visual functions (simultaneous perception, fusion, and stereopsis) were assessed and compared between myopic and non-myopic children.

resultsThe rate of fusion function deficits in the myopic group (35.80%, 256/715) was significantly higher than that in the non-myopic group (26.57%, 190/715). Myopic children had a 1.54 times higher risk of fusion deficits compared to non-myopic children (OR=1.54, 95% CI: 1.22–1.94). A weak positive correlation was observed between the degree of myopia and fusion deficits (r=0.087, P<0.01). Age stratification revealed that the fusion deficit rate in the lower-grade group (7–9 years old) (50.62%, 365/721) was significantly higher than that in the higher-grade group (10–12 years old) (11.42%, 81/709). Younger children had an 8.05 times higher risk of fusion deficits compared to older children (OR=8.05, 95% CI: 6.18–10.49). Gender differences showed that the fusion deficit rate in males (46.89%, 332/708) was significantly higher than that in females (15.79%, 114/722), with males having a 4.63 times higher risk than females (OR=4.63, 95% CI:3.64–5.89). No significant differences were observed in simultaneous perception or stereopsis between the myopic and non-myopic groups (P > 0.05).

conclusionMyopic children are more likely to exhibit deficits in competitive binocular fusion function. These findings indicate that early childhood may represent a potential critical period for intervention in fusion function development.

Indexed as

Depth PerceptionMyopiaVision, BinocularVision DisordersVision ScreeningChildCross-Sectional StudiesFemaleHumansMaleRefraction, OcularVisual AcuityBinocular vision disordersComplex visual environmentDynamic visual screeningFusion visionPediatric myopia

Identifiers

PMID41664029
PMCPMC12983887

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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.