Effectiveness of orthokeratology and myopia control spectacles in a real-world setting in China

Contact Lens and Anterior Eye, Journal Year: 2024, Volume and Issue: 47(3), P. 102167 - 102167

Published: April 11, 2024

Language: Английский

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The Current and Future Landscape of the Childhood Myopia Epidemic in China—A Review

Ophthalmology and Therapy, Journal Year: 2024, Volume and Issue: 13(4), P. 883 - 894

Published: Feb. 1, 2024

Over the last two decades, prevalence of myopia has gradually increased in China. Numerous epidemiological studies suggest that education and inadequate time spent outdoors are major causes current epidemic. China is one few countries begun to address epidemic with a national-level strategy, implementing nationwide reform, cost-reduction measurements, dissemination information on prevention control. These "natural experiments" will provide insights into areas may face similar or potential problems.

Language: Английский

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Development and validation of predictive models for myopia onset and progression using extensive 15-year refractive data in children and adolescents

Journal of Translational Medicine, Journal Year: 2024, Volume and Issue: 22(1)

Published: March 17, 2024

Abstract Background Global myopia prevalence poses a substantial public health burden with vision-threatening complications, necessitating effective prevention and control strategies. Precise prediction of spherical equivalent (SE), myopia, high onset is vital for proactive clinical interventions. Methods We reviewed electronic medical records pediatric adolescent patients who underwent cycloplegic refraction measurements at the Eye & Ear, Nose, Throat Hospital Fudan University between January 2005 December 2019. Patients aged 3–18 years met inclusion criteria were enrolled in this study. To predict SE specific year, two distinct models, random forest (RF) gradient boosted tree algorithm (XGBoost), trained validated based on variables such as age baseline, various intervals. Outputs included SE, up to 15 post-initial examination. Age-stratified analyses feature importance assessments conducted augment significance models. Results The study 88,250 individuals 408,255 records. XGBoost-based model consistently demonstrated robust better performance than RF over years, maintaining an R 2 exceeding 0.729, Mean Absolute Error ranging from 0.078 1.802 test set. Myopia exhibited strong area under curve (AUC) values 0.845 0.953 showed AUC (0.807–0.997 13 14th year 0.765), emphasizing models' effectiveness across groups temporal dimensions Additionally, our classification models excellent calibration, evidenced by low brier score values, all falling below 0.25. Moreover, findings underscore commencing regular examinations early myopia. Conclusions XGBoost predictive accuracy predicting among children adolescents years. Our emphasize young thereby providing valuable insights practice.

Language: Английский

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Global Tendency and Frontiers of Research on Myopia From 1900 to 2020: A Bibliometrics Analysis

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: March 10, 2022

Background: Myopia is one of the most common causes vision impairment in children and adults has become a public health priority with its growing prevalence worldwide. This study aims to identify evaluate global trends myopia research past century visualize frontiers using bibliometric analysis. Methods The literature search was conducted on Web Science for studies published between 1900 2020. Retrieved publications were analyzed in-depth by annual publication number, prolific countries institutions, core author journal, number citations through descriptive statistics. Collaboration networks keywords burst visualized VOSviewer CiteSpace. citation network CitNetExplorer. Results In total, 11,172 retrieved from 2020, United States. Saw SM, National University Singapore, contributed citations. Investigative Ophthalmology & Visual journal highest Journal Cataract Refractive Surgery maximum publications. top 10 cited papers mainly focused epidemiology myopia. Previous emphasized myopia-associated experimental animal models, while recent include “SMILE” “myopia control” stronger burst, indicating shift concern etiology therapy coincided increment incidence. Document clustered into six groups: “prevalence risk factors myopia,” “surgical control “pathogenesis “optical interventions glaucoma,” “pathological myopia.” Conclusions Bibliometrics analysis this could help scholars comprehend better. Hundred years groups, among which myopia” largest groups. With increasing myopia, are potential hotspot pressing issue.

Language: Английский

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Complex Interplay Between COVID-19 Lockdown and Myopic Progression

Frontiers in Medicine, Journal Year: 2022, Volume and Issue: 9

Published: March 21, 2022

Purpose To compare the myopic progression before and during strict home confinement when coronavirus disease 2019 (COVID-19) outbreak explore potential influencing factors. Methods A cross-sectional study. One hundred fifteen children (115 right eyes) who replace their frame-glasses from December to January 2020 with complete refractive records in our hospital since myopia were involved At beginning of after a 3-month COVID-19 pandemic, they invited examine axial length errors. And visual functions, convergence insufficiency symptom survey (CISS) scale questionnaires also performed. Besides, errors got outpatient case files. The effect on was assessed by comparing monthly elongation confinement. Spearman correlation analysis performed between factors progression. Results Axial length's 35% higher than normal periods (0.046 vs. 0.033 mm/month, P = 0.003). proportion severe asthenopia doubled ( 0.020). For progression, heredity, close indoor work time electronic products risk protective age, rest continuous eye usage, sleep distance computer screen. Conclusions During COVID-19, decline outdoor activities increase exposure digital screens accelerated 1/3.

Language: Английский

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