Journal of Korean Ophthalmic Optics Society, Год журнала: 2023, Номер 28(4), С. 387 - 395
Опубликована: Дек. 31, 2023
Язык: Английский
The Lancet Regional Health - Western Pacific, Год журнала: 2025, Номер 55, С. 101484 - 101484
Опубликована: Янв. 27, 2025
Язык: Английский
Процитировано
4
Advances in Ophthalmology Practice and Research, Год журнала: 2024, Номер 4(3), С. 156 - 163
Опубликована: Июнь 21, 2024
High myopia is one of the major causes visual impairment and has an ever-increasing prevalence, especially in East Asia. It characterized by excessive axial elongation, leading to various blinding complications that extend beyond mere refractive errors persist immovably after surgery, presenting substantial public health challenge.
Язык: Английский
Процитировано
14
British Journal of Ophthalmology, Год журнала: 2024, Номер unknown, С. bjo - 323887
Опубликована: Май 22, 2024
Myopia has long been a global threat to public health. Timely interventions are likely reduce the risk of vision-threatening complications. There both established and rapidly evolving therapeutic approaches slow myopia progression and/or delay its onset. The effective methods for slowing include atropine eye-drops, defocus incorporated multiple segments (DIMS) spectacle lenses, lenses with highly aspherical lenslets target (HALT), diffusion optics technology (DOT) red light therapy (RLT), multifocal soft contact orthokeratology. Among these, 0.05% atropine, HALT RLT +3.00 peripheral addition yield over 60% reduction in progression, whereas DIMS, DOT MiSight demonstrate at least 50% control efficacy. demonstrates more optimal balance efficacy safety than 0.01%. 0.01% not consistent requires further validation across diverse ethnicities. Combining orthokeratology or DIMS spectacles yields better outcomes using these as monotherapies. Increased outdoor time is an health strategy prevention while recent studies suggest that low-concentration have promising potential clinical high-risk groups. being invasive, safe long-term use. However, when considering other approaches, it essential ensure proper instruction regular follow-ups maintain monitor any Ultimately, significant advances made strategies, many which shown meaningful outcomes. use adequate monitoring extended durations imperative foster confidence can only come from extensive experience.
Язык: Английский
Процитировано
12
British Journal of Ophthalmology, Год журнала: 2025, Номер unknown, С. bjo - 326643
Опубликована: Фев. 19, 2025
In this paper, we describe key strategies to guide global collaborative efforts further reduce the burden of myopia and myopia-related visual impairment. A modified Delphi method was applied as an iterative multistage process collect expert stakeholders’ opinions extract consensus regarding diagnosis, prevention control. Anonymous pre-meeting preparation rounds, structured discussions for prioritisation development areas were performed. Consensus reached on three collaborate complement existing frameworks: (1) Myopia defined not only a refractive error but also disease with phenotypic features allowing risk stratification significant (2) addition preventive strategies, focus is needed preventing progression high (HM). (3) treating pathologic (PM), that is, end-stage irreversible conclusion, workgroup suggests global, strategy across public health, healthcare advocacy sectors support in reducing impairment from myopia. Complementary health efforts, additional defining emphasis associated HM PM should be considered.
Язык: Английский
Процитировано
1
JAMA Ophthalmology, Год журнала: 2025, Номер unknown
Опубликована: Март 20, 2025
Importance Astigmatism can cause blurred vision at near and distance. It is common among schoolchildren associated with ametropia. Although the COVID-19 pandemic generated a surge in myopia prevalence children, association child astigmatism remains unknown. Objective To report of refractive corneal from 2015 to 2023 explore associations between astigmatism. Design, Setting, Participants This population-based cross-sectional study stratified all primary schools registered Education Bureau Hong Kong into 7 clustered regions used by Hospital Authority Services Kong. were aged 6 8 years who underwent comprehensive ocular examinations 2 academic medical centers 2023. was measured optical biometry auto-refractor after cycloplegia. Exposure pandemic. Main Outcomes Measures The annual rates outcome measures. Logistic regression evaluate risks Linear magnitudes Results cohort consisted 21 655 children: 11 464 boys (52.9%) 10 191 girls (47.1%); their mean (SD) age 7.31 (0.90) years. rate least 1.0 diopter (D) 21.4% D 59.8% increased 34.7% (difference, 13.3%; 95% CI, 9.3%-17.3%) 64.7% 4.9%; 0.5%-9.2%), respectively, 2022-2023. 20% increase risk (odd ratio [OR], 1.20; 1.09-1.33; P < .001), 26% (OR, 1.26; 1.15-1.38; 0.04 magnitude (95% 0.02-0.07; 0.05 0.02-0.08; compared prepandemic period 2015-2019 adjusting for sociodemographic factors, parental astigmatism, myopia. Conclusions Relevance found an both severity Corneal changes especially along steepest meridian may explain some progression potential impact higher degrees warrant dedicated efforts elucidate relationship environmental and/or lifestyle as well pathophysiology
Язык: Английский
Процитировано
1
Asia-Pacific Journal of Ophthalmology, Год журнала: 2025, Номер unknown, С. 100200 - 100200
Опубликована: Апрель 1, 2025
This study investigates the global burden of vision impairment caused by refraction disorders, near loss, and other loss among children adolescents from 1990 to 2021. The analysis is categorized globally sex, age, socio-demographic index (SDI), with a focus on predicting trends 2035. Data were obtained Global Burden Disease Study We reported prevalence disability-adjusted life-years (DALYs) due globally. Then, we described DALYs numbers rate SDI age. Next, analyzed relationship between SDI. Finally, bayesian age-period-cohort (BAPC) model was used predict 2022 2035 sex for disorders had statistically significant trend reduction in four age groups positively associated increasing groups, negatively BAPC indicates that age-specific both men women will remain downward until 2035, while continues rise. findings underscore there are extensive variations based type impairment, group, Policies should be tailored specific types order effectively alleviate burden.
Язык: Английский
Процитировано
1
Optometry and Vision Science, Год журнала: 2024, Номер 101(4), С. 179 - 186
Опубликована: Апрель 1, 2024
SIGNIFICANCE Clinicians and researchers would benefit from being able to predict the onset of myopia for an individual child. This report provides a model calculating probability onset, year-by-year cumulatively, based on results largest, most ethnically diverse study in United States. PURPOSE aimed previously nonmyopic school-aged children. METHODS Children aged 6 years less than 14 age at baseline participating Collaborative Longitudinal Evaluation Ethnicity Refractive Error (CLEERE) Study who were hyperopic +3.00 D (spherical equivalent) followed up 1 7 through eighth grade. Annual measurements included cycloplegic autorefraction, keratometry, ultrasound axial dimensions, parental children's near work time spent outdoor and/or sports activities. The was defined as first visit with least −0.75 each principal meridian. predictive built using discrete survival analysis evaluated C statistics. RESULTS spherical equivalent refractive error, horizontal/vertical component astigmatism ( J 0 ), age, sex, race/ethnicity. Onset more likely lower amounts hyperopia positive/more negative values . Younger Asian American females had highest eventual whereas older White males lowest. Model performance increased statistics ranging 0.83 0.92 13 years. CONCLUSIONS can be estimated children major racial/ethnic groups within States cumulative basis simple set error demographic variables.
Язык: Английский
Процитировано
7
Frontiers in Public Health, Год журнала: 2023, Номер 11
Опубликована: Авг. 15, 2023
Myopia has significantly risen in East and Southeast Asia, the pathological outcomes of this condition, such as myopic maculopathy optic neuropathy linked to high myopia, have emerged leading causes irreversible vision loss. Addressing issue requires strategies reduce myopia prevalence prevent progression myopia. Encouraging outdoor activities for schoolchildren reducing near-work screen time can effectively development, offering a safe intervention that promotes healthier habits. Several clinical approaches be employed decelerate progression, administering low-dose atropine eye drops (0.05%), utilizing orthokeratology lenses, implementing soft contact lenses equipped with control features, incorporating spectacle aspherical lenslets. When choosing an appropriate strategy, factors age, ethnicity, rate should considered. However, some treatments may encounter obstacles adverse side effects, costs, complex procedures, or limited effectiveness. Presently, appear promising options managing The measures mentioned above are not necessarily mutually exclusive, researchers increasingly exploring their combined effects. By advocating personalized approach based on individual risk unique needs each child, review aims contribute development targeted effective prevention strategies, thereby minimizing impact its related complications among school-aged children affected regions.
Язык: Английский
Процитировано
16
Ophthalmology and Therapy, Год журнала: 2024, Номер 13(4), С. 883 - 894
Опубликована: Фев. 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.
Язык: Английский
Процитировано
6
Nature, Год журнала: 2024, Номер 629(8014), С. 989 - 991
Опубликована: Май 29, 2024
Time spent outdoors is the best defence against rising rates of short-sightedness, but scientists are searching for other ways to reverse troubling trend.
Язык: Английский
Процитировано
6