Purpose
The aim of this longitudinal study was to investigate the incidence of myopia, incidence of myopic shift and associated risk factors in Swedish schoolchildren.
Methods
A longitudinal study was conducted between Jan-2019 and June-2021. Participants were Swedish schoolchildren aged 8-16 years. Myopia was defined as spherical equivalent refraction (SER) equal to or less than -0.50D. Myopic shift was defined as a minimum change in SER of -0.50D between measurements. The cumulative incidence and incidence rate was computed, Cox proportional hazards regression model and linear mixed models were used to modulate myopic shift and changes in SER.
Results
The study enrolled 128 participants, 86% Caucasian, 5.8% dropped-out during follow-up. The baseline prevalence of myopia was 10.0%, hyperopia was 48.0%, and emmetropia was 42.0%. The cumulative incidence of myopia during the two-years was 5.5%, incidence rate of myopia was 3.2 cases per 100 person-years. The cumulative incidence of myopic shift during the two-years was 21.0%, incidence rate of myopic shift was 12.4 cases per 100 person-years. Cox regression revealed that the probability of myopic shift reduced with age and increased with axial length/corneal-curvature ratio. Myopic children at the baseline and children with two myopic parents showed a significant faster-paced SER change over time.
Conclusions
In the current study the incidence of myopia and myopic shift was low when compared with countries in East Asia. Parental myopia remains a critical factor to consider when predicting myopia progression. Further studies involving children from different ethnicities and incorporating longer follow-up period would further our understanding of the incidence of myopia in Swedish schoolchildren.