Progression of myopia in teenagers and adults: a nationwide longitudinal study of a prevalent cohort

Ducloux, Alexandre; Marillet, Simon; Ingrand, Pierre; Bullimore, Mark A.; Bourne, Rupert; Leveziel, Nicolas

doi:10.1136/bjophthalmol-2021-319568

Cited by 16 publications

(25 citation statements)

References 37 publications

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“…This study is the first study to observe the myopia progression rate over 2.5 years after the discontinuation of myopia control. Our results revealed that the mean myopia progression and axial elongation were about 0.22D/year and 0.12 mm/year after stopping DIMS lens wear (combining Group 2 and Group 4), and such amount of myopia progression was clinically insignificant compared with children in the same age range 25 – 27 .…”

Section: Discussionmentioning

confidence: 63%

Long-term myopia control effect and safety in children wearing DIMS spectacle lenses for 6 years

Lam

Tang

Zhang

et al. 2023

Sci Rep

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This study evaluated the long-term myopia control effect and safety in children wearing Defocus Incorporated Multiple Segments (DIMS) spectacle lenses. Participants who completed the 2-year RCT were followed for a total of 6 years; their cycloplegic refractions and axial length were measured. Group 1 (n = 36) wore DIMS spectacles for 6 years; Group 2 (n = 14) wore DIMS lens for the first 3.5 years and SV spectacles afterwards; Group 3 (n = 22) wore SV spectacles in the first 2 years and switched to DIMS; Group 4 (n = 18) wore SV spectacles in the first 2 years, switched to DIMS for 1.5 years and then SV spectacles again. Group 1 showed no significant differences in myopia progression (− 0.52 ± 0.66 vs. − 0.40 ± 0.72D) and axial elongation (0.32 ± 0.26 vs. 0.28 ± 0.28 mm, both p > 0.05) between the first and the later 3 years. In the last 2.5 years, DIMS lens groups (Groups 1 and 3) had less myopia progression and axial elongation than the single vision groups (Groups 2 and 4). There was no evidence of rebound after stopping the treatment. Post-wear visual functions in all groups were within norms. The results supported that DIMS lenses provided sustained myopia control without adverse effects over the 6-year study period.Trial registration: clinicaltrials.gov; NCT02206217.

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Section: Discussionmentioning

confidence: 63%

Long-term myopia control effect and safety in children wearing DIMS spectacle lenses for 6 years

Lam

Tang

Zhang

et al. 2023

Sci Rep

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“…18 While success has been observed with MC interventions in children using a range of optical devices, myopia progression can continue into the teenage and adult years. 21,22 Hence, it is important to understand how teenagers and young adults tolerate and accept MC devices. Subjective visual quality may be impacted by factors other than simple refractive error, for example, loss of contrast, ghosting, haloes and vision stability, which are inherent artefacts of the complex optical corrective devices that are currently being used for MC.…”

Section: Discussionmentioning

confidence: 99%

“…It appears that non‐compliance in children is associated with poorer subjective vision quality and visual clarity 18 . While success has been observed with MC interventions in children using a range of optical devices, myopia progression can continue into the teenage and adult years 21,22 . Hence, it is important to understand how teenagers and young adults tolerate and accept MC devices.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is little MC research conducted in teenagers and young adults as most studies are conducted in children (<13 years). Although the literature is sparse, there is evidence that myopia can continue to progress beyond childhood into the teenage years and adulthood 21,22 . Hence, it is important to understand how the subjective experience and acceptance of MC devices in teenagers and young adults differs from that of children.…”

Section: Introductionmentioning

confidence: 99%

“…Although the literature is sparse, there is evidence that myopia can continue to progress beyond childhood into the teenage years and adulthood. 21,22 Hence, it is important to understand how the subjective experience and acceptance of MC devices in teenagers and young adults differs from that of children. The aim of this study was to compare children, teenagers and young adults' subjective responses and wear time with MC contact lenses.…”

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confidence: 99%

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Comparing children's, teenagers' and young adults' subjective responses to myopia control contact lenses

Tahhan

Naduvilath

Tilia³

2023

Ophthalmic Physiologic Optic

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There has been a significant worldwide increase in the prevalence of myopia in recent decades. 1 Based on current trajectories, it is predicted that the global prevalence of myopia will increase from 23% in 2020 to 50% by 2050, and high myopia will increase from 3% in 2020 to 10% by 2050. 1 Pathological myopia is a leading cause of vision loss worldwide 2,3 and is more likely to occur in children who reach higher levels of myopia. 4,5 High myopia has a greater impact on quality of life, 5 and increases the financial burden on individuals and their families due to the higher costs associated with stronger optical devices, more frequent examinations, more frequent

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Dynamics of Myopia Progression in Ghana—Evidence From Clinical Practice: A Retrospective Cohort Study

Kyei,

Avornyo,

Asiamah

et al. 2024

Health Science Reports

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Background and AimTo investigate the pattern of progression of myopia among a Ghanaian clinical cohort.MethodsA retrospective cohort analysis of a clinical data set of all healthy myopic participants attending a tertiary eye care center was performed. Participants' biennial refraction examinations were tracked for refractive changes 4 years after the date of the first visit. This covered the period from January 2015 to December 2019. Myopia progression was defined as a difference in spherical equivalent between consecutive biennial visits equal to, or greater than −0.50 D of myopia.ResultsThe medical records of 169 myopic participants were reviewed, with the majority (53.8%) being female. Most of the participants (51.4%) were younger than 36 years, and at the end of the study period, 96 participants (56.8%), who made up the majority, showed progression of myopia Univariate regression revealed that the 36–59‐year‐old age range is associated with a 60% [cOR = 0.40, 95% CI: –0.17, 0.97; p = 0.04] reduced likelihood compared to those belonging to the 0–17‐year‐old age group, and the Mole‐Dagbon ethnicity is associated with an almost fourfold [cOR = 3.80; 95% CI: –1.40, 10.316; p = 0.01] increased likelihood of experiencing myopia progression compared to those of Ga‐Adangbe ethnicity. Multivariate regression revealed that the Mole‐Dagbon ethnicity is associated with an increased likelihood of experiencing myopia progression 4 years after their initial visit [aOR = 3.49; 95% CI: –1.27, 9.63; p = 0.02] compared to those of Ga‐Adangbe ethnicity.ConclusionOur study provides important insights into myopia progression in Ghana, with findings that are consistent with global trends. The association of myopia progression with age, place of residence, degree of myopia, and ethnicity highlights the need for tailored interventions to manage this growing public health concern in African populations.

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Progression of myopia in teenagers and adults: a nationwide longitudinal study of a prevalent cohort

Cited by 16 publications

References 37 publications

Long-term myopia control effect and safety in children wearing DIMS spectacle lenses for 6 years

Long-term myopia control effect and safety in children wearing DIMS spectacle lenses for 6 years

Comparing children's, teenagers' and young adults' subjective responses to myopia control contact lenses

Dynamics of Myopia Progression in Ghana—Evidence From Clinical Practice: A Retrospective Cohort Study

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