Incidence of myopic shift and related factors in young Chinese adults

作者：Fang Duan, Zhaohui Yuan, Jiayu Deng, Anna C.H. Yeo, Adeline Yang, Björn Drobe, Yee Ling Wong, Xiang Chen · 发表于：Clinical and Experimental Optometry · 年份：2022 · DOI：10.1080/08164622.2022.2048172 · 被引用次数：13 · 研究领域：Ophthalmology and Visual Impairment Studies、Glaucoma and retinal disorders、Corneal surgery and disorders

CLINICAL RELEVANCE: Myopia is a leading cause of visual impairment worldwide, and myopia progression in young adulthood may worsen this public health issue. BACKGROUND: The aim was to describe the changes in myopia and various ocular biometry parameters, and to determine the incidence and related factors of myopic shift among young adults in China. METHODS: This 2-year prospective cohort study was conducted at the Zhongshan Ophthalmic Center, Sun Yet-san University, China. A total of 291 Chinese medical freshmen (314 enrolled at baseline) were followed over 2 years. The participants underwent detailed eye examinations at baseline and follow-up visits, including cycloplegic refraction, ocular biometry measurements, and swept-source optical coherence tomography. Visual fatigue was assessed with the Convergence Insufficiency Symptom Survey (CISS) using Rasch analysis. Questionnaire on eye care habits and physical activities was administered. RESULTS: A total of 291 study participants (baseline mean [SD] age, 18.7 [0.9] years; 132 [45.4%] male) were analysed. Seventy eight (26.8%) developed a myopic shift (defined as negative change in spherical equivalent worse than or equal to -0.50 D) over a 2-year period. The magnitude of subfoveal choroidal thinning was greater in participants with myopic shift, compared to those without. Axial length increased significantly by 0.12 mm in the group with myopic shift, compared to 0.02 mm in those without the myopic shift (p < 0.001) over 2 ye...