Factors related to the progression of myopia in Singaporean children

Optom Vis Sci. 2000 Oct;77(10):549-54. doi: 10.1097/00006324-200010000-00009.


Purpose: To examine the possible factors related to the progression of myopia in Singapore children.

Methods: One hundred fifty-three Singapore children aged 6 to 12 years were recruited to participate in a concurrent cohort study of the risk factors for the progression of myopia. Socioeconomic status, outdoor activity, and near-work activity were documented in a face-to-face clinic interview. The changes in cycloplegic subjective refraction and autorefraction were ascertained with the use of a Nidek ARK 900 over a 2-year period.

Results: The average rate of progression of myopia as measured by subjective refraction was -0.59 D per year (95% confidence interval -0.52, -0.66). Younger children and children who were more myopic at the beginning (refractive error worse than -2.0 D) of the study had higher myopia progression rates.

Conclusions: Myopia progression was faster for younger children and for children who had more severe myopia at baseline. Socioeconomic status and near-work activity were not related to myopia progression.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Cohort Studies
  • Disease Progression
  • Female
  • Humans
  • Male
  • Myopia / epidemiology
  • Myopia / etiology*
  • Myopia / rehabilitation
  • Prevalence
  • Prognosis
  • Refraction, Ocular*
  • Risk Factors
  • Severity of Illness Index
  • Singapore / epidemiology
  • Socioeconomic Factors
  • Surveys and Questionnaires