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October 12, 2025BMC OphthalmologyOpen Access

Optimizing myopia screening referral guidelines for children aged 4 to 18 based on non-cycloplegic indicators

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Authors

PLPingping LyuJiangsu Vocational College of Medicine JSJiaojiao ShiShanghai Public Health Clinical Center JWJingjing WangTongji University

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Implication

A retrospective cohort study evaluates non-cycloplegic indicators for myopia screening in children, highlighting the predictive power of axial length and uncorrected visual acuity.

Key Points

Axial length emerged as a more reliable myopia screening indicator than both uncorrected visual acuity and spherical equivalent.
About 76.10% prevalence of myopia was predicted using uncorrected visual acuity and non-cycloplegic refraction, showcasing higher rates than cycloplegic testing.
The study included 8,492 children, of which 51.3% were boys, with mean ages indicating significant variability across preschoolers and school-aged children.
Integrating axial length into screening programs may enhance myopia prediction for preschoolers, suggesting the elimination of cycloplegic procedures for some age groups.

Cite This Study

Lyu et al. (2025) studied this question.

synapsesocial.com/papers/68ebc91af2c3e4d8d926e20f https://doi.org/10.1186/s12886-025-04383-3

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Implication

A retrospective cohort study evaluates non-cycloplegic indicators for myopia screening in children, highlighting the predictive power of axial length and uncorrected visual acuity.

Optimizing myopia screening referral guidelines for children aged 4 to 18 based on non-cycloplegic indicators

Discussion

Member takes

Implication

Key Points

Cite This Study

Optimizing myopia screening referral guidelines for children aged 4 to 18 based on non-cycloplegic indicators

Discussion

Member takes

Implication

Key Points

Cite This Study

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