Refraction and Its Components in Melanesian Schoolchildren in Vanuatu

Refraction and its components were measured on 788 Melanesian children and 39 children of other races, aged 6 through 19 years, in the South Pacific island nation of Vanuatu. Of the 788 Melanesian children, 766 (97.2%) were found to have uncorrected visual acuity of 6/6 or better, and 763 (96.8%) were found to have a spherical equivalent refraction between −0.25 and +1.00 D. Only 23 (2.9%) Melanesian children were found to have myopia greater than 0.25 D, only 2 (0.3%) were found to have hyperopia greater than 1.00 D, and only 2 (0.3%) were found to have refractive astigmatism greater than 1.00 D. Mean comeal refracting power was greater for girls than for boys, at all ages, but did not appear to change in any regular manner with age. Mean axial length and mean vitreous length were greater for boys than for girls, at all ages, each increasing approximately 1.0 mm from age 6 and 7 years to age 18 and 19 years. Although the low prevalence of ametropia may be considered to be due mainly to genetic factors, the possibility of environmental factors cannot be excluded.