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

ABSTRACT:

Background

To evaluate the stability and predictive ability of uncorrected visual acuity (UCVA), non-cycloplegic refraction (NCR), and axial length (AL) as indicators in non-cycloplegic school vision screening for myopia.

Methods

This retrospective cohort study is based on the Shanghai Child and Adolescent Large-scale Eye Study (SCALE). Participants included students who failed school screenings and were referred for follow-up cycloplegic refractions at eye hospitals within three months. We evaluated the differences in UCVA, spherical equivalent (SE), and AL between school screenings and hospital re-evaluations. Furthermore, we assessed the validity of using UCVA in combination with NCR as predictive metrics for myopia referral.

Results

Among the 8,492 children, 4,357

SUBMITTER: Lyu P 

PROVIDER: S-EPMC12512548 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature