Refractive error in Hong Kong preschool children and its association with near work

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Abstract

Purpose : This cross-sectional study aimed to investigate the refractive error in Hong Kong preschool children and its association with near work (including digital device usage) among these children.

Methods : A total of 336 preschool children aged between 3 and 7 years from 6 local kindergartens were examined. Eye examinations including habitual visual acuity, photorefraction, and ocular biometric measurements were carried out. Parental questionnaires on environmental and behavioural factors including near work habits were collected. Refractive error, expressed as spherical equivalent power (SE), and axial length (AL) were the main outcome measures. Only data on right eye was presented. SE and AL were compared among groups with different time spent on near work, including reading, drawing, doing homework and using digital devices, including mobile phones and handheld electronic devices.

Results : In total, 9.82% of the children had an SE of at least -0.50 D while 24.70% of the children had an SE more than +0.50 D. The overall mean SE was +0.21±0.73 D, ranging from -4.00 D to +2.50 D. The mean AL was 22.41±0.72 mm, ranging from 20.03 mm to 24.69 mm. SE was negatively correlated with age (r=-0.13, p=0.02) but no significant difference was found between gender (p=0.69). AL was positively correlated with age (r=0.40, p
Conclusions : Longer time spent on near work, including doing homework, reading books and drawing, and on digital devices including mobile phone and handheld electronic devices were associated with more myopic refractive power in Hong Kong preschool children.
Original languageEnglish
Title of host publicationInvestigative Ophthalmology & Visual Science
Pages256
DOIs
Publication statusPublished - Jun 2022
EventAssociation for Research in Vision and Ophthalmology (ARVO) Annual Meeting 2022 - Denver, United States
Duration: 1 May 20224 May 2022

Conference

ConferenceAssociation for Research in Vision and Ophthalmology (ARVO) Annual Meeting 2022
Abbreviated titleARVO 2022
Country/TerritoryUnited States
CityDenver
Period1/05/224/05/22

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