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- W2116664228 abstract "Introduction: The National Myopia Prevention and Control Workgroup was set up to review current scientific evidence, to review the National Myopia Prevention Programme (NMPP) and to recommend strategies to the Ministry of Health. Methods: A Medline search was conducted to identify relevant articles. Workgroup members met with representatives from Health Promo- tion Board, Ministry of Education and several world-renowned myopia researchers. Results: Near work contributes to myopia development. Greater time outdoors significantly lowers the risk of myopia. Breastfeeding may be protective. Family history of myopia and higher IQ were associated with development of new myopia (level II evidence). Other risk factors such as PAX 6 genes, higher educational level, prematurity, Chinese race, female gender and socioeconomic status were significantly associated with myopia (level III evidence). There is no evidence to support the use of commercial products for retardation of myopia progression. Topical atropine is effective in slowing myopia progression. The NMPP overpromotes use of vision breaks with little emphasis on outdoor activity. Conclusions: Further research with better quantification of near work is recommended. The role of vision breaks should be de-emphasised. There should be more emphasis on outdoor play and stricter regulation of commercial devices. Atropine is recommended only in cases of rapid myopia progression or high, progressive myopia. The frequency of vision screening can be reduced. Future research efforts should focus on specific risk factors, reassessment of selected programmes and new treatment options. Reading material summarising the workgroup's findings can be distributed. Ann Acad Med Singapore 2007;36(Suppl):65-71" @default.
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- W2116664228 date "2007-01-01" @default.
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- W2116664228 title "Report of the National Myopia Prevention and Control Workgroup 2006: A Summary" @default.
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