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- W4312617146 abstract "The increasing prevalence of myopia is a global epidemic predicted to worsen. The COVID-19 pandemic has led to increased near work and decreased time spent outdoors, which are associated with myopic progression. In this study we aim to investigate the association between recent behavioral changes and myopic shift in a racially diverse pediatric population in Chicagoland. All patients (ages 2-19) seen at a single tertiary children’s hospital with a cycloplegic refraction in January-March in the years 2019, 2020, or 2021 were retrospectively reviewed. Patients with aphakia, pseudophakia, and connective tissue diseases (eg, Marfan syndrome, Stickler syndrome) were excluded. 2,063 patients were included in this study. The overall mean spherical equivalent (SE) was 0.12 ± 3.70 D in 2019, −0.07 ± 3.95 D in 2020, and −0.49 ± 3.85 D in 2021. The 6-9 year old age group displayed the greatest increase in myopia prevalence from 0.29 to 0.39 between 2020-2021, respectively. 109 patients returned in 2019, 2020, and 2021. Mean SE in return patients was 0.66 ± 3.40 D in 2019, 0.51 ± 3.58 D in 2020, and 0.22 ± 3.72 D in 2021. Repeated measures ANOVA demonstrated significant difference in myopic shift between years (F-ratio = 14.4; P < 0.00001), and post hoc testing with Bonferroni correction demonstrated significant decrease from 2020-2021 (P = 0.00008), but not 2019-2020. These results demonstrate an increase in myopic progression in a pediatric population during COVID-19. The mean myopic shift in cycloplegic SE was significantly greater in 2020-2021 compared to 2019-2020. This may be explained by the behavioral changes during the COVID-19 pandemic." @default.
- W4312617146 created "2023-01-05" @default.
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- W4312617146 date "2022-08-01" @default.
- W4312617146 modified "2023-09-27" @default.
- W4312617146 title "Refractive changes in children in the Chicagoland area during the COVID-19 pandemic" @default.
- W4312617146 doi "https://doi.org/10.1016/j.jaapos.2022.08.179" @default.
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