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China CDC weekly · 2025

Association Between Refractive Status and Ocular Biometric Parameters Among Children and Adolescents - 10 PLADs, China, 2020-2024.

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Gao Ruoyi, Luo Huijuan, Meng Yaqing, Wang Liru, Li Suyun, Sun Bingjie, Guo Xin

Аннотация

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Myopia prevalence among Chinese students remains persistently high, with axial length and the axial length-to-corneal radius ratio demonstrating significant associations with refractive status in children and adolescents.

WHAT IS ADDED BY THIS REPORT?: This investigation employed cycloplegic optometry to assess refractive errors across children and adolescents in 10 provincial-level administrative divisions, utilizing axial length (AL) and axial length-to-corneal radius ratio (AL/CR) as predictive indicators of refractive status.

WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: The AL/CR ratio demonstrates superior predictive accuracy for myopia compared to AL alone and can effectively identify at-risk children during early developmental stages. Incorporating routine monitoring of AL and AL/CR into school health programs can enhance early detection capabilities and support targeted myopia management strategies.