Myopia Control: Why Each Diopter Matters : Optometry and Vision Science

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Myopia Control: Why Each Diopter Matters

Bullimore, Mark A. MCOptom, PhD, FAAO1*; Brennan, Noel A. MScOptom, PhD, FAAO

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Optometry and Vision Science 96(6):p 463-465, June 2019. | DOI: 10.1097/OPX.0000000000001367



Reducing the incidence or prevalence of any disease by 40% is of huge public health significance. Slowing myopia by 1 diopter may do just that for myopic maculopathy—the most common and serious sight-threatening complication of myopia. There is a growing interest in slowing the progression of myopia due to its increasing prevalence around the world, the sight-threatening consequences of higher levels of myopia, and the growing evidence-based literature supporting a variety of therapies for its control. We apply data from five large population-based studies of the prevalence of myopic maculopathy on 21,000 patients. We show that a 1-diopter increase in myopia is associated with a 67% increase in the prevalence of myopic maculopathy. Restated, slowing myopia by 1 diopter should reduce the likelihood of a patient developing myopic maculopathy by 40%. Furthermore, this treatment benefit accrues regardless of the level of myopia. Thus, while the overall risk of myopic maculopathy is higher in a –6-diopter myope than in a –3-diopter myope, slowing their myopic progression by 1 diopter during childhood should lower the risk by 40% in both.

Copyright © 2019 American Academy of Optometry

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