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Change in the prevalence of myopia in Australian middle-aged adults across 20 years


BACKGROUND: The prevalence of myopia is increasing globally including in Europe and parts of Asia but Australian data are lacking. This study aim described the change in myopia prevalence in middle-aged Australian adults over approximately a 20-year period. METHODS: Two contemporary Western Australian studies (conducted in mid-late 2010s): the coastal-regional Busselton Healthy Ageing Study (BHAS) and the urban Gen1 of the Raine Study (G1RS) were compared to two earlier studies (early-mid 1990s) in Australia: the urban Blue Mountains Eye Study (BMES) and urban/regional Melbourne Visual Impairment Project (MVIP). Refractive error was measured by autorefraction, vertometry, or subjective refraction. Participants (49-70 years) of European descent without self-reported/diagnosed cataract, corneal disease, or refractive or corneal surgery were included. RESULTS: After exclusions, data were available from 2217, 1760, 700, 2987 and 756 participants from BMES, urban MVIP, regional MVIP, BHAS, and G1RS, respectively. The mean age ranged from 57.1 +/- 4.6 years in the G1RS to 60.1 +/- 6.0 years in the BMES; 44-48% of participants were male. When stratified by location, the contemporary urban G1RS cohort had a higher age-standardised myopia prevalence than the urban MVIP and BMES cohorts (29.2%, 16.4%, and 23.9%, p < 0.001). The contemporary coastal-regional BHAS had a higher age-standardised myopia prevalence than the regional MVIP cohort (19.4% vs. 13.8%, p = 0.001). CONCLUSIONS: We report an increase in myopia prevalence in older adults in Australia born after World War ll compared to cohorts born before, accounting for urban/regional location. The prevalence of myopia remains relatively low in middle-aged Australian adults.

Type Journal
ISBN 1442-9071 (Electronic) 1442-6404 (Linking)
Authors Mackey, D. A.; Lingham, G.; Lee, S. S.; Hunter, M.; Wood, D.; Hewitt, A. W.; Mitchell, P.; Taylor, H. R.; Hammond, C. J.; Yazar, S.
Responsible Garvan Author Dr Seyhan Yazar
Publisher Name Clincal & experimental opthalmology
Published Date 2021-12-31
Published Volume 49
Published Issue 9
Published Pages 1039-1047
Status Published in-print
DOI 10.1111/ceo.13980
URL link to publisher's version