Following prevalence of myopia in a large Swiss military cohort over the last decade: where is the European “myopia boom”?

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Abstract

Purpose

Myopia prevalence is increasing globally, with the highest rates found in Asia. Data from European countries is scarce. We aimed to investigate whether the prevalence of myopia is rising in our meridians.

Methods

Data from male military conscripts for the recruitment period of 2008–2017 were retrospectively analyzed. Year of recruitment, conscripts’ birth year, visual acuity, refractive status (spherical equivalent), and spectacle wear (yes/no) were available.

Results

The dataset contained data of a total of 355,657 male conscripts, who had been recruited in the years 2008 to 2017. The mean number of conscripts per year was 35,566 (MD = 35,440, SD = 1249), reaching a minimum number of 33,998 conscripts in 2017 and a maximum of 37,594 in 2011. Mean age at recruitment was 19.7 years (MD = 19.0 years, SD = 1.1 years). Overall, the number of conscripts wearing spectacles remained stable over the observation time; on average 29.6% (n = 10,540; MD = 10,472; SD = 492) of conscripts wore glasses at recruitment. Of 21.8% (n = 77,698) of conscripts, data on the refractive status was available: The mean spherical equivalent for both right and left eyes was -2.3D (MD = -2 D, SD = 2.4 D). No decrease in mean spherical equivalent per recruitment year was noted over the observation period. Estimated myopia prevalence reached an average of 27.5% (SD = 0.8%) and did not increase during the observation period.

Conclusion

In summary, no change in spherical equivalent refractive errors of male Swiss army conscripts was found for the years 2008–2017. Equally, the percentage of spectacle wearers (MN = 29.6%) and estimated myopia prevalence (MN = 27.5%) did not significantly increase during the observation time.

Trial registration: BASEC 2019-00060 (18/01/2019)

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过去十年间,瑞士军队中近视眼的流行情况:欧洲的 "近视热潮 "在哪里?
摘要 目的 近视发病率在全球范围内呈上升趋势,其中亚洲的发病率最高。欧洲国家的数据很少。我们旨在调查近视患病率是否在我国经区有所上升。 方法 回顾性分析了 2008-2017 年期间应征入伍的男性数据。数据包括征兵年份、应征者出生年份、视力、屈光状态(球面等效)和佩戴眼镜情况(是/否)。 结果 数据集包含 2008 年至 2017 年期间招募的 355 657 名应征男兵的数据。每年应征入伍的平均人数为 35 566 人(MD = 35 440,SD = 1249),2017 年应征入伍人数最少,为 33 998 人,2011 年最多,为 37 594 人。征兵时的平均年龄为 19.7 岁(MD = 19.0 岁,SD = 1.1 岁)。总体而言,戴眼镜的新兵人数在观察期间保持稳定;平均 29.6%(n = 10,540; MD = 10,472; SD = 492)的新兵在入伍时戴眼镜。21.8%的应征者(n = 77 698)有屈光状态数据:左右眼的平均球面等效视力均为-2.3D(MD = -2 D,SD = 2.4 D)。在观察期间,每招募一年的平均球面等值没有下降。估计近视率平均为 27.5%(SD = 0.8%),在观察期内没有增加。 结论 综上所述,2008 年至 2017 年期间,瑞士男性应征入伍者的球面等效屈光不正没有发生变化。同样,在观察期间,佩戴眼镜的比例(MN = 29.6%)和估计近视率(MN = 27.5%)也没有显著增加。试验注册:BASEC 2019-00060 (18/01/2019)
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