Abstract Myopia is a complex disease influenced by multiple factors, and its prevention and control require a thorough identification and monitoring of its risk factors. The paper examines the defocus characteristics of the visual environment and their association with myopia among children and adolescents, and further describes their role in the prevention and control of myopia, as well as analyses the limitations of the current study and proposes directions for further research. Finally, the paper calls attention to the etiological significance of the defocus characteristics in the visual environment during the development of myopia among children and adolescents, which could provide a scientific basis for optimizing the learning environment and designing other measures to promote myopia prevention and control among children and adolescents.

Objective: To explore the association between sleep quality and dry eye symptoms in adolescents,so as to provide the evidence for reducing the prevalence of dry eye symptoms. Methods: The study population was adolescents aged 12-24 years from the Psychology and Behavior Investigation of Chinese Residents (PBICR) survey, which was conducted from 20 June to 31 August 2022. A stratified random sampling and quota sampling method was used to select 6 456 adolescents within mainland China. The Ocular Surface Disease Index (OSDI) and Brief version of the Pittsburgh Sleep Quality Index (B-PSQI) were used to assess dry eye symptoms and sleep quality. Multiple Logistic regression model was used to explore the relationship between sleep quality and dry eye symptoms in adolescents. The influence of gender on the association was explored by using interaction terms. Results: A total of 2 815 adolescents reported having dry eye symptoms, with a prevalence of 43.6%. Logistic regression analysis results showed an increased risk of exacerbation of dry eye symptoms in adolescents with poor sleep quality. The OR (95% CI ) for mild, moderate, and severe dry eye symptoms groups were 1.39(1.16-1.67), 1.52(1.28-1.81), and 2.35(2.02-2.72), respectively, compared with the ocularly normal group ( P <0.05). There was a significant interaction between sleep quality and gender on dry eye symptoms in adolescents ( P <0.01). Conclusions Sleep quality is associated with dry eye symptoms in adolescents, and those with poor sleep quality have a higher risk of dry eye symptoms. The effect of sleep quality on dry eye symptoms is greater in boys.

Objective: To analyze research hot spots and trends on myopia in children and adolescents in China, and to provide a reference for the future development of this research field. Methods: Using CiteSpace software, 725 eligible Chinese documents published over a 22 year period were sourced from CNKI, VIP and Wanfang Chinese databases, were analyzed during 2000-2021. The data were visualized by a keyword co occurrence map, and clustering, as well as burst and author cooperative networks. Results: The research field of myopia in children and adolescents in China had undergone three stages:an initial formation period, development period and rapid growth period, and it was expected that the annual number of papers will maintain an increasing trend in the future. "Myopia" "adolescents" "children" and "students" were the most frequent keywords(667, 535, 288, 47). The keyword burst "adolescents" started the earliest, and "students" had the largest burst strength and duration. Zhang Ning, Tang Wenting, Tao Fangbiao, Yang Xiao and others have made important contributions to this research field. Conclusion In recent years, the research focus in this field has gradually shifted toward the influencing factors, as well as prevention and treatment measures of child and adolescent myopia. The trend of myopia in young children and adolescents is obvious. In the future, research on the prevention, control and treatment of myopia in children and adolescents will become a hot spot.

Abstract The incidence of myopia in children and adolescents has increased in recent years, with an earlier onset trend. During the same time, sleep problems are prevalent in children and adolescents, including insufficient sleep duration and delayed sleep timing. Sleep, as a cyclical life activity influenced by the circadian rhythm, plays an important role in eye growth and refractive development. This review examines the associations between sleep, circadian rhythm, and occurrence of myopia in children and adolescents across human and animal studies, and discusses the underlying biological processes, so as to offer scientific justification for the prevention of myopia in children and adolescents.