March 23, 2026 · American journal of ophthalmology · DOI: 10.1016/j.ajo.2026.03.022

Short-Term Axial Length Changes Predict Progression of Myopic Maculopathy in Pediatric High Myopia

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The authors aimed to determine whether short-term changes in axial length (AL) and spherical equivalent (SE) could predict long-term progression of myopic maculopathy (MM) in children and adolescents with high myopia. Their findings revealed that both baseline AL and the rate of AL change over two years were significant predictors of MM progression over an eight-year period, with nearly one-third of participants experiencing progression. This study underscores the potential for early identification of at-risk individuals through monitoring AL changes, facilitating timely interventions.

Feng Jiang, Lili Wang, Xiaohu Ding, Mingguang He, Junwen Zeng, Zhixi Li

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