Myopia in India

⚠ Measurement methodology note: Unless otherwise stated, prevalence figures on this page use non-cycloplegic screening methods (visual acuity or non-cycloplegic autorefraction). Cycloplegic refraction — the clinical gold standard — typically identifies 10–20 percentage points higher prevalence in school-age children. Figures across countries are not directly comparable due to differing age groups, measurement methods, and study populations. See individual citations for full methodology.

India presents a rapidly evolving myopia picture. While the overall national prevalence (~13%) remains far below East Asian levels, urban rates of 30–50% in school-age children rival those of Europe. India's trajectory matters globally — with 1.4 billion people and accelerating urbanisation, it is projected to become the world's second largest myopia population by absolute numbers by 2050.

~13%
Overall national myopia prevalence — rising fast
Priscilla JJ et al. Ophthal Physio Opt 2021
48%
Prevalence in urban South Indian adults — 3–4× higher than rural
National population surveys, review literature
2nd
Projected rank by absolute myopia population by 2050
Liang J et al. Br J Ophthalmol 2025

The clinical picture in India

India's myopia epidemic is primarily an urban phenomenon. School-based studies in major cities (Mumbai, Chennai, Hyderabad, Delhi) consistently show 30–50% prevalence in children attending private schools — comparable to European levels. Rural populations remain substantially lower, typically below 10%, reflecting differences in near-work intensity, educational pressure, and outdoor time. This urban–rural gap is one of the largest in any country studied.

Data gap: India lacks a national population-based cycloplegic myopia survey equivalent to the US NHANES. Most published figures come from school-based studies in specific cities, making national estimates uncertain. The 13% overall figure is modelled; urban youth rates are substantially higher.

Urban vs. rural prevalence

PopulationPrevalenceNotes
Rural children (all ages)~5–10%School surveys; mixed methods
Urban children (private school)30–50%Higher academic intensity
Urban South Indian adults~48%Population survey data
Urban IT professionals (30–40yr)60–70%High near-work exposure

Treatment access

Evidence-based myopia management is available in major Indian cities through specialist optometry and ophthalmology practices, but access is highly uneven. Orthokeratology is available in metro centres; MiSight lenses are available but cost is a barrier. Atropine is compounded locally. DIMS/HALT spectacle lenses (Stellest, MiyoSmart) have limited but growing availability. The Brien Holden Vision Institute (Sydney) has been active in India-specific research and training programmes.

Track myopia progression for your patients

Enter axial length measurements at two visits. Get progression rate, AL percentile, and projected adult prescription with and without treatment.

Open calculator →
Free · No login required
Primary sources:
Priscilla JJ et al. Prevalence of myopia in India. Ophthalmic Physiol Opt. 2021.
Liang J et al. Global myopia projections to 2050. Br J Ophthalmol. 2025.
Holden BA et al. Global prevalence of myopia. Ophthalmology. 2016;123(5):1036–1042. doi:10.1016/j.ophtha.2016.01.006

This page presents published epidemiological data — not primary measurements by MyopiaTracker. Figures carry the uncertainty of their source studies. This page does not constitute medical advice. MyopiaTracker is a decision-support tool — not a diagnostic device.

Related Resources
Global myopia data → Myopia in China — compare burden → Treatment options → Calculator →