Country-level prevalence with study provenance, evidence tiers, and clinical interpretation. Every figure carries a method label — why this matters →
| Location & Population | Prevalence | Method & Year | Clinical Interpretation | Source |
|---|---|---|---|---|
| 🌏 East Asia · 24 data points ▼ | ||||
|
Shanghai (urban)
University students (mean age ~20yr); cycloplegic
|
95.5%
|
C🟢 Tier A
2012
|
Extreme prevalence. Myopia is the expected state. Shift clinical focus from detection to progression management and axial length tracking at every visit. |
Sun J et al. Invest Ophthalmol Vis Sci 2012;53(11):7071–7. PMID 23060137
|
|
Shanghai (school)
Age-8 children, Shanghai urban; cycloplegic
|
30.8%
|
C🟢 Tier A
2014
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Ma Y et al. IOVS 2014 (Shanghai school-based cohort, ages 3–10, cycloplegic, n>2,000)
|
|
Beijing (school)
Grade 9 (ages ~14–15), Haidian district
|
65.5%
|
C🟢 Tier A
2017
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
Li Y et al. BMC Ophthalmol 2017. Haidian 10-yr survey
|
|
Beijing Eye Study (adults)
Adults ≥40 years, urban + rural combined
|
22.9%
|
C🟢 Tier A
2006
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Beijing Eye Study, Jonas JB et al.
|
|
Guangzhou rural
Ages 5–18, rural area
|
5.0%
|
C🟢 Tier A
2009
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
He M et al. Optom Vis Sci 2009
|
|
Shenzhen
School-age children; Guangdong 13-city aggregate; non-cycloplegic vision screeni
|
~70–80%
|
NC🟡 Tier B
2019–2021
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit.
⚠ Contextual — verify methodology
|
Guan J et al. J Med Internet Res 2023;25:e42203 (Guangdong 13-city real-world screening, n=large)
|
|
Wenzhou
Ages 6–18; non-cycloplegic school screening; CAMS-Wenzhou study
|
~75%
|
NC🟡 Tier B
2019
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
Xu L et al. Eye Vis 2021;8:19. PMID 33896441 (CAMS-Wenzhou, non-cycloplegic)
|
|
Qingdao (city-wide 2022–2024)
All school grades; district variation 45.9–64.7%; non-cycloplegic vision screeni
|
56–58%
|
NC🟡 Tier B
2022–2024
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit.
⚠ Contextual — verify methodology
|
Longitudinal Qingdao school screening study. BMC Public Health 2026 (exact PMID pending indexing)
|
|
Qingdao — Huangdao district
Urban district, all grades; non-cycloplegic screening
|
64.7%
|
NC🟡 Tier B
2024
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
BMC Public Health 2026 (Qingdao longitudinal 2022–2024, district-level sub-analysis)
|
|
Qingdao — Jiaozhou district
Rural/semi-urban district; non-cycloplegic screening
|
45.9%
|
NC🟡 Tier B
2024
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
BMC Public Health 2026 (Qingdao longitudinal 2022–2024, district-level sub-analysis)
|
|
Shenyang
School children ages 6–18; non-cycloplegic cross-sectional
|
53.1%
|
NC🟡 Tier B
2023
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
Zhang D et al. Front Public Health 2023 (Shenyang school cross-sectional, NC refraction)
|
|
Anyang (rural Henan)
Ages 6–12 rural children; cycloplegic; population-based
|
28.3%
|
C🟢 Tier A
2012
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Li Z et al. (Anyang Eye Study) Invest Ophthalmol Vis Sci 2012;56:3108–14
|
|
Handan (rural, Handan Eye Study adults)
Adults ≥30yr; rural Handan; cycloplegic; population-based
|
26.7%
|
C🟢 Tier A
2009
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Liang YB et al. (Handan Eye Study) Arch Ophthalmol 2009;127(10):1373–9. PMID 19822849
|
|
Tianjin
Ages 6–16; school-based during COVID-19 restriction period (2020); non-cyclopleg
|
51.8%
|
NC🟡 Tier B
2020
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
Li T et al. Br J Ophthalmol 2023;107(9):1306–12. PMID 35609945
|
|
Tokyo — elementary (6–11yr)
Tokyo school students; 2 schools; 1,416 students
|
76.5%
|
NC🟡 Tier B
2017
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
Hashimoto S et al. JAMA Ophthalmol 2019. PMC6696729
|
|
Tokyo — junior high (12–14yr)
Tokyo junior high students
|
94.9%
|
NC🟡 Tier B
2017
|
Extreme prevalence. Myopia is the expected state. Shift clinical focus from detection to progression management and axial length tracking at every visit. |
Hashimoto S et al. JAMA Ophthalmol 2019
|
|
Tokyo Myopia Study — preschool
Ages 3–6, Tokyo; non-cycloplegic — higher than cycloplegic equivalent
|
60.2%
|
NC🟡 Tier B
2019–2021
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
Maruyama K et al. (Tokyo Myopia Study). J Clin Med 2022;11(15):4413. PMC9369597
|
|
Tokyo Myopia Study — elementary
Elementary school students, Tokyo; non-cycloplegic
|
82.2%
|
NC🟡 Tier B
2019–2021
|
Extreme prevalence. Myopia is the expected state. Shift clinical focus from detection to progression management and axial length tracking at every visit. |
Maruyama K et al. (Tokyo Myopia Study). J Clin Med 2022;11(15):4413. PMC9369597
|
|
Seoul — conscripts age 19
19-year-old male military conscripts; VA screening + manifest refraction
|
96.5%
|
VA🟡 Tier B
2012
|
Extreme prevalence. Myopia is the expected state. Shift clinical focus from detection to progression management and axial length tracking at every visit. |
Jung SK et al. Invest Ophthalmol Vis Sci 2012
|
|
Taipei — age 8yr (Taipei study)
8-year-olds; second-grade primary school
|
34.7%
|
C🟢 Tier A
2016
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Hsu CC et al. J Chin Med Assoc 2016
|
|
Southern China (school-age)
Ages 6–15yr; 5-yr follow-up
|
−0.43D/yr (SE); ~0.28mm AL/yr
|
Rising fast; 65.5% at Grade 9 (Beijing)🟡 Tier B
Southern China longi
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
|
Beijing (school)
Annual incidence 7.8%
|
−0.17D/yr
|
High myopia 2.6% by adolescence🟡 Tier B
Beijing Eye Study da
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
|
LAMP control group (Hong Kong Chinese)
Ages 4–12yr, control group (no Rx)
|
−0.79D/yr SE; 0.38mm AL/yr
|
Higher dose = less progression🟡 Tier B
Yam JC et al. LAMP P
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
|
Taiwan annual longitudinal change
Taiwan national cohort data
|
−0.43D/yr (age 7–15)
|
—🟡 Tier B
Cited PMC7803099; na
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
| 🌍 South Asia · 4 data points ▼ | ||||
|
Delhi — urban children (CHVI-2)
Ages 5–15, urban New Delhi; population-based
|
7.4%
|
C🟢 Tier A
2002
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Murthy GVS et al. Invest Ophthalmol Vis Sci 2002
|
|
Delhi — North India Myopia Study
Urban school children, Delhi
|
13.1%
|
C🟢 Tier A
2015
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Saxena R et al. PLoS One 2015
|
|
Andhra Pradesh (APEDS rural)
Ages 7–15yr rural children; cycloplegic; population-based
|
4.1%
|
C🟢 Tier A
2002
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Dandona R et al. Invest Ophthalmol Vis Sci 2002;43(12):3585–90. PMID 12454029
|
|
Tamil Nadu — adults ≥39yr
Adults ≥39yr; population-based; cycloplegic; rural > urban (unusual)
|
17–31%
|
C🟢 Tier A
2008
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Prema R et al. Indian J Ophthalmol 2008;56(6):511–3. PMID 18974520
|
| 🌏 SE Asia · 1 data points ▼ | ||||
|
Cambodia — school-age children (~12yr)
12-year-old school children; urban & rural combined; cycloplegic
|
6.0%
|
C🟢 Tier A
2012
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Gao Z et al. Ophthalmic Epidemiol 2012;19(6):369–76. PMID 23009013
|
| 🌍 Europe · 5 data points ▼ | ||||
|
Europe pooled (14 countries, n=128,012)
All ages; range 11.9% (Finland) to 49.7% (Sweden)
|
23.5%
|
C🟢 Tier A
2025
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Moreira-Rosário A et al. Lancet Reg Health Eur 2025;54:101319. PMC12266183
|
|
Europe children pooled (9 countries, 78,274 children)
Mean age 8.2 years; 9 European countries
|
7.2%
|
C🟢 Tier A
2025
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Ruiz-Pomeda A et al. Children 2025;12(6):771. PMC12191788
|
|
E3 Consortium — adult birth-cohort trend
European adults; birth decades 1910–1939 vs 1940–1979; non-cycloplegic
|
17.8% → 23.5%
|
NC🟡 Tier B
2015
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Williams KM et al. Ophthalmology 2015;122(7):1489–97. PMID 25983215 (E3 Consortium)
|
|
Sydney Myopia Study — European-descent children (age 12yr)
Age 12yr Sydney school children, European descent; cycloplegic
|
11.9%
|
C🟢 Tier A
2003–2005
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Rose KA et al. Ophthalmology 2008;115(8):1279–85. PMID 18061685
|
|
MOSAIC control group (Irish European children)
Ages 6–16yr, placebo group (2yr)
|
~−0.45D/yr SE; ~0.22mm AL/yr
|
Slower than Asian trials; COVID confound🟡 Tier B
Loughman J et al. Ac
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
| 🌎 Americas · 5 data points ▼ | ||||
|
National — adults ≥20yr (NHANES)
Adults ≥20 years; cycloplegic
|
33.1%
|
C🟢 Tier A
1999–2004
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Vitale S et al. Arch Ophthalmol 2009. NHANES 1999–2004
|
|
African American children (MEPEDS, LA)
Ages 6–72 months; Los Angeles County; cycloplegic
|
6.6%
|
C🟢 Tier A
2010
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Borchert M et al. PMC2815146
|
|
Hispanic children (MEPEDS, LA)
Ages 6–72 months; Los Angeles County
|
3.7%
|
C🟢 Tier A
2010
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Borchert M et al. PMC2815146
|
|
Non-Hispanic White children (MEPEDS)
Ages 6–72 months; preschool
|
1.2%
|
C🟢 Tier A
2014
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
PMC3902090
|
|
PEDIG control group (US children)
Ages 5–12yr, placebo group
|
−0.78D/yr SE; ~0.28mm AL/yr
|
Slower than LAMP; mixed US ethnicity🟡 Tier B
Repka MX et al. JAMA
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
| 🌍 Other Regions · 21 data points ▼ | ||||
|
National — children ≤20
Ages 0–19 overall; 22% ages 5–9, 45% ages 10–14, 67% ages 15–19
|
36.6%
|
C🟢 Tier A
2025
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Pan W et al. Lancet Reg Health West Pac 2025;55:101484. n=218,794
|
|
National — urban school-age
School-age children (meta-analysis weighted)
|
52.7%
|
C🟢 Tier A
2020
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
Pan W et al. Lancet Reg Health West Pac 2025 (25-year nationwide dataset, n=5.1M)
|
|
National — high myopia ≤20
Children ≤20 (ages 0–19); rising; plateau projected ~2030
|
5.3%
|
C🟢 Tier A
2025
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Pan W et al. Lancet Reg Health West Pac 2025;55:101484. PMID 39931228
|
|
National — ≤14yr (claims database)
Children ≤14yr; 15M nationally insured; peak incidence age 8; diagnosis-based —
|
36.8%
|
Claims🟡 Tier B
2020
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Nationwide claims database. Ophthalmol Sci 2025;5(3). PMC11964618
|
|
National — young adult males (military conscripts)
Age-19 males; mandatory military physical exam VA screening; secondary synthesis
|
~80%
|
VA🟡 Tier B
2023
|
Extreme prevalence. Myopia is the expected state. Shift clinical focus from detection to progression management and axial length tracking at every visit.
⚠ Contextual — verify methodology
|
Gwon TG & Lee JH (2023); cited in National Academies of Sciences 2024 myopia report
|
|
HK — COVID acceleration (ages 6–7yr)
Ages 6–7yr; Hong Kong; prevalence rose markedly during 2020–2021 lockdown vs 201
|
Significant increase
|
C🟢 Tier A
2020–2021
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Zhang XJ et al. JAMA Ophthalmol 2023;141(3):239–47. PMID 36701153
|
|
National — age 7yr (2000)
7-year-olds; up from 5.8% in 1983
|
21%
|
C🟢 Tier A
2000
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Lin LL et al. Taiwan nationwide survey, 2000
|
|
National — age 12yr (2000)
12-year-olds; up from 36.7% in 1983
|
61%
|
C🟢 Tier A
2000
|
Very high prevalence. Majority of school-age children affected. Early intervention before age 10 captures maximum treatment benefit. |
Lin LL et al. Taiwan 2000
|
|
National — age 15yr (2000)
15-year-olds; up from 64.2% in 1983
|
81%
|
C🟢 Tier A
2000
|
Extreme prevalence. Myopia is the expected state. Shift clinical focus from detection to progression management and axial length tracking at every visit. |
Lin LL et al. Taiwan 2000
|
|
National — age 15yr
Singaporean-Chinese 15-year-olds; highest nationally reported in meta-analysis
|
86%
|
C🟢 Tier A
Meta-analysis
|
Extreme prevalence. Myopia is the expected state. Shift clinical focus from detection to progression management and axial length tracking at every visit. |
Rudnicka AR et al. Br J Ophthalmol 2016
|
|
National — children 5–15yr meta-analysis
Ages 5–15 overall (40yr meta-analysis, 59 studies, n=286,000)
|
7.5%
|
C🟢 Tier A
2020
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Khanna RC et al. PLOS One 2020. PMC7571694
|
|
National — urban children trend
Urban 11–15yr — last decade estimate
|
~15%
|
C🟢 Tier A
2020
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Khanna RC et al. PLOS One 2020
|
|
National — ages 12–54yr trend
Ages 12–54; compared 1971–1975 vs 1999–2004
|
25%→41.6%
|
C🟢 Tier A
2009
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Vitale S et al. Arch Ophthalmol 2009
|
|
Australia — adults ≥49yr (Blue Mountains)
3,654 adults ≥49 years; Blue Mountains Eye Study
|
15.0%
|
C🟢 Tier A
1999
|
Moderate prevalence. Selective treatment approach. Prioritise fast progressors and children with AL >24.5mm before age 10. |
Blue Mountains Eye Study; cited Global Epidemiology chapter
|
|
Iran — adults ≥40yr (Shahroud Eye Cohort)
Adults ≥40yr; Shahroud, north Iran; cycloplegic; population-based
|
30.2%
|
C🟢 Tier A
2012
|
Moderate-high prevalence. Active screening indicated. Risk factors (parental myopia, urban, high near-work) should trigger early biometry referral. |
Hashemi H et al. Optom Vis Sci 2012;89(6):849–53. PMID 22552834 (Shahroud Eye Cohort)
|
|
Sub-Saharan Africa — children age 15yr (meta-analysis)
Age 15yr; Black African children; meta-analytic pooled estimate
|
5.5%
|
C🟢 Tier A
Meta-analysis
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Rudnicka AR et al. Br J Ophthalmol 2016;100(7):882–90. PMID 26567024
|
|
MiSight control group (Asian+other)
Ages 8–12yr (FDA label)
|
~0.30mm AL/yr (6-yr average)
|
Myopia deepened ~−3D in 6yr in controls🟡 Tier B
Chamberlain P et al.
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
|
IMI 2025 fast progressor threshold
All school-age children
|
≥0.30mm AL/yr
|
Trigger for treatment escalation🟡 Tier B
Bullimore MA et al.
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
|
Finland (22-yr follow-up)
Mean 22-year progression from myopia onset
|
−1.43D (baseline) → −5.29D
|
European slower than Asian progression🟡 Tier B
Finnish 240-child co
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. | |
|
National projection 2050 (urban age 16–18)
Modelled; urban 16–18yr
|
81.5%
|
Model🟡 Tier B
2050
|
Extreme prevalence. Myopia is the expected state. Shift clinical focus from detection to progression management and axial length tracking at every visit. |
Pan W et al. Lancet Reg Health West Pac 2025 (25-yr study, 5.1M participants)
|
|
National — projection 2050 (modelled)
India projected 2nd largest absolute myopia burden globally by 2050; modelled es
|
Rising
|
Model🟡 Tier B
2050
|
Low prevalence. Screening focus. High outdoor time and lower academic pressure likely protective. |
Priscilla JJ & Verkicharla PK. Ophthalmic Physiol Opt 2021;41(3):623–31. PMID 33774834
|
| Location | Prevalence | Age group | Method | Year | Notes | Source |
|---|---|---|---|---|---|---|
| 📍 National projection 2050 (urban age 16–18) | 81.5% | Modelled; urban 16–18yr | Model | 2050 | Rural 16–18: 74.1%; urban 7–9yr: 27.1% | Pan W et al. Lancet Reg Health West Pac 2025 (25-yr study, 5.1M participants) |
| National — projection 2050 (modelled) | Rising | India projected 2nd largest absolute myopia burden globally by 2050; modelled estimate | Model | 2050 | ⚠ Modelled projection — not a measured prevalence value; driven by urbanisation rate and population size assumptions; should not be compared directly with prevalence rows | Priscilla JJ & Verkicharla PK. Ophthalmic Physiol Opt 2021;41(3):623–31. PMID 33774834 |
Population prevalence provides epidemiological context — individual risk depends on age, axial length, growth rate, and family history. For country-specific deep dives: China · Japan · USA · India · Australia
Population prevalence provides context. Individual risk depends on axial length, age, growth rate, and family history.
Select up to 4 regions. Only primary-study rows included. Mixed methods are flagged.