Pediatric Myopia Statistics (2026): 60+ Data Points on Prevalence, Outdoor Time, and Myopia Control Treatments

Pediatric myopia statistics 2026: 35.81% of children and teens worldwide were myopic in 2023, up from 24.32% in 1990, with 39.80% projected for the year 2050.

Roughly one in three children and adolescents worldwide is now nearsighted: the pooled prevalence of myopia in young people rose from 24.32% in 1990 to 35.81% in 2023, and is projected to reach 39.80% by 2050 (British Journal of Ophthalmology, global meta-analysis 2025). In East Asia the curve is far steeper: 96.5% of 19-year-old men examined in Seoul were myopic, and myopia among Chinese children aged 7 to 12 rose 3.3-fold between 1985 and 2019. The good news is that the most effective preventive tool is also the cheapest: one extra 40-minute outdoor class per school day cut new cases by 9.1 percentage points in a three-year trial. The indoor, screen-heavy childhood behind these numbers is mapped in our children’s screen time statistics. We aggregated data from the British Journal of Ophthalmology, Ophthalmology, JAMA, JAMA Ophthalmology, the Chinese National Survey on Students’ Constitution and Health, the National Eye Institute, the American Academy of Ophthalmology, the World Health Organization, the US Food and Drug Administration and the other primary sources listed in the methodology.

TL;DR

  • 35.81% of children and adolescents worldwide were myopic in 2023, up from 24.32% in 1990 (British Journal of Ophthalmology, meta-analysis 2025).
  • Childhood myopia is projected at 39.80% in 2050, more than 740 million cases (British Journal of Ophthalmology, 2025).
  • 4,758 million people of all ages (49.8%) are projected to be myopic by 2050, and 938 million highly myopic (Ophthalmology, global meta-analysis 2016).
  • Myopia among Chinese children aged 7-12 rose from 12.69% in 1985 to 41.33% in 2019 (Scientific Reports 2025, CNSSCH data).
  • 96.5% of 19-year-old male conscripts in Seoul were myopic and 21.61% highly myopic (Investigative Ophthalmology and Visual Science 2012).
  • US myopia prevalence at ages 12-54 rose from 25.0% in 1971-72 to 41.6% in 1999-2004 (Archives of Ophthalmology 2009, NHANES).
  • An extra 40 minutes outdoors per school day cut 3-year myopia incidence to 30.4% vs 39.5% (JAMA 2015, Guangzhou trial).
  • Outdoor time lowered the risk of incident myopia by about half in clinical trials (risk ratio 0.536) (Acta Ophthalmologica meta-analysis 2017).
  • Myopia among 6-year-olds in Feicheng, China hit 21.5% in 2020 vs a prior high of 5.7% after COVID-19 home confinement (JAMA Ophthalmology 2021).
  • 0.05% atropine cut 1-year progression to -0.27 D vs -0.81 D on placebo (Ophthalmology 2019, LAMP study).
  • DIMS spectacle lenses slowed myopia progression by 52% over two years (British Journal of Ophthalmology 2020).
  • Uncorrected myopia cost an estimated US$244 billion in lost global productivity in 2015 (Ophthalmology 2019).

1. Global Prevalence and Projections: From One in Four to Two in Five

The headline trend is no longer debated: myopia is spreading through childhood faster than population growth. A 2025 meta-analysis covering 276 studies and 5,410,945 participants in 50 countries found the pooled prevalence of myopia in children and adolescents rose from 24.32% in 1990 to 35.81% in 2023, with projections of 36.59% in 2040 and 39.80% in 2050 (British Journal of Ophthalmology, 2025). The study says this will mean more than 740 million young people with myopia by 2050. Risk concentrates by age and schooling: prevalence was 47.00% among adolescents and 45.71% among high school students, versus 35.22% for residents of East Asia, 33.57% for girls and 28.55% for urban residents.

The all-ages picture is starker because today’s myopic children become tomorrow’s highly myopic adults. A 2016 meta-analysis of 145 studies and 2.1 million participants estimated 1,406 million people with myopia in 2000 (22.9% of the world) and projected 4,758 million (49.8%) by 2050, with high myopia rising from 163 million (2.7%) to 938 million (9.8%) (Ophthalmology, 2016). That is the source of the American Academy of Ophthalmology’s public warning that by 2050 nearly half the people in the world will have nearsightedness (AAO, Nearsightedness: What Is Myopia?, 2026).

MetricValueSource
Child and adolescent myopia, 1990 vs 202324.32% vs 35.81%British Journal of Ophthalmology, meta-analysis 2025
Projected child and adolescent myopia36.59% (2040), 39.80% (2050)British Journal of Ophthalmology, meta-analysis 2025
Projected young people with myopia, 2050More than 740 millionBritish Journal of Ophthalmology, meta-analysis 2025
Prevalence by groupAdolescents 47.00%, high school students 45.71%, East Asia 35.22%British Journal of Ophthalmology, meta-analysis 2025
People with myopia, all ages, 20001,406 million (22.9%)Ophthalmology, global meta-analysis 2016
Projected people with myopia, 20504,758 million (49.8%)Ophthalmology, global meta-analysis 2016
High myopia, 2000 vs 2050 projection163 million (2.7%) vs 938 million (9.8%)Ophthalmology, global meta-analysis 2016
Productivity loss from uncorrected myopia, 2015US$244 billion (95% CI 49-697 billion)Ophthalmology, lost productivity model 2019

Context note: the economic estimate comes from a modeling study of vision impairment from uncorrected myopia and myopic macular degeneration, which added US$6 billion for the latter (Ophthalmology, 2019). The WHO counts 88.4 million people with distance vision impairment from unaddressed refractive error and 2.2 billion people with some form of vision impairment (WHO, Blindness and vision impairment fact sheet, February 2026).

2. East Asia and China: Where Myopia Became the Norm

East Asia shows what happens when intense schooling and indoor childhoods combine. Myopia now affects 80-90% of school-leavers in East Asia, and high myopia 10-20% of those completing secondary school (The Lancet, Myopia, 2012). Seoul’s conscript data are the clearest single snapshot: of 23,616 19-year-old men examined with cycloplegia in 2010, 96.5% were myopic and 21.61% highly myopic, and university students had 1.69 times the odds of myopia of those without a high school diploma (Investigative Ophthalmology and Visual Science, 2012). Most recent available data for Seoul: 2010.

China’s national student survey tracks the epidemic over decades. Myopia among children aged 7 to 12 rose 3.3-fold, from 12.69% in 1985 to 41.33% in 2019, with the increase peaking in 2010 and then slowing; the authors project 40.39% in 2025 and 33.46% by 2030 (Scientific Reports, 2025). Across ages 7 to 18, the detection rate among Han students climbed from 55.5% in 2010 to 57.1% in 2014 and 60.1% in 2019, ranging from 49.6% in Guizhou to 71.3% in Zhejiang, and the age of fastest growth dropped from 12 to 7 years (Chinese Journal of Preventive Medicine, 2023). The shift to younger onset matters most: the earlier myopia starts, the more years it has to progress.

MetricValueSource
Myopia in 19-year-old men, Seoul (2010)96.5%; high myopia 21.61%Investigative Ophthalmology and Visual Science, 2012
School-leavers with myopia, East Asia80-90%; high myopia 10-20%The Lancet, Myopia review 2012
Chinese children aged 7-12, 1985 vs 201912.69% vs 41.33% (3.3-fold)Scientific Reports 2025, CNSSCH data
Han children aged 6-12, 201937.54% (urban 40.39%, rural 34.62%)Scientific Reports 2025
Projected prevalence, Chinese children aged 7-1240.39% (2025), 33.46% (2030)Scientific Reports 2025
Han students aged 7-18, detection rate55.5% (2010), 57.1% (2014), 60.1% (2019)Chinese Journal of Preventive Medicine, 2023
Provincial range, 2019Guizhou 49.6% to Zhejiang 71.3%Chinese Journal of Preventive Medicine, 2023
Myopia odds with two highly myopic parents3.08 times; 55.2% of 40,864 children myopicChinese Medical Journal, national survey 2025

Context note: in China’s 2025 national survey of children aged 6 to 17, one myopic parent raised the odds of myopia 1.75 times and two myopic parents 2.27 times, but children who followed two or more healthy lifestyle habits had lower risk (Chinese Medical Journal, 2025). Rural rates rose faster than urban rates between 2014 and 2019, so the old city-versus-countryside gap is closing.

3. The United States, Europe and Latin America: A Slower but Real Rise

Western rates trail East Asia but have climbed steadily. US myopia prevalence among people aged 12 to 54 rose from 25.0% in 1971-72 to 41.6% in 1999-2004, with Black Americans going from 13.0% to 33.5% and white Americans from 26.3% to 43.0% (Archives of Ophthalmology, 2009). High myopia of -7.9 D or worse rose from 0.2% to 1.6%. Most recent available national data: NHANES 1999-2004, so the US has no comparable national refraction estimate from the last two decades.

Among US schoolchildren, the multi-ethnic CLEERE study of 2,523 children in grades 1 to 8 found 9.2% myopic overall and 18.5% among Asian American children (Archives of Ophthalmology, 2003). Europe tells the same generational story in adults: age-standardized myopia was 30.6%, rising to 47.2% among 25 to 29 year-olds, an estimated 227.2 million Europeans (European Journal of Epidemiology, 2015). Prevalence rose from 17.8% in those born 1910-1939 to 23.5% in those born 1940-1979, and reached 36.6% among people with higher education (Ophthalmology, 2015). Latin America remains low: 8.61% of 165,721 children and adolescents in a 2024 meta-analysis (Cureus, 2024).

MetricValueSource
US myopia, ages 12-54, 1971-72 vs 1999-200425.0% vs 41.6%Archives of Ophthalmology 2009, NHANES
US Black and white adults, 1971-72 vs 1999-2004Black 13.0% to 33.5%; white 26.3% to 43.0%Archives of Ophthalmology 2009, NHANES
US high myopia (-7.9 D or worse)0.2% to 1.6%Archives of Ophthalmology 2009, NHANES
US schoolchildren, grades 1-8 (CLEERE)9.2% myopic; Asian American 18.5%Archives of Ophthalmology, 2003
European adults, age-standardized30.6%; 47.2% at ages 25-29European Journal of Epidemiology 2015, E3 Consortium
Europeans with myopia227.2 millionEuropean Journal of Epidemiology 2015, E3 Consortium
European myopia by educationPrimary 25.4%, secondary 29.1%, higher 36.6%Ophthalmology 2015, E3 Consortium
Latin American children and adolescents8.61% (range 0.80-47.36%)Cureus 2024, meta-analysis

Context note: the National Eye Institute says nearsightedness usually starts between ages 6 and 14 and gets worse until the early twenties (NEI, Nearsightedness (Myopia), updated December 2024); the AAO says it is often discovered between ages 8 and 12. Definitions vary across studies (-0.50 D vs -0.75 D thresholds, cycloplegic vs non-cycloplegic refraction), so cross-country comparisons are approximate.

4. Outdoor Time: The Best-Tested Prevention Lever

Outdoor time is the rare public health intervention that is free, safe and backed by randomized evidence. In a cluster randomized trial of 1,903 first-graders in 12 Guangzhou schools, adding one 40-minute outdoor class per school day cut the 3-year cumulative incidence of myopia to 30.4%, versus 39.5% in control schools (JAMA, 2015). The intervention group also had less refractive shift (-1.42 D vs -1.59 D), though axial length differences were not significant.

Taiwan’s Recess Outside Classroom program reached similar conclusions with an even simpler policy: sending children outside during recess. New myopia onset after one year was 8.41% in the intervention school versus 17.65% in the control school (Ophthalmology, 2013). A 2025 reanalysis found the program cut the risk of onset by 61% and reduced incidence among premyopic children to 19.6% versus 37.8% (Asia-Pacific Journal of Ophthalmology, 2025). The limit is equally clear: a meta-analysis found outdoor time prevents onset but did not slow progression in eyes that were already myopic (Acta Ophthalmologica, 2017). Prevention has to start before the first prescription.

MetricValueSource
3-year myopia incidence, extra 40 min outdoors vs control30.4% vs 39.5% (difference -9.1 points)JAMA 2015, Guangzhou cluster RCT
3-year refractive change, intervention vs control-1.42 D vs -1.59 DJAMA 2015, Guangzhou cluster RCT
1-year new myopia, outdoor recess vs control8.41% vs 17.65%Ophthalmology 2013, Taiwan ROC study
Annual myopic shift, outdoor recess vs control-0.25 D vs -0.38 DOphthalmology 2013, Taiwan ROC study
Reduction in onset risk from outdoor recess61% (OR 0.39)Asia-Pacific Journal of Ophthalmology, 2025
Incidence in premyopic children, recess vs control19.6% vs 37.8%Asia-Pacific Journal of Ophthalmology, 2025
Risk ratio for incident myopia with outdoor time0.536 (clinical trials), 0.574 (cohorts)Acta Ophthalmologica, meta-analysis 2017
Reduced myopic shift with outdoor intervention-0.30 D over 3 yearsActa Ophthalmologica, meta-analysis 2017

Context note: premyopia (a refraction just short of myopia) raised the risk of onset 14 times compared with hyperopic status in the Taiwan reanalysis, which is why screening before school age matters. China turned this evidence into policy in 2018 with the Comprehensive Plan to Prevent Nearsightedness among Children and Teenagers, led by the Ministry of Education; a 2023 review concluded that more time outdoors and less near work lower incident myopia, while all recommended interventions have limited effect on progression (British Journal of Ophthalmology, 2023).

5. Lockdowns, Screens and Near Work: The Natural Experiment

COVID-19 school closures removed outdoor time for millions of children at once, and the eyes of the youngest responded first. In school photoscreening of 123,535 children in Feicheng, China, myopia prevalence among 6-year-olds reached 21.5% in 2020, against a 2015-2019 high of 5.7% (JAMA Ophthalmology, 2021). Rates also jumped at age 7 (26.2% vs 16.2%) and age 8 (37.2% vs 27.7%), while children aged 9 to 13 showed minimal change, consistent with a critical early window.

The pooled evidence points the same way. A 2024 meta-analysis found faster progression during home confinement than before the pandemic, -0.83 D in refraction and 0.36 mm in axial length (Journal of Optometry, 2024). In a clinic series of new-onset cases, the annualized myopic shift tripled from -0.37 D before the pandemic to -1.12 D during confinement (Journal of AAPOS, 2022). Long daily screen sessions also carry symptoms beyond refraction, covered in our digital eye strain statistics.

MetricValueSource
Children screened, Feicheng 2015-2020123,535 aged 6-13JAMA Ophthalmology, 2021
Myopia at age 6, 2020 vs prior high21.5% vs 5.7%JAMA Ophthalmology, 2021
Myopia at ages 7 and 8, 2020 vs prior high26.2% vs 16.2%; 37.2% vs 27.7%JAMA Ophthalmology, 2021
Myopic shift in 2020, ages 6-8About -0.3 DJAMA Ophthalmology, 2021
Extra progression during confinement (pooled)-0.83 D refraction; 0.36 mm axial lengthJournal of Optometry, meta-analysis 2024
Annualized shift at onset, before vs during pandemic-0.37 D vs -1.12 DJournal of AAPOS, 2022
Myopia in a Chinese student cohort, 2019 to late 202047.7%, 55.6%, 57.2%Journal of Public Health 2023, CNSSCH follow-up
Odds of myopia with screen time of 4 hours or more a day2.717Journal of Public Health 2023, CNSSCH follow-up

Context note: the Feicheng study used non-cycloplegic photorefraction, which can overstate myopia in young children, and its authors flag this limitation. The CNSSCH follow-up of 1,496 students also linked poor sleep quality (OR 4.512) and inadequate study lighting (OR 1.779) to myopia (Journal of Public Health, 2023). For the broader screen-use backdrop, see our screen time and digital wellbeing statistics.

6. Myopia Control Treatments: Drops, Lenses and Light

Correcting blurry vision is no longer the whole job; the goal now is to slow eye elongation. In Hong Kong’s LAMP trial of 438 children, 1-year progression was -0.27 D with 0.05% atropine, -0.46 D with 0.025% and -0.59 D with 0.01%, versus -0.81 D with placebo (Ophthalmology, 2019). Over five years, children kept on 0.05% progressed -1.34 D in total, and 87.9% of those who stopped needed to restart treatment (Ophthalmology, LAMP Phase 4, 2024). The AAO tells parents low-dose atropine can stop or slow progression in 7 out of 10 children.

Dose and population matter. A US randomized trial of 187 children aged 5 to 12 found 0.01% atropine no better than placebo after 24 months: -0.82 D versus -0.80 D (JAMA Ophthalmology, 2023). Optical options have stronger US regulatory backing: the FDA approved the MiSight 1 Day contact lens on November 15, 2019 for children aged 8 to 12 at treatment start (FDA PMA P180035), after a 3-year trial showed 59% less refractive progression and 52% less axial growth (Optometry and Vision Science, 2019). Spectacle lenses followed: DIMS lenses slowed progression by 52% (British Journal of Ophthalmology, 2020), and Essilor Stellest received FDA authorization on September 25, 2025, after which US search interest in myopia-control lenses rose 98% (Cureus, 2026). The lens market overlap with eyewear tech is tracked in our smart glasses statistics.

MetricValueSource
1-year progression: 0.05% / 0.025% / 0.01% atropine / placebo-0.27 / -0.46 / -0.59 / -0.81 DOphthalmology 2019, LAMP study
5-year progression, continued 0.05% atropine-1.34 D; 87.9% of stoppers needed re-treatmentOphthalmology 2024, LAMP Phase 4
0.01% atropine vs placebo, US children, 24 months-0.82 D vs -0.80 D (no difference)JAMA Ophthalmology, 2023
MiSight lens, 3-year effect vs control lens59% less refractive change, 52% less axial growthOptometry and Vision Science, 2019
DIMS spectacle lenses vs single vision, 2 years52% slower progression, 62% less axial elongationBritish Journal of Ophthalmology, 2020
Children with no progression over 2 years, DIMS vs single vision21.5% vs 7.4%British Journal of Ophthalmology, 2020
Repeated low-level red light vs spectacles, 12 months0.13 mm vs 0.38 mm axial elongationOphthalmology, multicenter RCT 2022
Orthokeratology vs spectacles, 2 years43% slower axial elongationInvestigative Ophthalmology and Visual Science 2012, ROMIO

Context note: the red-light trial enrolled 264 children aged 8 to 13 and reported no severe adverse events (Ophthalmology, 2022); the orthokeratology figure comes from the 2-year ROMIO trial of children aged 6 to 10 (IOVS, 2012). Treatment effects are from trials with different durations, ages and comparators, so the percentages should not be ranked against each other.

Summary: Pediatric Myopia by the Numbers

MetricValueSource
Child and adolescent myopia, 202335.81% (24.32% in 1990)British Journal of Ophthalmology, 2025
Projected child and adolescent myopia, 205039.80%, more than 740 millionBritish Journal of Ophthalmology, 2025
Adolescent myopia prevalence47.00%British Journal of Ophthalmology, 2025
Projected people with myopia, all ages, 20504,758 million (49.8%)Ophthalmology, 2016
Projected high myopia, 2050938 million (9.8%)Ophthalmology, 2016
Lost productivity from uncorrected myopia, 2015US$244 billionOphthalmology, 2019
Myopia in 19-year-old men, Seoul96.5%IOVS, 2012
School-leavers with myopia, East Asia80-90%The Lancet, 2012
Chinese children aged 7-12, 1985 vs 201912.69% vs 41.33%Scientific Reports, 2025
Han students aged 7-18, 201960.1%Chinese Journal of Preventive Medicine, 2023
US myopia, 1971-72 vs 1999-200425.0% vs 41.6%Archives of Ophthalmology, 2009
European adults aged 25-2947.2%European Journal of Epidemiology, 2015
3-year incidence with extra outdoor class vs control30.4% vs 39.5%JAMA, 2015
1-year onset with outdoor recess vs control8.41% vs 17.65%Ophthalmology, 2013
Risk ratio for incident myopia with outdoor time (trials)0.536Acta Ophthalmologica, 2017
Myopia at age 6 after home confinement, 202021.5% (prior high 5.7%)JAMA Ophthalmology, 2021
1-year progression, 0.05% atropine vs placebo-0.27 D vs -0.81 DOphthalmology, 2019
DIMS lens effect on progression52% slowerBritish Journal of Ophthalmology, 2020
MiSight FDA approvalNovember 15, 2019FDA PMA P180035
Stellest FDA authorizationSeptember 25, 2025Cureus, 2026

Methodology and Sources

Every figure above was read during research for this article in a peer-reviewed abstract (retrieved through the Europe PMC database), a government database entry or an official health organization page. We linked each study by its DOI. Statistics circulating on blogs without a traceable study were excluded.

Last updated: October 3, 2026. We update this roundup quarterly, and the next refresh is expected when results from the next Chinese National Survey on Students’ Constitution and Health wave and longer-term follow-up of US Stellest and atropine trials are published.

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