The impact of the integrated people-centered eye care model on myopia control among children and adolescents in China

To evaluate the effectiveness of the integrated people-centered eye car"365 Eye Care," in controlling myopia among children and adolescents in northeast China. Additionally, the study aimed to explore the model's impact on different subgroups. A retrospective analysis was conducted on the changes in spherical equivalent(∆SE) within one year of 427 participants and 494 control participants who underwent the "365 Eye Care"project at He Eye Specialist Hospital from January 2021 to December 2023. The effectiveness of "365 Eye Care"on vision protection was analyzed. The difference between the two groups was further analyzed when the baseline SE was constant. The project included the analysis of the causes of myopia and the formulation of individualized myopia prevention and control plans, monthly vision examination and visual status monitoring, and assessing the eye environment (including diet, light, table and chair selection, etc.) The 1-year change in SE(∆SE) was - 0.46 ± 0.36 for the "365 eyecare" group and- 1.82 ± 1.14 for the control group (P < 0.001). The SE for pre-myopia, low myopia, and moderate myopia were significantly lower than the control group(P < 0.001), and the difference was - 1.25D, - 1.38D, - 0.81D, respectively. There was no difference between the two groups in high myopia. The results showed that the comprehensive eye care intervention helped slow down the progression of myopia, and the average effect level was 0.71. The integrated people-centered eye care model, "365 eyecare," holds promise for myopia control. And the earlier the children participated in the comprehensive intervention, the better the myopia prevention and control effect.