Application of spot vision screening combined with axial length measurement for early identification of myopia risk in Chinese Young children

Purpose: To evaluate the efficacy of Spot vision screening combined with axial length measurement for early identification of myopia risk in Chinese Young children. Methods: This cross-sectional study included 210 children aged 3-8 years, classified into a Myopia Risk Group [cycloplegic spherical equivalent, cycloplegic spherical equivalent (SE) ≤ +0.75 D] and a Sufficient Hyperopia Reserve Group (SE > +0.75 D). All participants underwent comprehensive examinations including axial length, anterior chamber depth (ACD), Spot vision screening, auto-refraction, and cycloplegic refraction. Results: < 0.001) and demonstrated excellent predictive value for myopia risk (AUC = 0.931). The combination of axial length and Spot SE achieved an AUC of 0.956 for identifying children at risk of myopia. Conclusion: The combination of Spot vision screening and axial length measurement effectively identifies young children at risk for myopia, supporting its use in early screening programs.