{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T08:32:58Z","timestamp":1775032378682,"version":"3.50.1"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the efficacy of Spot vision screening combined with axial length measurement for early identification of myopia risk in Chinese Young children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 210 children aged 3\u20138 years, classified into a Myopia Risk Group [cycloplegic spherical equivalent, cycloplegic spherical equivalent (SE)\u2009\u2264\u2009+0.75 D] and a Sufficient Hyperopia Reserve Group (SE\u2009&amp;gt;\u2009+0.75 D). All participants underwent comprehensive examinations including axial length, anterior chamber depth (ACD), Spot vision screening, auto-refraction, and cycloplegic refraction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The Myopia Risk Group was significantly older and had a higher prevalence of parental myopia history. They also exhibited significantly longer axial length, deeper ACD, higher intraocular pressure, and higher best-corrected visual acuity. Refractive measurements from both the Spot screener and auto-refractor showed significantly lower spherical power, cylindrical power, and spherical equivalent values in the Myopia Risk Group (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). Multivariable analysis identified axial length as an independent risk factor (OR\u2009=\u20094.73,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002). Spot SE showed a strong correlation with cycloplegic SE (r\u2009=\u20090.85,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) and demonstrated excellent predictive value for myopia risk (AUC\u2009=\u20090.931). The combination of axial length and Spot SE achieved an AUC of 0.956 for identifying children at risk of myopia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1796785","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T05:41:03Z","timestamp":1775022063000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of spot vision screening combined with axial length measurement for early identification of myopia risk in Chinese Young children"],"prefix":"10.3389","volume":"14","author":[{"given":"Hong","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Affiliated Maternity and Child Healthcare Hospital of Nantong University","place":["Nantong, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianfeng","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Affiliated Maternity and Child Healthcare Hospital of Nantong University","place":["Nantong, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingying","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Affiliated Maternity and Child Healthcare Hospital of Nantong University","place":["Nantong, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linhui","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Affiliated Maternity and Child Healthcare Hospital of Nantong University","place":["Nantong, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Affiliated Maternity and Child Healthcare Hospital of Nantong University","place":["Nantong, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingyu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Affiliated Maternity and Child Healthcare Hospital of Nantong University","place":["Nantong, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1159\/000535193","article-title":"The impact of parental myopia and high myopia on the hyperopia reserve of preschool 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