Myopia progression in Egyptian Urban children under the influence of online learning during the COVID-19 pandemic
Elbakry, A., Sidky, M., El Shiwy, H., Hassanien, A. (2023). Myopia progression in Egyptian Urban children under the influence of online learning during the COVID-19 pandemic. EKB Journal Management System, 3(1), 32-40. doi: 10.21608/ejomos.2023.180778.1081
Amr Ahmed Elbakry; Mohamed Karim Sidky; Hoda Taha El Shiwy; Ahmed Hassanien. "Myopia progression in Egyptian Urban children under the influence of online learning during the COVID-19 pandemic". EKB Journal Management System, 3, 1, 2023, 32-40. doi: 10.21608/ejomos.2023.180778.1081
Elbakry, A., Sidky, M., El Shiwy, H., Hassanien, A. (2023). 'Myopia progression in Egyptian Urban children under the influence of online learning during the COVID-19 pandemic', EKB Journal Management System, 3(1), pp. 32-40. doi: 10.21608/ejomos.2023.180778.1081
Elbakry, A., Sidky, M., El Shiwy, H., Hassanien, A. Myopia progression in Egyptian Urban children under the influence of online learning during the COVID-19 pandemic. EKB Journal Management System, 2023; 3(1): 32-40. doi: 10.21608/ejomos.2023.180778.1081

Myopia progression in Egyptian Urban children under the influence of online learning during the COVID-19 pandemic

Egyptian Journal of Ophthalmology, (Mansoura Ophthalmic Center)
Volume 3, Issue 1, March 2023, Page 32-40  XML PDF (226.67 K)
Document Type: Original Articles
DOI: 10.21608/ejomos.2023.180778.1081
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Authors
Amr Ahmed Elbakryorcid 1; Mohamed Karim Sidky email orcid 2; Hoda Taha El Shiwy2; Ahmed Hassanien2
1Ophthalmology Department, Kasr Alainy School of Medicine, Cairo University, Cairo, Egypt
2Department of Ophthalmology, Kasr Alainy School of Medicine, Cairo University, Egypt
Abstract
Purpose: To evaluate myopic progression in school aged Egyptian urban children secondary to online learning during the COVID19 pandemic.
Patients and Methods: A cohort study of 105 children aged 8–16 years with myopia of -0.75D or greater. Inclusion criteria were the presence of hospital records for at least two years before presentation and one year after, minimum 6 months of online learning. Patient demographics, type of device, duration of device use, and changes in myopia (over time) were recorded.
Results: The mean age was 12±2 with 51.4% males and 48.6% females. The average daily screen time was 5 ±1 hours. Tablets were the predominant device used (48.6%), 43.8% of children had a break time of 60 minutes, and 37.1% of children had > 2h of daily outdoor activities. The rate of annual myopia progression was significantly higher during the target period of online learning (MP(T) = -0.61 D±0.24) compared to myopia progression in the year before (MP(B) = -0.54 D ±0.2) and the year after (MP(A) = -0.53 D±0.21) (p value 0.005& 0.019 respectively). MP(T) significantly increased in children who stayed greater than or equal five hours in front of screen compared to the year before and after online learning (P=0.009, 0.017 respectively), with less than two-hour outdoor activity (P value 0.003 & 0.005 respectively) without taking a break (P=0.004).
Conclusion: Online learning and lack of outdoor activities during the COVID19 pandemic significantly accelerated myopia progression rate in Egyptian urban children.
Keywords
COVID19; myopia progression; online learning; home education
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