PT - JOURNAL ARTICLE AU - Shi-Ming Li AU - Si-Yuan Li AU - Luo-Ru Liu AU - Yue-Hua Zhou AU - Zhou Yang AU - Meng-Tian Kang AU - He Li AU - Xiao-Yuan Yang AU - Yi-Peng Wang AU - Si-Yan Zhan AU - Paul Mitchell AU - Ningli Wang AU - David A Atchison AU - the Anyang Childhood Eye Study Group TI - Peripheral refraction in 7- and 14-year-old children in central China: the Anyang Childhood Eye Study AID - 10.1136/bjophthalmol-2014-305322 DP - 2015 May 01 TA - British Journal of Ophthalmology PG - 674--679 VI - 99 IP - 5 4099 - http://bjo.bmj.com/content/99/5/674.short 4100 - http://bjo.bmj.com/content/99/5/674.full SO - Br J Ophthalmol2015 May 01; 99 AB - Purpose To determine the distribution of peripheral refraction, including astigmatism, in 7- and 14-year-old Chinese children. Methods 2134 7-year-old and 1780 14-year-old children were measured with cycloplegic central and horizontal peripheral refraction (15° and 30° at temporal and nasal visual fields). Results 7- and 14-year-old children included 9 and 594, respectively, with moderate and high myopia (≤−3.0 D), 259 and 831 with low myopia (−2.99 to −0.5 D), 1207 and 305 with emmetropia (−0.49 to +1.0 D), and 659 and 50 with hyperopia (>1.0 D), respectively. Myopic children had relative peripheral hyperopia while hyperopic and emmetropic children had relative peripheral myopia, with greater changes in relative peripheral refraction occurring in the nasal than the temporal visual field. The older group had the greater relative peripheral hyperopia and higher peripheral J180. Both age groups showed positive slopes of J45 across the visual field, with greater slopes in the older group. Conclusions Myopic children in mainland China have relative peripheral hyperopia while hyperopic and emmetropic children have relative peripheral myopia. Significant differences exist between 7- and 14-year-old children, with the latter showing more relative peripheral hyperopia, greater rate of change in J45 across the visual field, and higher peripheral J180.