Summary of L'épidémie qui fait perdre la vue.

Scientific Concepts and Discoveries

• Myopia Epidemic
  • By 2050, nearly half of the global population (~5 billion people) is projected to be myopic.
  • Approximately 1 billion people could develop high myopia, which risks serious eye tissue damage and potential blindness.
  • Myopia is no longer just about needing glasses; high myopia can cause retinal damage, optic nerve atrophy, and irreversible vision loss.
• Epidemiology and Geography
  • Myopia prevalence is extremely high in East Asia:
    • Up to 95% of students in Japan are myopic by the end of schooling.
    • 80-90% of adolescents and young adults in South Korea, Singapore, China, and Japan are affected.
  • The rise in myopia cannot be explained by genetics alone due to the rapid increase within just two generations.
  • Myopia prevalence is more linked to geography and environment than ethnicity; urban children have 2.6 times higher risk than rural children.
• Causes and Risk Factors
  • Genetic predisposition exists but environmental factors trigger and accelerate myopia.
  • The main environmental factors identified:
    • Lack of natural light exposure: Daylight stimulates dopamine release in the retina, which prevents excessive eye growth.
    • Excessive near vision work: Prolonged close-up focusing causes eye muscle fatigue and promotes eye elongation.
  • Urban environments with limited visual horizons exacerbate the problem.
  • Intense academic pressure and long study hours (often over 10 hours/day in some East Asian countries) correlate strongly with increased myopia risk.
  • Screens themselves are not directly proven to cause myopia, but they contribute indirectly by reducing outdoor time and increasing near work.
• Progression and Impact of Myopia
  • Early onset myopia (before age 10) greatly increases the risk of developing high myopia in adulthood.
  • Structural changes in the eye include elongation (4-6 mm longer in severe cases), causing tension on internal eye tissues, leading to fragility, retinal tears, detachment, and optic nerve damage.
  • Symptoms of advanced damage include color perception alteration, reduced visual field, headaches, and potentially blindness.
• Societal and Economic Consequences
  • Loss of productivity due to uncorrected myopia is massive (e.g., $268 billion annually in China).
  • Military recruitment is affected in some countries due to poor vision standards.
  • The epidemic poses logistical, medical, and economic challenges globally.

Preventive Measures and Solutions

• Reducing Academic Pressure
  • Limiting excessive schoolwork and providing more time for outdoor activities can help reduce myopia incidence.
  • Taiwan studies show that adding 2 hours of daily outdoor time can reduce childhood myopia by up to 50%.
  • China has begun limiting homework to address this.
• Increasing Outdoor Exposure
  • Natural light exposure is the most immediate and effective preventive measure.
  • Children spending more time outdoors have significantly lower myopia risk.
• Screen Time Management
  • Limit screen time for young children (especially under 5 years) to less than 1 hour per day.
  • For all ages, follow the 20-20-20 rule: every 20 minutes, look at something 6 meters away for 20 seconds to relieve eye strain.
• Early Detection and Medical Intervention
  • Early identification of at-risk children (family history, abnormal eye length) is crucial.
  • Medical treatments exist that can slow myopia progression by about 50%.
• Public Awareness
  • Informing the public about the seriousness of myopia and encouraging preventive behaviors is essential to avoid a future blindness crisis.

Researchers and Sources Featured

• Meta-analysis combining 140 studies with over 2 million participants on myopia prevalence and projections.
• Studies from East Asia (Japan, South Korea, Singapore, China) on myopia rates and academic pressure.
• Research on dopamine release in the retina and its protective role against myopia.
• Randomized studies linking years of schooling to myopia progression (-0.27 diopters per year).
• WHO classification of myopia as a major public health issue.
• Taiwan research on outdoor time reducing myopia incidence by up to 50%.
• 2020 scientific publications and meta-analyses investigating screen time and myopia risk.

Summary:
Myopia is becoming a global epidemic, with nearly half the world projected to be affected by 2050. The rapid rise in prevalence, especially in East Asia, is primarily driven by environmental factors such as intense academic pressure, insufficient exposure to natural light, and excessive near work, rather than genetics alone or screen use directly. High myopia poses serious risks of irreversible eye damage and blindness, threatening

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