Association between dry eye and myopia in schoolchildren: current evidence and possible mechanisms

By
Hongsu Wang
Han Yu Zhang
May 29, 2026

Frontiers In Medicine

Overview

This report summarizes the association between dry eye disease (DED) and myopia in schoolchildren, highlighting significant prevalence rates and potential underlying mechanisms. The findings indicate that myopic children are at a higher risk for developing DED, necessitating further investigation and management strategies.

Background

The rising prevalence of myopia and dry eye disease among schoolchildren, particularly in East Asia, poses significant public health challenges. Myopia affects approximately one-third of schoolchildren globally, while DED impacts learning and quality of life. Understanding the relationship between these conditions is crucial for developing effective interventions.

Data Highlights

Study	Findings
Study 1	Myopic children have a higher prevalence of DED compared to non-myopic peers.
Study 2	High myopia correlates with a 1.5-2 times higher incidence of DED.
Study 3	Significant reduction in tear break-up time in myopic adolescents.

Key Findings

Myopic individuals show a higher prevalence of DED compared to non-myopic individuals.
In schoolchildren, myopia is a significant risk factor for DED.
Prolonged screen time and contact lens use are contributing factors to DED in children.
High myopia correlates with anatomical changes that may exacerbate DED.
Effective management of DED can improve overall well-being in affected children.

Clinical Implications

Healthcare professionals should be vigilant in screening for DED in myopic children, particularly those with prolonged screen exposure. Early diagnosis and management of DED can enhance the quality of life and learning outcomes for affected schoolchildren.

Conclusion

The association between dry eye disease and myopia in children underscores the need for integrated management strategies. Addressing both conditions simultaneously may improve health outcomes in this vulnerable population.