Vitamin D May Reflect Myopia Risk - Summary - MDSpire

Vitamin D May Reflect Myopia Risk

  • By

  • Andrea Surnit

  • May 26, 2026

  • 4 min

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Objective:

To review the relationship between vitamin D levels, outdoor exposure, and myopia prevalence and progression, alongside other nutritional factors.

Key Findings:
  • Lower serum vitamin D levels were associated with higher myopia prevalence and longer axial length.
  • Observational studies found patients with myopia had lower serum 25-hydroxyvitamin D concentrations compared to nonmyopic controls.
  • Each 25 nmol/L increase in serum vitamin D level was associated with a 35% reduction in the odds of myopia.
  • A Taiwanese birth cohort study found no association between vitamin D levels from birth through early childhood and myopia development.
  • Omega-3 PUFAs showed the strongest evidence as a probable protective factor against myopia.
Interpretation:

The evidence does not establish a direct causal role for vitamin D in myopia development, emphasizing that outdoor exposure is a more consistent protective factor.

Limitations:
  • Most available evidence was observational, limiting causal inference.
  • The review was narrative rather than systematic and did not include a formal risk-of-bias assessment.
  • Included studies had heterogeneous exposure measurements, study designs, and outcome definitions.
  • The lack of a systematic review process may affect the reliability of the findings.
Conclusion:

The current literature does not support specific nutritional interventions as standalone strategies for myopia control, highlighting the need to consider environmental factors.

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