Prevalence, vector evolution, and visual impact of astigmatism: a large-scale study of 79,066 children in Beijing, China - Takeaways - MDSpire

Prevalence, vector evolution, and visual impact of astigmatism: a large-scale study of 79,066 children in Beijing, China

  • By

  • Jingjing Wang

  • Yunsheng Zhang

  • Hui Wang

  • Xiaolan Xie

  • Bidan Zhu

  • May 11, 2026

  • 0 min

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  • 1

    Astigmatism prevalence among school-aged children in Beijing is 43.6%, predominantly mild and characterized by the with-the-rule subtype.

  • 2

    The severity of astigmatism increases with advancing educational stages, with males more susceptible to the with-the-rule orientation.

  • 3

    Astigmatism magnitude significantly impairs uncorrected visual acuity, especially in non-myopic and low-myopic eyes.

  • 4

    The functional impact of astigmatism axis orientation on visual acuity is clinically negligible despite statistical significance.

  • 5

    Targeted monitoring and correction strategies for astigmatism may benefit from being tailored to specific genders and refractive profiles.

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