Waterloo: New research from the University of Waterloo’s School of Optometry 
and Vision Science and CNIB found nearsightedness in children increases 
drastically from Grade 1 to Grade 8, with almost a third of the cases 
going undiagnosed and uncorrected. The landmark study, entitled Myopia Prevelence in Canadian School 
Children, found nearsightedness-also known as myopia-increases from six 
per cent to 28.9 per cent between the ages of six and 13. Children from 
the Waterloo Region District School Board and Waterloo Catholic District
 School Board participated in the landmark study, with 17.5 per cent of 
them being nearsighted.
“Historically, myopia started at age 12 or 13, but now it is showing 
up more often in kids six or seven years old,” said Dr. Mike Yang, lead 
investigator and clinical scientist with the Centre for Contact Lens 
Research (CCLR) at Waterloo. “Our eyesight as a population is 
deteriorating and at a much younger age.”
Researchers were most surprised by the number of myopia cases that go
 undetected. Myopia typically worsens until the age of 21. With the 
study’s findings showing an earlier onset age in today’s children, it is
 possible they may experience a much greater decline in their eyesight 
over their lifetime compared to previous generations. The researchers 
plan to extend the pilot study to populations nationwide, looking at eye
 health within different ethnicities and environmental settings.
“We expect to find the same results in children across the country,” 
said Dr. Keith Gordon, vice-president of research at CNIB. “It’s 
important for school-aged children to get an eye exam every year, as 
recommended by the Canadian Association of Optometrists. However even 
with annual check-ups, parents need to ensure that their children spend 
less time in front of screens and more time outside, even if it’s just 
one extra hour a week.”
According to the report, children of a parent with myopia have more 
than double the risk of developing it themselves. However, the study 
found that spending one additional hour per week outdoors significantly 
lowered the odds of children becoming nearsighted.
“Kids don’t know they can’t see the blackboard,” said Professor 
Deborah Jones, co-lead investigator on the study and a clinical 
professor at the School of Optometry and Vision Science at Waterloo. 
“This kind of gradual deterioration in eyesight easily goes unnoticed 
without regular eye exams.”
Myopia, or nearsightedness, is an inherited condition known as a 
refractive error. For proper eyesight, the cornea, the clear window in 
front of the eye, and the lens behind the pupil must properly focus or 
refract light onto the retina, at the back of the eye. If the length or 
shape of the eye is not ideal, the light may get focused too early or 
too late leaving a blurred image on the retina. Those with myopia can 
clearly see objects up close but not those at a distance.
Professor Lyndon Jones, of Waterloo’s School of Optometry and Vision 
Science and director of CCLR, was the principal investigator on the 
project. The project development team included Dr. Keith Gordon, 
vice-president, research at CNIB, as well as Professor Desmond Fonn, 
professor emeritus, Jill Woods, clinical research manager, and Doerte 
Luensmann, clinical scientist at Waterloo.
