The growth in the prevalence of myopia leads to the growth of socioeconomic stress in society. It is important to detect any potential risk factors leading to myopia onset and progression. Among the potential risk factors, the lack of natural daylight exposure and the lack of the physical activity together with excess of near-work activities in children are the most prevalent. In the study, the axial length growth depending on the season and the type of behaviour was measured. The assessment was performed in 12-year-old children, 398 eyes of whom were included and measured during the winter and summer period. The children were categorized by the amount of time spent on near-work, physical, and outdoor activity. Results. Statistically significantly higher (p < 0.0001) axial length growth was observed during the winter period. Statistically significantly (p < 0.0001) more frequently, the eyeball growth has been proved during the winter season. According to the way of spending leisure time, no statistically significant difference was reported within the individual subgroups in the development of the eyeball length during the observed period. However, statistically significant differences were ascertained in the eyeball initial length within various groups. Conclusion. The lack of daylight exposure may lead to myopia progression.

Department of Ophthalmology University Hospital in Pilsen Alej Svobody 80 304 60 Pilsen Czech Republic

Faculty of Education University of West Bohemia Veleslavínova 42 306 14 Pilsen Czech Republic

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Myopia and daylight-A combination of factors

Seasonal Variations in Ocular Axial Length Increase among Children in the Czech Republic