Open research questions in Ophthalmology and Visual Impairment Studies
602 gap statements mined from Ophthalmology and Visual Impairment Studies papers in our 7.9M-paper local library, which holds 3,375 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The study highlights the need to address the issue of urbanization and its impact on outdoor activities and academic stress. The paper notes the challenge of implementing school-based interventions and promoting consistent sleep schedules.
Childhood myopia in the modern environment: modifiable risk factors and evidence-based prevention · 2026 · DOIThe need for accessible prevention and eye-health services, particularly where eye-care resources are limited. The lack of practical approaches that integrate prevention, assessment and health communication in school eye-health programmes. The importance of evaluating preventive strategies in resource-constrained settings.
Interpretable machine learning for self-reported reduced uncorrected visual acuity in school students · 2026 · DOIThe study identifies the challenge of limited access to specialized care services in rural areas. The study highlights the challenge of socio-economic deprivation and lack of infrastructure in rural areas. The study notes the challenge of ensuring confidentiality and anonymity in data collection, following the principles of the 1964 Helsinki Declaration of Human Rights.
Unmasking the Hidden Morbidity of Ocular Diseases in Primary Care Through a Collaboration with Specialists in Remote Areas: A Cross-Sectional Study from Rural Crete, Greece · 2025 · DOIThere is a lack of access to specialized care services in rural areas, making it difficult to diagnose and treat eye diseases. The study identifies a gap in the literature regarding the prevalence and pattern of eye diseases in remote rural populations. The study highlights the need for more research on the hidden morbidity of eye diseases in rural areas.
Unmasking the Hidden Morbidity of Ocular Diseases in Primary Care Through a Collaboration with Specialists in Remote Areas: A Cross-Sectional Study from Rural Crete, Greece · 2025 · DOIExisting studies have shown that electroacupuncture (EA) intervention can significantly inhibit the progression of myopia, but the specific cellular mechanisms by which EA regulates retinal cell function remain unclear.
Unveiling the impact of electroacupuncture on retinal cells in myopic guinea pigs via single-cell sequencing · 2026 · DOICataract and glaucoma are major causes of vision loss, but their shared geographic burden and potentially modifiable population-level exposures remain incompletely characterized.
Geographic concordance of cataract and glaucoma burden and associated country-level exposures across 204 countries and territories · 2026 · DOIWhile lens-induced and form-deprivation myopia models have elucidated the role of visual input in ocular growth, the contribution of retinal pigment epithelium (RPE) and choriocapillaris (CC) damages remains incompletely understood.
NaIO3-induced RPE toxicity leads to chorioretinal atrophy, scleral remodeling, and myopic axial elongation in mice · 2025 · DOIInformation about their eye health is scarce, particularly for those detained offshore.
Eyes Offshore: Reporting the Eye Health Needs of Refugees and Asylum Seekers in Australia's Offshore Detention Centres · 2025 · DOIMyopia results from dysregulated genetic mechanisms of emmetropization, caused by over-exposure to aberrant visual environments; however, these genetic mechanisms remain unclear.
Establishment and comprehensive characterization of a novel dark-reared zebrafish model for myopia studies · 2024 · DOIA rebound in myopia progression following cessation of atropine eyedrops has been reported, yet there is limited data on the effects of stopping 0.
Myopia progression following 0.01% atropine cessation in Australian children: Findings from the Western Australia – Atropine for the Treatment of Myopia ( WA‐ATOM ) study · 2024 · DOIFurther investigation into the role of weight management in astigmatism development is warranted.
Although the precise etiological mechanisms remain to be fully elucidated, this phenomenon may result from a confluence of factors, including earlier biological maturation in females and potential sex-related behavioral differences.
Combining visual acuity with refraction reduces overestimation of myopia prevalence in school screenings: an age-stratified analysis · 2026 · DOIFuture efforts should expand research in neglected areas such as school vision programs, pediatric low vision rehabilitation, and psychosocial support. Research should focus on preventive ophthalmology and the use of genetic underpinnings to improve vision health. The use of technology and teleophthalmology should be explored to improve access to vision care.
There is a need for innovative and preventive approaches to improve vision health in children. There is a lack of understanding of the genetic underpinnings of pediatric eye disorders. There is a need for equity, innovation, and integration in pediatric ophthalmology.
The study aimed to address this gap by systematically comparing the measurement characteristics of 14 anterior segment parameters.
Comparison of anterior segment parameter measurements between Sirius Plus and Pentacam AXL · 2026 · DOIThe pathogenesis of myopia is multifactorial, and the systemic correlates of childhood myopia are not well understood. Contemporary research has predominantly focused on localized ocular mechanisms, with limited attention to systemic factors.
Objective pulse wave amplitude as a potential systemic correlate in childhood myopia: a digital TCM-based study · 2026 · DOIThe analyses did not account for heterogeneity in treatment response between rapid and slow progressors, as they represent average effects that may mask important subgroup differences. Most importantly, the 1 year follow-up is insufficient to assess long-term effectiveness, potential attenuation, or rebound effects.
Comparison of effectiveness of four myopia control interventions in Chinese children: a real-world retrospective study · 2026 · DOIThere is a lack of data on the prevalence of myopia among children and adolescents in northeast Sichuan, China. There is a need for targeted myopia prevention and control strategies in this region.
Current status of vision and refractive errors among children and adolescents in northeast Sichuan, China: a school-based cross-sectional study · 2026 · DOIThe study aims to address a critical gap in the scientific literature, as preliminary searches did not identify reviews that systematically compiled instruments specifically designed for this population. In the future, the findings of this review may contribute to strengthening public health policies JMIR Res Protoc 2026 | vol. 15 | e81976 | p.
Instruments for Assessing Health-Related Quality of Life in People With Visual Impairment: Protocol for a Scoping Review · 2026 · DOIThe exclusion criteria limit the study's generalizability. The study's focus on quantitative visual acuity metrics overlooks subjective patient satisfaction.
Comment on “Comparison of visual acuity and optical quality between higher-order aspheric monofocal and standard intraocular lenses” · 2026 · DOIExamining coexisting eye disease in specific populations, - Investigating individual-level co-occurrence or risk relationships, - Further analysis of the exposure associations with cataract…
Geographic concordance of cataract and glaucoma burden and associated country-level exposures across 204 countries and territories · 2026 · DOIMore rigorous, randomized clinical trials to establish the efficacy and reliability of VR technologies, - Research to address the challenges of integrating VR headsets into ophthalmological…
Seeing Opportunity in Virtual Reality: A Rapid Review of the Use of VR as a Tool in Vision Care · 2025 · DOIExisting research on the relationship between body mass index (BMI) and astigmatism yields inconsistent results.
The study identifies a gap in the current understanding of the association between axial length to corneal curvature radius ratio and myopia in children and adolescents.
The predictive accuracy of axial length to corneal curvature radius ratio for myopia in children and adolescents · 2026 · DOIInternational Journal of Current Pharmaceutical Review and Research…
Normative Distribution of Axial Length and Anterior Chamber Angle Parameters in an Adult Healthy Population · 2026 · DOI
Most-cited papers in Ophthalmology and Visual Impairment Studies
- Myopia · The Lancet · 2012 · 1,760 citations
- A Solution for Reliable and Valid Reduction of Ocular Artifacts, Applied to the P300 ERP · Psychophysiology · 1986 · 1,700 citations
- Eye fixations and cognitive processes · Cognitive Psychology · 1976 · 1,260 citations
- Effect of Time Spent Outdoors at School on the Development of Myopia Among Children in China · JAMA · 2015 · 939 citations
- Global magnitude of visual impairment caused by uncorrected refractive errors in 2004 · Bulletin of the World Health Organization · 2008 · 748 citations
- IMI Prevention of Myopia and Its Progression · Investigative Ophthalmology & Visual Science · 2021 · 456 citations
- IMI Risk Factors for Myopia · Investigative Ophthalmology & Visual Science · 2021 · 438 citations
- IMI Impact of Myopia · Investigative Ophthalmology & Visual Science · 2021 · 430 citations
- Progression of Myopia in School-Aged Children After COVID-19 Home Confinement · JAMA Ophthalmology · 2021 · 429 citations
- Visual Impairment and Falls in Older Adults: The Blue Mountains Eye Study · Journal of the American Geriatrics Society · 1998 · 399 citations
Most recent work
- Deep Learning Prediction of Childhood Myopia Progression Using Fundus Image and Refraction Data · JAMA Network Open · 2026
- Three-year efficacy and safety of repeated low-level red-light therapy for myopia control: a multicentre real-world study · British Journal of Ophthalmology · 2026
- Effective cataract surgical coverage in adults aged 50 years and older: empirical estimates from population-based surveys in 68 countries and modelled estimates for 2000–30 · The Lancet Global Health · 2026
- Discontinuation Approach and Follow-Up of Low-Concentration Atropine for Myopia Progression · JAMA Ophthalmology · 2026
- AI-guided personalized predictions on myopia progression and interventions · npj Digital Medicine · 2026
- STudy of Atropine to Reduce (STAR) Myopia Progression in Children: 24-Month Results of a Randomized, Double-Masked, Vehicle-Controlled Trial of Atropine Sulfate 0.01% and 0.03% · Ophthalmology and Therapy · 2026
- Snapshot hyperspectral fundus imaging system using a microlens array · Biomedical Optics Express · 2026
- The Changing Natural History of Anisometropia: A Scoping Review · Ophthalmic and Physiological Optics · 2026
- Randomized Clinical Trial of Diffusion Optics Technology Spectacle Lenses in a Chinese Population (CATHAY): 12-Month Results · Ophthalmology Science · 2026
- Light-at-night exposure drives myopia via melanopsin signalling · Science China Life Sciences · 2026
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