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Myopia is a multifactorial disease, affected by various hereditary and environmental conditions. This literature review aims to evaluate the association between risk factors in incidence of myopia in children aged 6 to 12 years old. A cross-sectional study of elementary students in MI Patihan Kidul, Ponorogo, East Java was performed. Eligible samples were 6 to 12 years old students. Examination was performed on September 7th 2023. The students underwent short history taking, body mass index (BMI), and visual acuity examination. Age, sex, BMI, family history of myopia, sleeping time, screen time, and duration of outdoor activity were examined as risk factors. A total of 336 children met the inclusion criteria, of which 48 (14.2%) of them had myopia. Family history of myopia was proven to increase the risk for myopia on their children (p value 0.012, OR 0.436).  Heredity is a well-established risk factor for myopia. This literature review provides evidence on the positive correlation between family history and the occurrence of myopia in children. 

The increasing use of digital devices among adolescents raises concerns regarding eye health, particularly myopia. Non-ergonomic postures, such as using gadgets in a lying position, may increase accommodative stress on the eyes and contribute to visual impairment. To analyze the association between the duration and viewing distance of gadget use in a lying position and the occurrence of myopia among eighth-grade students at SMPN 119 Central Jakarta. An observational analytic study with a cross-sectional design was conducted involving 74 eighth-grade students. Data on gadget use habits, including duration and viewing distance, were collected using a structured questionnaire. Visual acuity was assessed using a Snellen chart. Bivariate analysis was performed using the Chi-square test with a significance level of p < 0.05. Decreased visual acuity was found in 62.2% of respondents. There was no significant association between viewing distance and myopia (p = 0.080). However, a significant association was identified between gadget use duration exceeding two hours per day and the occurrence of myopia (p = 0.002). The duration of gadget use in a lying position was significantly associated with myopia, whereas viewing distance was not. Limiting the duration of gadget use may help prevent visual impairment among adolescents.