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00 D) were 46.0%, 1.0% respectively. Hyperopia [SE ≥ + 1.00 D (≥ 7years old) and SE ≥ + 2.00 D (≥ 6, 7years old)] and significant hyperopia (SE ≥ + 3.00 D) were 4.2 and 0.6%, respectively. Astigmatism [cylinder ≥ 1.00 D (≥ 7years old) and ≥ 1.75 D (≥ 6, 7years old)] was found in 31.9%. Myopia was the most common refractive error in southernmost province in China (Hainan). Its prevalence increased with age, while hyperopia prevalence showed a decreasing trend. However, myopia, especially high myopia prevalence was much lower