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This retrospective, cross-sectional study of Kaiser Permanente Southern California (KPSC) members was approved by the KPSC Institutional Review Board (IRB) and adhered to the tenets of the Declaration of Helsinki. The KPSC IRB did not require patient consent to be acquired for this retrospective chart review as no personally identifying patient information or images were to be published. This study was conducted in accordance with the Health Insurance Portability and Accountability Act. Heslin KC, Casey R, Shaheen MA, Cardenas F, Baker RS. Racial and ethnic differences in unmet need for vision care among children with special health care needs. Arch Ophthalmol. 2006;124(6):895–902. With every diet – whether vegetarian, vegan, or non-veggie – good planning is essential to avoid nutritional deficiencies. Optimal nutrition is ensured by eating a balanced and varied vegan diet while paying attention to critical nutrients. Nutritionists also recommend having a blood test done every year or two. Vitamin B 12

Pineles SL, Kraker RT, Vanderveen DK, et al. Atropine for the prevention of myopia progression in children: a report by the American Academy of Ophthalmology. Ophthalmology. 2017;124(12):1857–1866. I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Vegans avoid consuming animal flesh, animal byproducts, and foods containing ingredients of animal origin. This includes: Lim HT, Yoon JS, Hwang SS, Lee SY. Prevalence and associated sociodemographic factors of myopia in Korean children: the 2005 third Korea National Health and Nutrition Examination Survey (KNHANES III). Jpn J Ophthalmol. 2012;56(1):76–81. Jaceldo-Siegl K, Lutjohann D, Sirirat R, Mashchak A, Fraser GE, Haddad E. Variations in dietary intake and plasma concentrations of plant sterols across plant-based diets among North American adults. Mol Nutr Food Res. 2017. https://doi.org/10.1002/mnfr.201600828

What to eat on a vegan diet

Casson RJ, Kahawita S, Kong A, et al. Exceptionally low prevalence of refractive error and visual impairment in schoolchildren from Lao People’s Democratic Republic. Ophthalmology. 2012;119(10):2021–2027.

Read SA, Collins MJ, Vincent SJ. Light exposure and physical activity in myopic and emmetropic children. Optom Vis Sci. 2014;91(3):1–341.

O’Donoghue L, Mcclelland JF, Logan NS, et al. Refractive error and visual impairment in school children in Northern Ireland. Br J Ophthalmol. 2010;94(9):1155–1159. The Vegan Society: History. Available at: https://www.vegansociety.com/about-us/history [12.06.2018].