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84 ± 5.38 degrees in the PHOMS group and 3.71 ± 4.41 degrees in the control group. SE and ONH tilt angle were significantly associated with PHOMS according to both univariable [odds ratio (OR) 1.59; p  less then  0.001 and OR 1.35; p  less then  0.001, respectively] and multivariable (OR 1.71; p = 0.001 and OR 1.29; p = 0.001, respectively) logistic regression analyses. There was a significant correlation between SE and ONH tilt (r = -0.46; p  less then  0.001). In conclusion, PHOMS is associated with myopic shift in children, and optic d