Myopia, or nearsightedness, is the most common eye disorder, resulting
primarily from excess elongation of the eye. The etiology of myopia, although
known to be complex, is poorly understood. Here we report the largest ever
genome-wide association study (43,360 participants) on myopia in Europeans. We
performed a survival analysis on age of myopia onset and identified 19
significant associations (p < 5e-8), two of which are replications of earlier
associations with refractive error. These 19 associations in total explain 2.7%
of the variance in myopia age of onset, and point towards a number of different
mechanisms behind the development of myopia. One association is in the gene
PRSS56, which has previously been linked to abnormally small eyes; one is in a
gene that forms part of the extracellular matrix (LAMA2); two are in or near
genes involved in the regeneration of 11-cis-retinal (RGR and RDH5); two are
near genes known to be involved in the growth and guidance of retinal ganglion
cells (ZIC2, SFRP1); and five are in or near genes involved in neuronal
signaling or development. These novel findings point towards multiple genetic
factors involved in the development of myopia and suggest that complex
interactions between extracellular matrix remodeling, neuronal development, and
visual signals from the retina may underlie the development of myopia in
humans