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23% (P = .01), yielding relative reduction by approximately 18% over the past two decades. CONCLUSIONS Representation of pediatric articles progressively decreased in general ophthalmology journals. This trend has major implications regarding exposure of non-pediatric ophthalmologists to the new developments in pediatric management. In addition, this may imply a difficulty to publish pediatric-related articles in high-ranking general ophthalmology journals. [J Pediatr Ophthalmol Strabismus. 2020;57(2)78-84.]. Copyright 2020, SLACK Inc