Prefixing this with an acknowledgement that I totally believe there was a change in the prevalence of myopia due to changes in environmental conditions (amount of sunlight, artificial lighting, etc etc)...
I am curious whether 18% was the diagnosed rate of myopia in South Korea in 1955 or the actual rate of myopia in 1955.
In 1955 South Korea was a poor country; now it is one of the wealthier countries (per capita) in the world. On the one hand, it is entirely believable to me that access to eye correction is radically greater than ~70 years ago, and there was a lot of undiagnosed vision problems in 1955. On the other hand, it's also entirely believable to me that literally every 20 year old (male) was given a vision test in 1955 in South Korea, because of the War. On the third hand, it's also entirely believable to me that the vision test given was fairly easy to "pass", and that a many of the people who passed it would have a level of myopia that we would now prescribe glasses for, because hey, better vision is better.