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Published on: May 15, 2019
[A study on visual development among preschool children]
Han Jin1, Jing-lin Yi, Hui Xie
1Eye Center of Jiangxi Province People's Hospital, Nanchang 330006, China. jinhan0791@sina.com
Insights
Visual acuity improves with age in preschool children. Refractive errors, strabismus, and amblyopia are key causes of vision impairment, necessitating age-specific diagnostic standards for effective prevention of childhood blindness.
Area of Science:
- Ophthalmology
- Pediatric Optometry
- Public Health
Context:
- Preschool children's visual development is critical for long-term eye health.
- Amblyopia and strabismus are significant causes of visual impairment in early childhood.
- Understanding visual acuity trends and refractive errors in this age group is essential for early intervention.
Purpose:
- To evaluate visual development and the prevalence of amblyopia and strabismus in preschool children.
- To analyze visual acuity, refractive status, and eye alignment in a diverse preschool population.
- To identify key factors contributing to visual impairment in young children.
Summary:
- A survey of 4,610 preschool children (ages 3-6) revealed increasing visual acuity with age.
- Hypermetropia was the most common refractive error. Manifest strabismus occurred in 2.21% (exotropia > esotropia), and recessive strabismus in 33.52% (exophoria).
- Amblyopia prevalence varied by age, reaching 33.33% in 3-year-olds and 2.93% in 6-year-olds, indicating a need for age-specific diagnostic criteria.
Impact:
- Findings highlight the need for age-appropriate diagnostic standards for amblyopia to improve early detection and treatment.
- Identifies refractive errors, strabismus, and amblyopia as primary targets for preschool vision screening and blindness prevention programs.
- Provides crucial data for public health initiatives aimed at safeguarding vision in the pediatric population.
Objective:
To evaluate the visual development and prevalence of amblyopia, strabismus among preschool children.
Methods:
A random sample survey was performed in 4 610 preschool children from both urban and rural, aged 3 to 6 years. Participants underwent eye examination including visual acuity, refractive status, eye position, strabismus and amblyopia.
Results:
Percentage of visual acuity above 1.0 was 28.4%, 39.3%, 46.2% and 76.5% in children of 3, 4, 5 and 6-year-old group, respectively. The mean visual acuity of each group was 0.63 ± 0.19 in 3-years old, 0.69 ± 0.16 in 4-year-old, 0.71 ± 0.22 in 5-year-old, 0.79 ± 0.29 in 6-year-old. Rural children have better vision acuity compared with those from urban. Hypermetropic was frequent refractive errors. Manifeststrabismus was found in 2.21%, with exotropia being more prevalence than esotropia; detection rate of recessive strabismus was 33.52%, mainly being exophoria; Based on current diagnostic criteria, the prevalence of amblyopia were 2.93% in 6 year-old group, 4.81% in 5-year-old group, 16.21% in 4-year-old group, 33.33% in 3-year-old group.
Conclusion:
Vision acuity is increasing with age in preschool population. A diagnosis standard of amblyopia suitable for each age group should be established to substitute the current one which has a high visual standard for amblyopia. Refractive error, strabismus and amblyopia are the leading causes of visual impairment among preschool-aged children, which represent the focus of prevention of blindness in preschool children.
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