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格陵兰学校儿童的视力查和折射
Nick Duelund1,2,3,4, Ivan Nisted5,6, Marit Eika Jørgensen2,7,8
1Queen Ingrids Healthcare Center, Nuuk, Greenland.
Acta ophthalmologica
|July 15, 2024
概括
这项研究对517名格陵兰儿童进行了查,发现10%的儿童患有眼,以及折射错误. 改进的视力查方法提高了这种服务不足的人群中视力异常的检测准确度.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 儿科视力查 儿科视力查
背景情况:
- 儿童常见的视力异常如眼盲和折射误差.
- 有效的视力查至关重要,特别是在偏远地区,眼科护理的获取有限.
- 以前的查方法可能不够灵敏,无法在不同人群中进行早期检测.
研究的目的:
- 确定格陵兰岛6岁儿童的野眼和折射误差的患病率.
- 评估将自身折射,立体敏度和近视敏度纳入现有视力查协议的有效性.
- 建立格陵兰岛学童的基线视觉资料.
主要方法:
- 这是一项涉及格陵兰21个地点的517名6岁儿童的横截面研究.
- 视力查包括远距离和近距离视敏度 (VA) 的HOTV图表,立体敏度测试和非cycloplegic自折射.
- 推标准是基于视敏度值和眼内视差异,其次是眼科检查.
主要成果:
- 最初的查显示,眼的患病率为10%,以及显著的折射误差 (近视,超视,眼) 的发生率.
- 眼科检查证实眼盲率低于初始查,强调了需要精细的诊断标准的需要.
- 将自身折射或立体急性与距离VA相结合,显著提高了查准确性和积极的预测值.
- 6%的儿童在选后获得了眼镜处方.
结论:
- 这项研究首次呈现了格陵兰学童的视觉健康状况.
- 整合自身折射,立体急性和近视敏度测试可以提高视力异常的检测.
- 虽然潜在地增加了假阳性,但在眼科资源稀缺的地区,准确的查至关重要.
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