在COVID-19后儿童中纹的患病率和严重程度
Ka Wai Kam1,2, Erica Shing1, Yuzhou Zhang1
1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong SAR, China.
JAMA ophthalmology
|March 20, 2025
概括
随着COVID-19的流行,儿童的形风险和严重程度增加了. 这项研究强调了调查环境因素的必要性,这些因素有助于阿斯蒂格玛特症的进展.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 儿科眼科护理 儿科眼科护理
背景情况:
- 白症是一种常见的折射误差,导致视力模糊,影响着学龄儿童.
- 虽然近视在COVID-19大流行期间急剧增加,但其对儿童眼症的影响尚不清楚.
研究的目的:
- 确定从2015年到2023年在学龄儿童中折射性和角膜白症的流行率.
- 为了调查COVID-19大流行病与儿童纹症之间的关联.
主要方法:
- 在香港 (2015-2023) 针对21,655名年龄在6-8岁的学童进行的一项基于人口的横截面研究.
- 眼部检查包括使用光学生物测量和自折射后cycloplegia.
- 后勤和线性回归分析探索了与流行病相关的风险和白症的程度.
主要成果:
- 折射性白症 (≥1.0 D) 的患病率从21.4%上升到34.7%;角膜白症 (≥1.0 D) 在2015年至2022-2023年期间从59.8%增加到64.7%.
- 流行病与折射性白症风险增加20%和角膜白症风险增加26%相关.
- 疫情后观察到,折射性 (0.04 D) 和角膜 (0.05 D) 形的幅度显著增加.
结论:
- COVID-19 流行病与儿童中折射性和角膜白症的患病率和严重程度的增加有关.
- 潜在的角膜变化可能会导致阿斯蒂格玛症的进展.
- 需要进一步的研究,以了解环境/生活方式因素和白症的病理生理学.
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