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近视转移在6岁至9岁儿童的折射二光度低于+1.0时加速
Jun Chen1, Ziyi Qi2, Xinzi Zhang2
1Shanghai Eye Diseases Prevention & Treatment Center, Shanghai Eye Hospital (J.C., Z.Q., X.Z., S.L., J.W., B.Z., L.D., J.Y., J.Z., W.G., H.Z., X.X., X.H.), School of Medicine, Tongji University, Shanghai, China.
American journal of ophthalmology
|July 22, 2025
概括
在10岁以下的儿童中,近视转移加速,当他们的球体等价值 (SE) 低于+1.0 D时. 这一发现确定了近视进展风险增加的关键折射范围.
科学领域:
- 眼科医生 眼科 眼科
- 儿科光学测量 儿科光学测量
- 近视研究 近视研究
背景情况:
- 近视转移在近视儿童中比非近视同龄人更快.
- 确定加速近视进展的临界折射误差范围对于早期干预至关重要.
研究的目的:
- 为了调查是否存在特定的基线折射范围,近视转移在儿童中加速.
- 为了确定与近视进展增加相关的球形等价值 (SE) 的值.
主要方法:
- 基于学校的STORM试验数据的二次分析,包括外部验证.
- 从球体等效 (SE) 测量结果计算出1年的近视转移 (ΔSE).
- 利用受限立方线 (RCS) 分析来建模基线SE和ΔSE之间的关系,调整共变量.
主要成果:
- 总共有4,220名儿童 (平均年龄7.2岁) 进行了分析.
- 当基线SE下降到1.0D以下时,近视转移 (ΔSE) 加速,SE的转折点为1.0D左右,轴长为1.25D,镜头功率为1.50D.
- 敏感性和验证分析证实了 ΔSE 的 +1.0 D 转折点.
结论:
- 在6-9岁儿童中,近视转移加速,基线SE低于+1.0 D.
- 这确定了一个关键的折射范围,表明随后近视发展的风险更高.
- 这些发现有助于确定近视进展风险人群.
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