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积极的相对适应是近视发病的独立风险因素:中国小学生的前性队列研究,WEPrOM研究
Yingying Ye1, Yimin Yuan1, Chengnan Guo2
1National Engineering Research Centre of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China; National Clinical Research Center for Ocular Diseases, Wenzhou, Zhejiang, China; WEIRC, Wenzhou Medical University-Essilor International Research Centre, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Journal of optometry
|August 31, 2025
概括
这项研究发现,较低的阳性相对适应 (PRA) 是学童近视发病的重要危险因素. 没有PRA
科学领域:
- 眼科 眼科
- 儿童视光学
- 视觉科学
背景情况:
- 全球范围内近视问题越来越严重.
- 早期识别风险因素对于及时干预至关重要.
- 双眼视觉功能在折射误差的发展中起作用.
研究的目的:
- 确定学童近视发病的独立危险因素.
- 研究双眼视觉功能在近视发展中的作用.
- 评估积极相对适应 (PRA) 对近视的预测能力.
主要方法:
- 在中国温州进行的一项前性学校队列研究,追踪了2年级和3年级的学生,直到6年级.
- 短视定义为球形等效折射 (SER) ≤0.50二光.
- 风险因素包括视力敏度,轴长,角膜功率和PRA等双眼视力指标.
主要成果:
- 女性性别,父母近视,更差的未经纠正的视力敏度,更负的SER,更长的轴长度,更大的角膜功率和较低的PRA与近视风险增加有关.
- 下方PRA的预测能力与轴长和角膜功率相当.
- 在不同的人口群体中,PRA与近视发病率的相关性是一致的.
结论:
- 阳性相对适应 (PRA) 是近视发作的稳定,独立的风险因素.
- PRA对近视的预测值与主要的眼部生物识别参数相似.
- 这些发现可以提高近视预测的准确性,并为干预策略提供信息.
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