日本学童的高阶偏差和折射误差的性别差异:京都儿童折射误差研究 (KRES)
Yo Nakamura1,2, Osamu Hieda3, Yoshinori Nakai3
1Department of Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Hirokoji-agaru, Kawaramachi-dori, Kamigyo-ku, Kyoto, 602-0841, Japan. ynakamur@koto.kpu-m.ac.jp.
Japanese journal of ophthalmology
|September 2, 2025
概括
在日本的学童中,近视的患病率没有性别差异,但女孩的轴长较短,角膜较. 这些因素,以及高阶异常 (HOA),可能会在不同性别之间影响近视的进展.
科学领域:
- 眼科 眼科
- 儿童视光学
- 近视研究
背景情况:
- 近视症是全球日益严重的健康问题,
- 了解影响近视进展的性别因素对于有针对性的干预至关重要.
研究的目的:
- 研究和分析近视患病率的性别差异.
- 鉴于性别,确定与学龄儿童近视进展相关的因素.
主要方法:
- 一项涉及1149名日本学童 (2013-2022) 的观察性研究.
- 通过问卷评估折射误差 (RE),轴长 (AL),角膜角质量测量,高阶偏差 (HOA) 和环境因素的性别差异.
- 分析了2,298个眼睛 (男孩=1194,女孩=1104) 在小学和初中等级.
主要成果:
- 没有观察到近视患病率或折射误差的显著性别差异.
- 与男孩相比,女孩的轴长短 (AL) 和角膜角质测量更 (p<0.05).
- 女孩报告阅读时间较多,手机游戏时间较少 (p<0.001).
结论:
- 虽然近视的患病率相似,但在日本的学童中,AL和角膜度存在性别特异.
- 高级异常 (HOA) 也显示出性别差异,可能与角膜形状有关.
- 在近视进展分析中需要考虑AL和HOA的性别特征.
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