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18-25岁高近视患者的成人近视进展:来自基于人口的队列队列的证据
Haotian Wu1,2, Zihan Ni1, Ziyi Qi1,2
1Shanghai Eye Disease Prevention and Treatment Center, Shanghai, China.
The British journal of ophthalmology
|November 17, 2025
概括
成年近视的进展影响了18.6%的18-25岁的年轻人. 虽然年龄和基线轴长度是相关的,但成人近视的进展与病理近视的发展没有明确的关联.
科学领域:
- 眼科医生 眼科 眼科
- 近视研究 近视研究
- 公共卫生 公共卫生
背景情况:
- 成年近视的进展越来越令人担忧,特别是在高近视的个体中.
- 了解年轻人的进展模式和相关因素对于早期干预至关重要.
研究的目的:
- 为了确定18-25岁的高度近视个体中成人近视进展的患病率和严重程度.
- 确定与这种进展相关的因素.
- 评估成年近视进展和病理近视 (PM) 的发展之间的关系.
主要方法:
- 来自上海儿童和青少年大规模眼睛研究数据库的345只眼睛的回顾性分析.
- 计算周期性球体等价值 (ΔSE) 和轴长 (ΔAL) 的年度变化.
- 成年近视进展的定义为 ΔSE ≤-0.50 D/年或 ΔAL≥0.10 mm/年;使用既定标准和OCT成像进行PM诊断.
主要成果:
- 18.6%的参与者显示成人近视进展 (平均 ΔSE: -0.28 D/年) 和 40.0%经历轴延长 (平均 ΔAL: 0.09 mm/年).
- 年龄和基线轴长与 ΔSE 和 ΔAL 显著相关.
- 在病理近视和非病理近视组之间没有观察到近视进展或轴延长的显著差异.
结论:
- 显著比例的高度近视的年轻人经历了持续的近视进展.
- 年龄和基线轴长是成人近视进展的关键预测因素.
- 目前的证据不支持在这个年龄组中成人近视的进展和病理近视的发展之间有明确的关联.
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