Abstract:Objective To describe the current status of visual disorders among children aged 3-6 years in the study area, so as to provide reference for the prevention and control of eye diseases and visual disorders in children. Methods The study was carried out based on the vision screening project of a county in Shandong province in 2021, and the data included children′s demographic information, kindergarten characteristics, and vision screening results. Visual disorders included poor visual acuity, myopia, and suspected insufficient hyperopia reserve. The prevalences of visual disorders were described and age-related trends were examined by the trend chi-square test. Results This study included a total of 14,198 children aged 3-6 years old. Among the 14,198 subjects, the prevalences of poor visual acuity, myopia, suspected insufficient hyperopia reserve were 19.6%, 3.1%, 42.5%, respectively. The prevalences of poor visual acuity in children aged 3, 4, 5 and 6 years were 9.4%, 16.4%, 24.5% and 22.8%, and the prevalences of myopia were 1.9%, 1.3%, 3.6% and 9.0%, respectively, both of which showed an increasing trend with age. The prevalences of suspected insufficient hyperopia reserve were 54.6%, 42.3%, 39.2% and 46.0%, respectively, which had no increasing trend with age. The differences of the three measurements between male and female children were less than 2.0 percentage points. The prevalence of poor visual acuity in rural children was 8.9 percentage points higher than that in urban children, the prevalence of myopia was 5.3 percentage points higher, and the prevalence of suspected insufficient hyperopia reserve was 9.6 percentage points higher. In urban area, the prevalence of poor visual acuity in private kindergartens was 9.1 percentage points higher than that in public kindergartens, and the prevalence of suspected insufficient hyperopia reserve was 17.3 percentage points higher. However, in rural area, the prevalence of myopia in private kindergartens was 2.4 percentage points lower than that in public kindergartens and the prevalence of suspected insufficient hyperopia reserve was 8.0 percentage points lower. Conclusion In the study area, the prevalences of poor visual acuity, myopia, suspected insufficient hyperopia reserve in children aged 3-6 were close to 20%, slightly higher than 3% and more than 40%, respectively. The prevalence of poor visual acuity and myopia increased with age, but the prevalence of suspected insufficient hyperopia reserve didn′t show increasing trend with age. There were obvious differences in visual disorders between children in the urban area and rural area, so it is advisable to explore the potential causes of the difference to improve prevention and control of eye diseases.
任浩然, 于敬春, 刘扬, 于俊利, 周玉博, 王翠, 刘志敏, 李宏田, 刘建蒙. 山东某县3~6岁儿童筛查视力异常情况研究[J]. 中国生育健康杂志, 2024, 35(2): 129-133.
REN Haoran, YU Jingchun, LIU Yang, YU Junli, ZHOU Yubo, WANG Cui, LIU Zhimin, LI Hongtian, LIU Jianmeng. Study on visual disorders among children aged 3 to 6 years old in a county in Shandong Province. Chinese Journal of Reproductive Health, 2024, 35(2): 129-133.
1 Morgan IG,Ohno-Matsui K,Saw SM.Myopia.Lancet,2012,379:1739-1748. 2 Gordon RA,Donzis PB.Refractive development of the human eye.Arch Ophthalmol,1985,103:785-789. 3 王瑞卿,周翔天,吕帆.人眼和动物眼视觉系统发育的正视化过程研究进展.眼视光学杂志,2005,7:67-70. 4 魏聪,刘佳,卢亚梅.3-15岁儿童青少年眼轴与屈光状态变化分析.中国斜视与小儿眼科杂志,2021,29:31-32,34-35. 5 中华预防医学会公共卫生眼科分会.中国学龄儿童眼球远视储备、眼轴长度、角膜曲率参考区间及相关遗传因素专家共识(2022年).中华眼科杂志,2022,58:96-102. 6 李龙,陶佳,范浩博,等.南充市城区学龄前儿童视力和屈光不正现状.川北医学院学报,2020,35:612-615. 7 刘满军.对学龄前儿童屈光及视力发育情况的调查分析.当代医药论丛,2019,17:81-82. 8 孙祖贤,冯彦清,王宏,等.上海市杨浦区学龄前儿童视力的分析.上海预防医学,2020,32:181-184. 9 国家卫生健康委.0-6岁儿童眼保健及视力检查服务规范(试行).[EB/OL].(2021-6-17) [2023-03-21].http://www.gov.cn/zhengce/zhengceku/2021-06/24/content_5620637.htm. 10 GB 11533-2011标准对数视力表 Standard for logarithmic visual acuity.[EB/OL].(2011-12-30) [2023-03-21].chartshttps://www.antpedia.com/standard/6276710-1.html. 11 刘国华,黄静,韩明磊,等.济南市学龄前儿童视力及屈光状态调查分析.中国斜视与小儿眼科杂志,2015,23:35-37,34. 12 王小红,毋立新,王佳欢,等.宝鸡市3~6岁学龄前儿童视力及屈光状态调查分析.海南医学,2020,31:2159-2161. 13 闫春妮,周堃,梁甜,等.青海省西宁市学龄前儿童视力及屈光状态调查.国际眼科杂志,2022,22:1592-1594. 14 陈欣华,唐瑶,黄继琴,等.攀枝花市东区898例学龄前儿童视力不良检查结果及影响因素分析.预防医学情报杂志,2019,35:1088-1092. 15 He X,Sankaridurg P,Xiong S,et al.Prevalence of myopia and high myopia,and the association with education:Shanghai Child and Adolescent Large-scale Eye Study (SCALE):a cross-sectional study.BMJ Open,2021,11:e048450. 16 Wang J,Liu J,Ma W,et al.Prevalence of myopia in 3-14-year-old Chinese children:a school-based cross-sectional study in Chengdu.BMC Ophthalmol,2021,21:318. 17 Lai YH,Hsu HT,Wang HZ,et al.The visual status of children ages 3 to 6 years in the vision screening program in Taiwan.J AAPOS,2009,13:58-62. 18 陈丽梅.学龄前儿童视力及屈光状态调查.中国城乡企业卫生,2022,37:47-50. 19 杨琳娟,张小玲,郝扬,等.阿托品凝胶、盐酸环喷托酯和复方托吡卡胺睫状肌麻痹效果比较.国际眼科杂志,2018,18:1665-1668. 20 金成成,裴茹霞,杜蓓,等.不同屈光状态儿童应用盐酸环喷托酯滴眼后1h内等效球镜度与瞳孔直径达到稳定所需时间及变化幅度的相关影响因素.眼科新进展,2020,40:946-951. 21 杨虹瑜,杨天春.阿托品散瞳对不同进展时期和不同年龄近视患者屈光度的影响.上海医药,2022,43:39.