Infant vision screening predicts failures on motor and cognitive tests up to school age.
Infant vision screening predicts failures on motor and cognitive tests up to school age.
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DOI：
10.1076/stra.10.3.187.8125
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发表时间：
2002-09-01
期刊：
影响因子：
0.9
通讯作者：
Atkinson, Sue
中科院分区：
文献类型：
--
作者：
Atkinson, Janette;Anker, Shirley;Atkinson, Sue
在一项以人群为基础的婴儿视力筛查计划中，对5295名婴儿进行了筛查，并对那些有明显屈光不正的婴儿进行了随访。为了评估视力发展与其他领域之间的关系，我们报告了一项纵向研究，比较了9个月大时发现的患有明显远视的婴儿（“远视”）与屈光正常的婴儿（“对照”）。包括在每个年龄段完成一系列视觉、认知、运动和语言测量的儿童，这些测量是在一系列随访中进行的，最长可达5.5岁。在14个月和3.5岁时的阿特金森儿童发育成套检查功能性视力和3.5岁和5.5岁时的亨德森儿童运动评估成套检查中，远视者的表现明显差于对照组。Griffiths儿童发展量表、麦克阿瑟交际发展量表和英国图片词汇量表的测试结果显示，差异不显著。排除那些弱视和斜视的婴儿并没有实质上改变这些结果，这表明组间的差异不是这些疾病的结果。这些结果表明，早期远视与一系列发育缺陷有关，这些缺陷至少持续到5.5岁。这些影响集中在视觉认知和视觉领域，而不是语言领域。
In a population-based infant vision screening programme, 5295 infants were screened and those with significant refractive errors were followed up. To assess the relationship between the development of vision and other domains, we report a longitudinal study comparing infants with significant hyperopia, identified at age 9 months ('hyperopes') with infants with normal refractions ('controls'). Children are included who completed at each age a broad set of visual, cognitive, motor and language measures taken over a series of follow-up visits up to age 5.5 years. Hyperopes performed significantly worse than controls on the Atkinson Battery of Child Development for Examining Functional Vision at 14 months and 3.5 years and the Henderson Movement Assessment Battery for Children at 3.5 and 5.5 years. The Griffiths Child Development Scales, MacArthur Communicative Development Inventory and British Picture Vocabulary Scales showed no significant differences. Exclusion of those infants who became amblyopic and strabismic did not substantially alter these results, suggesting that the differences between groups were not a consequence of these disorders. These results indicate that early hyperopia is associated with a range of developmental deficits that persist at least to age 5.5 years. These effects are concentrated in visuocognitive and visuomotor domains rather than the linguistic domain.