Visual Morbidity Due to Inaccurate Spectacles among School Children in Rural China: The See Well to Learn Well Project, Report 1
Visual Morbidity Due to Inaccurate Spectacles among School Children in Rural China: The See Well to Learn Well Project, Report 1
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DOI：
10.1167/iovs.08-2849
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发表时间：
2009-05-01
影响因子：
4.4
通讯作者：
Congdon, Nathan
中科院分区：
文献类型：
--
作者：
Zhang, Mingzhi;Lv, Huan;Congdon, Nathan
目的。屈光不正是中国儿童视力残疾的主要原因，眼镜不准是一个潜在的原因。方法随机抽取广东省富阳镇初中、高中一、二年级儿童进行眼科检查，以确定最佳验光时机。结果：在3226名接受检查的儿童中，733名(22.7%)报告拥有眼镜。对588例(80.2%)儿童进行了屈光不正和眼镜度数的评估。平均年龄15.0±1.6岁，70.2%为女生，83.3%近视度数大于-1.5 D，17.9%呈现视力=1 D，17.7%视力不准确=2 D。戴不准眼镜的儿童视力明显比戴准眼镜的儿童差(P<；0.001)，30.3%的儿童视力较好
PURPOSE. Inadequately corrected refractive error is the leading cause of visual disability among children in China; inaccurate spectacles are a potential cause. The prevalence and visual impact of spectacle inaccuracy were studied among rural, secondary-school children, to determine the optimal timing for updating of refraction.METHODS. A random sample of children from years 1 and 2 in all junior and senior high schools in Fuyang Township, Guangdong Province, underwent ocular examination. All children who reported wearing glasses received cycloplegic refraction, vision assessment, and measurement of current spectacles.RESULTS. Among 3226 examined children, 733 (22.7%) reported owning spectacles. Refractive error and spectacle power were assessed for 588 (80.2%) children. They had a mean age of 15.0 +/- 1.6 years; 70.2% were girls, 83.3% had more than -1.5 D of myopia, and 17.9% had presenting vision = 1 D; inaccuracy was >= 2 D in 17.7%. Children with inaccurate glasses (>= 1 D) had presenting vision in the better eye significantly (P < 0.001) worse than that of children with accurate glasses, and 30.3% had presenting acuity