Ophthalmic abnormalities in children with developmental coordination disorder
Ophthalmic abnormalities in children with developmental coordination disorder
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DOI：
10.1111/dmcn.12284
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发表时间：
2014-02-01
影响因子：
3.8
通讯作者：
Williams, Cathy
中科院分区：
文献类型：
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作者：
Creavin, Alexandra L.;Lingam, Raghu;Williams, Cathy
目的探讨7 ~ 8岁儿童发育性协调障碍（DCD）与眼部异常的关系。方法采用英国出生队列的雅芳亲子纵向研究（ALSPAC）资料进行横断面分析。根据DSM-IV标准定义DCD。有神经系统障碍或智商低于70的儿童被排除在外。眼科异常，包括视力，屈光，双眼功能进行了评估，使用标准的测试。在ALSPAC协调测试中得分低于第5百分位数且未通过国家课程手写测试或在日常生活活动量表（ADL）中得分低于第10百分位数的儿童被定义为患有严重的DCD，而那些在协调测试中得分在第5和第15百分位数之间且未通过手写测试的儿童，结果7154名儿童的ADL数据完整。120名儿童（1.8%）符合重度DCD的标准。另有215名儿童患有中度DCD。严重DCD的儿童更可能有以下情况：（比值比[95%置信区间]）（1.98 [1.13-3.48]）和距离（2.59 [1.16-5.79]）和运动融合（1.74 [1.07-2.84]）;立体视锐度降低（2.75 [1.78-4.23]）;远视（2.29 [1.1-4.57]）和屈光参差（2.27 [1.13-4.60]）。大多数儿童发现有DCD和屈光不正，以前规定的眼镜，戴着他们的评估（71%）。InterpretationChildren与严重的DCD有异常的双眼视觉，屈光不正，和眼睛对齐。我们建议对患有DCD的儿童进行眼部异常评估，因为早期干预可能会改善长期视力结果。屈光不正等未经治疗的眼部异常对DCD诊断准确性的影响很难确定，进一步的工作将是有益的。
AimTo explore associations between developmental coordination disorder (DCD) and ophthalmic abnormalities in children aged 7 to 8years.MethodCross-sectional analysis of data from the Avon Longitudinal Study of Parents and Children (ALSPAC), a UK birth cohort, was performed. DCD was defined according to DSM-IV criteria. Children with neurological difficulties or IQ less than 70 were excluded. Ophthalmic abnormalities including visual acuity, refraction, and binocular function were assessed using standard tests. Children who achieved less than the 5th centile in the ALSPAC coordination test and either failed the National Curriculum handwriting test, or achieved less than the 10th centile in the Activities of Daily Living scale (ADL) were defined as having severe DCD, while those who scored between the 5th and 15th centiles in the coordination test and either failed the handwriting test, or achieved less than the 15th centile in the ADL were defined as having moderate DCD.ResultsComplete data were available for 7154 children. One hundred and twenty children (1.8%) met the criteria for severe DCD. A further 215 children had moderate DCD. Children with severe DCD were more likely to have the following: abnormal sensory fusion at near (odds ratio [95% confidence interval]) (1.98 [1.13-3.48]) and distance (2.59 [1.16-5.79]) and motor fusion (1.74 [1.07-2.84]); reduced stereoacuity (2.75 [1.78-4.23]); hypermetropia (2.29 [1.1-4.57]) and anisometropia (2.27 [1.13-4.60]). The majority of children found to have both DCD and a refractive error, had been previously prescribed glasses and wore them for the assessments (71%).InterpretationChildren with severe DCD had abnormalities in binocular vision, refractive error, and ocular alignment. We recommend that children with DCD be assessed for ocular abnormalities as early intervention may improve long-term visual outcome. The impact of untreated ocular abnormalities such as refractive error on the accuracy of the diagnosis of DCD is difficult to ascertain and further work would be of benefit.