新加坡儿童近视进展的相关因素。
Factors related to the progression of myopia in Singaporean children.
作者信息
Saw S M, Nieto F J, Katz J, Schein O D, Levy B, Chew S J
机构信息
Department of Community, Occupational, and Family Medicine, National University of Singapore, Faculty of Medicine.
出版信息
Optom Vis Sci. 2000 Oct;77(10):549-54. doi: 10.1097/00006324-200010000-00009.
PURPOSE
To examine the possible factors related to the progression of myopia in Singapore children.
METHODS
One hundred fifty-three Singapore children aged 6 to 12 years were recruited to participate in a concurrent cohort study of the risk factors for the progression of myopia. Socioeconomic status, outdoor activity, and near-work activity were documented in a face-to-face clinic interview. The changes in cycloplegic subjective refraction and autorefraction were ascertained with the use of a Nidek ARK 900 over a 2-year period.
RESULTS
The average rate of progression of myopia as measured by subjective refraction was -0.59 D per year (95% confidence interval -0.52, -0.66). Younger children and children who were more myopic at the beginning (refractive error worse than -2.0 D) of the study had higher myopia progression rates.
CONCLUSIONS
Myopia progression was faster for younger children and for children who had more severe myopia at baseline. Socioeconomic status and near-work activity were not related to myopia progression.
目的
研究新加坡儿童近视进展的相关潜在因素。
方法
招募153名6至12岁的新加坡儿童参与一项关于近视进展危险因素的同期队列研究。通过面对面的门诊访谈记录社会经济状况、户外活动及近距离工作活动情况。使用尼德克ARK 900在2年时间内确定睫状肌麻痹主观验光和自动验光的变化。
结果
通过主观验光测量的近视平均进展速度为每年-0.59 D（95%置信区间-0.52，-0.66）。年龄较小的儿童以及研究开始时近视程度较高（屈光不正低于-2.0 D）的儿童近视进展速度更快。
结论
年龄较小的儿童以及基线时近视程度较严重的儿童近视进展更快。社会经济状况和近距离工作活动与近视进展无关。
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