Ip Jenny M, Robaei Dana, Rochtchina Elena, Mitchell Paul
University of Sydney, Department of Ophthalmology (Centre for Vision Research, Westmead Hospital), Westmead Millennium Institute, Sydney, NSW, Australia.
Am J Ophthalmol. 2006 Sep;142(3):495-7. doi: 10.1016/j.ajo.2006.03.047.
To determine whether eyestrain symptoms predict eye conditions in 6-year-old children.
Cross-sectional population-based study.
Reports of eyestrain symptoms were sought in parental questionnaires; 1740 children (79% response) underwent eye examinations (visual acuity, cover testing, cycloplegic autorefraction, and fundus examination).
Eyestrain information was available for 1448 children; 220 (15.2%) reported eyestrain symptoms, including 60 (3.4%) who reported near work-associated headaches. Most children (82.3%) had a normal eye examination, while refractive errors, amblyopia, and strabismus were found in 15.0%, 3.6%, and 7.3%, respectively. Corresponding rates for children without eyestrain were 9.9%, 1.4%, and 1.8%, respectively. Moreover, 78.7% of children with refractive errors, 68% with amblyopia, and 58% with strabismus reported no eyestrain.
Most children complaining of eyestrain had a normal eye examination; whereas most children with refractive error, amblyopia, or strabismus were free of eyestrain, making this complaint a poor marker of eye conditions in young children.
确定眼疲劳症状是否能预测6岁儿童的眼部状况。
基于人群的横断面研究。
通过家长问卷收集眼疲劳症状报告；1740名儿童（应答率79%）接受了眼科检查（视力、遮盖试验、睫状肌麻痹验光和眼底检查）。
1448名儿童有眼疲劳信息；220名（15.2%）报告有眼疲劳症状，其中60名（3.4%）报告有与近距离工作相关的头痛。大多数儿童（82.3%）眼科检查正常，而屈光不正、弱视和斜视的检出率分别为15.0%、3.6%和7.3%。无眼疲劳儿童的相应比例分别为9.9%、1.4%和1.8%。此外，屈光不正儿童中有78.7%、弱视儿童中有68%、斜视儿童中有58%未报告有眼疲劳。
大多数主诉眼疲劳的儿童眼科检查正常；而大多数有屈光不正、弱视或斜视的儿童没有眼疲劳，这表明该主诉不是幼儿眼部状况的良好指标。
