Cotter Susan A
Southern California College of Optometry, Fullerton, California, USA.
Optom Vis Sci. 2007 Feb;84(2):103-9. doi: 10.1097/OPX.0b013e318031b08a.
To provide an optometric perspective on the management of hyperopia in children without strabismus or amblyopia.
Factors that have potentially shaped optometry's viewpoint and influenced its prescribing philosophy for childhood hyperopia, such as optometry school and residency training, professional association clinical guidelines, conferences and continuing education courses, textbooks, scientific studies, opinions of professional leaders, and clinical experiences are discussed.
Variations in prescribing patterns for childhood hyperopia occur within optometry and within ophthalmology. There are also differences in prescribing philosophies between the two professions. These differences are probably due to a greater level of concern, more so among optometrists, about associated vision functions such as accommodation, vergence, and stereopsis, as well as concerns about the potential impact of uncorrected hyperopia on reading and school performance.
If indications for prescribing spectacles for children with hyperopia are to be validated, randomized controlled trials need to be performed.
提供一种关于无斜视或弱视儿童远视管理的验光视角。
讨论了可能塑造验光视角并影响其儿童远视处方理念的因素，如验光学校和住院医师培训、专业协会临床指南、会议和继续教育课程、教科书、科学研究、专业领袖意见以及临床经验。
验光领域和眼科领域内儿童远视的处方模式均存在差异。两个专业在处方理念上也存在差异。这些差异可能是由于，尤其是验光师，对诸如调节、聚散和立体视等相关视觉功能更为关注，以及对未矫正远视对阅读和学业表现的潜在影响的担忧。
若要验证给远视儿童开眼镜处方的指征，需要进行随机对照试验。
