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弱视的筛查与治疗:我们正在产生影响吗?

Screening and treating amblyopia: are we making a difference?

作者信息

Morad Yair, Bakshi Erez, Levin Avi, Binyamini Oren G, Zadok David, Avni Isaac, Bar Dayan Yosefa

机构信息

Department of Ophthalmology, Assaf Harofeh Medical Center, Tel Aviv University, Zrifin, Israel.

出版信息

Invest Ophthalmol Vis Sci. 2007 May;48(5):2084-8. doi: 10.1167/iovs.06-0089.

DOI:10.1167/iovs.06-0089
PMID:17460264
Abstract

PURPOSE

To determine the rate of amblyopia in native Jewish Israelis compared with those who immigrated from the former Soviet Union (U.S.S.R.) after they were 10 years of age.

METHODS

Health records of all 16-year-old subjects examined in the Israel Defense Forces Recruitment Center between 1998 and 2003 were analyzed. The number of subjects with best corrected visual acuity (BCVA) of 6/12 or less in at least one eye among native Israelis and among those who immigrated to Israel from the U.S.S.R. after they were 10 years of age was determined. Subjects who had any ocular disease except cataract, corneal opacity, strabismus, or ptosis were excluded.

RESULTS

Of 305,712 subjects examined between 1998 and 2003, 292,255 were enrolled in the study. Of those, 260,186 (89%) were born in Israel and 32,069 (11%) were born in the U.S.S.R. and immigrated to Israel after they were 10 years of age. There were 2565 (0.98%) native Israelis and 483 (1.5%) immigrants who had BCVA of 6/12 or less in at least one eye (chi(2) test, P < 0.00001). The rate of amblyopia among subjects who had refractive errors was 14.6% among immigrants, as opposed to 8.0% among native Israelis (P < 0.0001), whereas amblyopia rates among those with strabismus, cataract, or ptosis were similar in native Israelis and immigrants (34.4%, 38.6%, 12.8% as opposed to 34%, 37.5%, 15.4%, respectively, P = 0.5-0.61).

CONCLUSIONS

The difference in the rate of refractive amblyopia as opposed to strabismic and deprivation amblyopia may be due to the difference in vision screening methods between both countries.

摘要

目的

确定以色列本土犹太人与10岁后从前苏联移民至以色列的人群中弱视的发生率。

方法

分析1998年至2003年期间在以色列国防军征兵中心接受检查的所有16岁受试者的健康记录。确定在以色列本土人群以及10岁后从苏联移民至以色列的人群中,至少一只眼睛最佳矫正视力(BCVA)为6/12或更低的受试者数量。排除患有除白内障、角膜混浊、斜视或上睑下垂之外任何眼部疾病的受试者。

结果

在1998年至2003年期间接受检查的305,712名受试者中,292,255名被纳入研究。其中,260,186名(89%)出生在以色列,32,069名(11%)出生在苏联,10岁后移民至以色列。有2565名(0.98%)以色列本土人和483名(1.5%)移民至少一只眼睛的BCVA为6/12或更低(卡方检验,P < 0.00001)。屈光不正受试者中,移民的弱视发生率为14.6%,而以色列本土人为8.0%(P < 0.0001),而斜视、白内障或上睑下垂患者中的弱视发生率在以色列本土人和移民中相似(分别为34.4%、38.6%、12.8%,与之相比分别为34%、37.5%、15.4%,P = 0.5 - 0.61)。

结论

屈光性弱视与斜视性和剥夺性弱视发生率的差异可能归因于两国视力筛查方法的不同。

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