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简短报告:自闭症谱系障碍儿童的视力:临床医生应作何预期?

Brief Report: Vision in Children with Autism Spectrum Disorder: What Should Clinicians Expect?

作者信息

Anketell Pamela M, Saunders Kathryn J, Gallagher Stephen M, Bailey Clare, Little Julie-Anne

机构信息

Vision Science Research Group, University of Ulster, Cromore Road, Coleraine, BT52 1SA, Northern Ireland, UK,

出版信息

J Autism Dev Disord. 2015 Sep;45(9):3041-7. doi: 10.1007/s10803-015-2431-8.

DOI:10.1007/s10803-015-2431-8
PMID:25847754
Abstract

Anomalous visual processing has been described in individuals with autism spectrum disorder (ASD) but relatively few studies have profiled visual acuity (VA) in this population. The present study describes presenting VA in children with ASD (n = 113) compared to typically developing controls (n = 206) and best corrected visual acuity (BCVA) in a sub-group of children with ASD (n = 29). There was no statistically significant difference in presenting VA between groups (z = -1.75, p = 0.08); ASD group median VA (interquartile range, IQR) -0.05 logMAR (IQR: -0.125 to 0.025 logMAR) and typically developing control group -0.075 logMAR (IQR: -0.150 to -0.025 logMAR). Median BCVA was -0.175 logMAR (IQR: -0.200 to -0.125 logMAR) for the ASD sub-group. Clinicians should not anticipate reduced VA when assessing children with ASD.

摘要

自闭症谱系障碍(ASD)患者存在视觉处理异常的情况,但针对该人群的视力(VA)研究相对较少。本研究描述了ASD儿童(n = 113)与正常发育对照儿童(n = 206)的裸眼视力,并报告了ASD儿童亚组(n = 29)的最佳矫正视力(BCVA)。两组之间的裸眼视力无统计学显著差异(z = -1.75,p = 0.08);ASD组的视力中位数(四分位间距,IQR)为-0.05 logMAR(IQR:-0.125至0.025 logMAR),正常发育对照组为-0.075 logMAR(IQR:-0.150至-0.025 logMAR)。ASD亚组的最佳矫正视力中位数为-0.175 logMAR(IQR:-0.200至-0.125 logMAR)。临床医生在评估ASD儿童时不应预期其视力会降低。

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本文引用的文献

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Optom Vis Sci. 2015 Jan;92(1):31-43. doi: 10.1097/OPX.0000000000000442.
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Ophthalmological findings in 10-year-old full-term children--a population-based study.10岁足月儿童的眼科检查结果——一项基于人群的研究。
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Brief report: visual acuity in children with autism spectrum disorders.简要报告:自闭症谱系障碍儿童的视力。
序列记忆在自闭症谱系障碍幼儿视觉运动整合与自我照顾能力关系中的中介作用。
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Ophthalmological findings in children with autism spectrum disorder.自闭症谱系障碍儿童的眼科发现。
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PLoS One. 2012;7(3):e34441. doi: 10.1371/journal.pone.0034441. Epub 2012 Mar 28.
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Validation of printed and computerised crowded Kay picture logMAR tests against gold standard ETDRS acuity test chart measurements in adult and amblyopic paediatric subjects.成人和弱视儿童患者的印刷和计算机化 Kay 拥挤图 LogMAR 测试与金标准 ETDRS 视力表测量的验证。
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A close eye on the eagle-eyed visual acuity hypothesis of autism.密切关注自闭症的鹰眼光敏度假说。
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