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迪兹富尔学童弱视、斜视和上睑下垂的患病率

The Prevalence of Amblyopia, Strabismus, and Ptosis in Schoolchildren of Dezful.

作者信息

Yekta Abbasali, Hashemi Hassan, Norouzirad Reza, Ostadimoghaddam Hadi, Nabovati Payam, Dadbin Nooshin, Nirouzad Fereidon, Shir-Alivand Ehsan, Khabazkhoob Mehdi

机构信息

1 Department of Optometry, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad - Iran.

2 Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran - Iran.

出版信息

Eur J Ophthalmol. 2017 Jan/Feb;27(1):109-112. doi: 10.5301/ejo.5000795.

Abstract

Purpose To determine the prevalence of amblyopia, strabismus, and ptosis among schoolchildren in Dezful in the west of Iran. Methods In this cross-sectional study, 1,375 schoolchildren of Dezful were selected through multistage cluster sampling. After obtaining written consents, participants had uncorrected and corrected visual acuity tests, cycloplegic refraction, and the cover test, and were examined for ptosis at the school site. Results Of the 1,151 study participants (83.7%), examinations were completed for 1,130 schoolchildren. Prevalence rates of amblyopia, strabismus, and ptosis were 2.7% (95% confidence interval [CI] 0.8-4.7), 1.9% (95% CI: 0.2-3.8), and 0.8%, respectively. Anisometropia was the most common cause of amblyopia; 45.2% of cases had anisometropic amblyopia. Among cases with strabismus, 63.6% were exotropic and 36.4% were esotropic. Conclusion The present study indicated that the prevalence of amblyopia and strabismus in Dezful schoolchildren falls in the average range. Since the Amblyopia Screening Program has been running for years, we expected lower rates compared to previous years, but this was not observed. Correcting refractive errors can significantly reduce amblyopic cases.

摘要

目的 确定伊朗西部迪兹富勒学童弱视、斜视和上睑下垂的患病率。方法 在这项横断面研究中,通过多阶段整群抽样选取了1375名迪兹富勒的学童。在获得书面同意后,参与者接受了未矫正和矫正视力测试、睫状肌麻痹验光以及遮盖试验,并在学校现场接受了上睑下垂检查。结果 在1151名研究参与者(83.7%)中,为1130名学童完成了检查。弱视、斜视和上睑下垂的患病率分别为2.7%(95%置信区间[CI] 0.8 - 4.7)、1.9%(95% CI:0.2 - 3.8)和0.8%。屈光参差是弱视最常见的原因;45.2%的病例为屈光参差性弱视。在斜视病例中,63.6%为外斜视,36.4%为内斜视。结论 本研究表明,迪兹富勒学童弱视和斜视的患病率处于平均范围。由于弱视筛查项目已经开展多年,我们预计患病率会比前几年有所降低,但并未观察到这种情况。矫正屈光不正可显著减少弱视病例。

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