Hendler Karen, Mehravaran Shiva, Lu Xiang, Brown Stuart I, Mondino Bartly J, Coleman Anne L
Department of Ophthalmology, Stein Eye Institute, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Department of Ophthalmology, Stein Eye Institute, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; Department of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California.
Am J Ophthalmol. 2016 Dec;172:80-86. doi: 10.1016/j.ajo.2016.09.010. Epub 2016 Sep 14.
To report the outcomes of full ophthalmic examination for preschool children in LA County who failed screening with the Retinomax Autorefractor.
Retrospective, cross-sectional study.
Between August 2012 and May 2013, the University of California Los Angeles (UCLA) preschool vision program screened 11 260 preschool children aged 3-5 years in Los Angeles County using the Retinomax Autorefractor only. Of those, 1007 children who failed the screening were examined by an ophthalmologist on the UCLA Mobile Eye Clinic. Data from the eye examination were recorded for all children. Amblyopia was defined as unilateral if there was ≥2 line interocular difference in the best-corrected visual acuity (BCVA) and as bilateral if BCVA was <20/50 for children <4 years old and <20/40 for children ≥4 years old.
Glasses were prescribed for 740 (74%) of those examined. Uncorrected visual acuity for all examined children was 0.4 ± 0.2 (logMAR mean ± SD), and BCVA was 0.2 ± 0.1. Of the 88% who underwent cycloplegia, 58% had hyperopia (spherical equivalent [SE] ≥+0.50 diopter [D]), mean of +2.50 D, and 21% had myopia (SE ≤-0.50 D), mean of -1.40 D. A total of 69% had astigmatism ≥1.50 D, mean of 1.97 D (range 0-5.75). Spherical and cylindrical anisometropia ≥1.00 D were each found in 26% of those examined. Refractive amblyopia was found in 9% of those examined, or 0.8% of the original population. Of the amblyopic subjects, 77% were unilateral.
Screening of preschoolers with the Retinomax led to diagnosis and early treatment of uncorrected refractive errors and amblyopia. By treating children early, amblyopia may be prevented, quality of life improved, and academic achievements enhanced.
报告洛杉矶县使用Retinomax自动验光仪筛查未通过的学龄前儿童进行全面眼科检查的结果。
回顾性横断面研究。
2012年8月至2013年5月期间，加利福尼亚大学洛杉矶分校（UCLA）的学龄前视力项目仅使用Retinomax自动验光仪对洛杉矶县11260名3至5岁的学龄前儿童进行了筛查。其中，1007名筛查未通过的儿童在UCLA移动眼科诊所接受了眼科医生的检查。记录了所有儿童的眼科检查数据。弱视定义为：最佳矫正视力（BCVA）双眼相差≥2行时为单眼弱视；4岁以下儿童BCVA<20/50，4岁及以上儿童BCVA<20/40时为双眼弱视。
接受检查的儿童中有740名（74%）被开了眼镜。所有接受检查儿童的未矫正视力为0.4±0.2（logMAR平均值±标准差），BCVA为0.2±0.1。在接受睫状肌麻痹检查的儿童中，88%有远视（球镜等效度[SE]≥+0.50屈光度[D]），平均为+2.50 D，21%有近视（SE≤-0.50 D），平均为-1.40 D。共有69%的儿童散光≥1.50 D，平均为1.97 D（范围0-5.75）。接受检查的儿童中，26%存在球镜和柱镜屈光参差≥1.00 D。接受检查的儿童中9%患有屈光性弱视，占原筛查人群的0.8%。在弱视患者中，77%为单眼弱视。
使用Retinomax对学龄前儿童进行筛查可诊断并早期治疗未矫正的屈光不正和弱视。通过早期治疗儿童，可预防弱视，提高生活质量，并提升学业成绩。
