Wilmer Eye Institute, Johns Hopkins University School of Medicine; Dana Center for Preventive Ophthalmology, Johns Hopkins University; Berman Institute of Bioethics, Johns Hopkins University.
Wilmer Eye Institute, Johns Hopkins University School of Medicine; Dana Center for Preventive Ophthalmology, Johns Hopkins University.
Can J Ophthalmol. 2022 Feb;57(1):29-35. doi: 10.1016/j.jcjo.2021.02.014. Epub 2021 Mar 19.
We describe the Baltimore Reading and Eye Disease Study, report baseline ocular findings, and explore the feasibility of eye examinations in the school setting.
Prospective, school-based cohort study.
Students in second and third grades.
Baseline eye examinations, including near and distance presenting visual acuity (VA), stereopsis, ocular alignment, dilated retinal examination, and cycloplegic refraction, were performed in 12 Baltimore public schools during the 2014-15 school year.
Presenting VA, prevalence of refractive error, and other ocular findings.
Among the 1054 eligible students, 321 participated. There were 271 (84.4%) African American and 186 (57.9%) female students; mean age was 7.9 ± 0.8 years. Cycloplegia was achieved in 308. The mean presenting distance and near VA was 0.1 ± 0.2 logMAR (range -0.1 to 1.5) and 0.1 ± 0.2 logMAR (range 0.0-1.6) in the better-seeing eye, respectively. The most common ocular findings were +1.00 diopter (D) or greater hyperopia (34.7%), -0.50 D or greater myopia (29.5%), 1.00 D or greater astigmatism (23.4%), and convergence insufficiency (7.2%). Thirty-seven (11.5%) children needed referral to an eye care provider; 10% of students required glasses full-time.
Whereas the majority of second and third grade students in this study have good VA and minimal refractive error, 1 in 9 have an ocular finding necessitating further evaluation. It was feasible to conduct cycloplegic eye examinations in the school setting.
我们描述了巴尔的摩阅读和眼病研究，报告了基线眼部发现，并探讨了在学校环境中进行眼部检查的可行性。
前瞻性、基于学校的队列研究。
二年级和三年级的学生。
在 2014-15 学年期间，在巴尔的摩的 12 所公立学校中进行了基线眼部检查，包括近视力和远视力（VA）、立体视、眼位、散瞳视网膜检查和睫状肌麻痹验光。
远视力、近视发生率和其他眼部发现。
在 1054 名符合条件的学生中，有 321 名学生参与了研究。其中 271 名（84.4%）为非裔美国人，186 名（57.9%）为女性；平均年龄为 7.9±0.8 岁。308 名学生接受了睫状肌麻痹。较好眼的平均远视力和近视力分别为 0.1±0.2 对数视力（范围为-0.1 至 1.5）和 0.1±0.2 对数视力（范围为 0.0 至 1.6）。最常见的眼部发现是+1.00 屈光度（D）或更高的远视（34.7%）、-0.50 D 或更高的近视（29.5%）、1.00 D 或更高的散光（23.4%）和集合不足（7.2%）。37 名（11.5%）儿童需要转介到眼科医生处；10%的学生需要全天戴眼镜。
尽管在这项研究中，大多数二年级和三年级学生的视力和屈光度都很好，但仍有 1/9 的学生有需要进一步评估的眼部发现。在学校环境中进行睫状肌麻痹眼部检查是可行的。
