Departamento de Oftalmologia e Ciências Visuais, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
Arq Bras Oftalmol. 2021 Jul 14;84(5):436-441. doi: 10.5935/0004-2749.20210068. eCollection 2021.
The Bayley Scales of Infant and Toddler Development-Third Edition (Bayley-III) is a tool for measuring the developmental status of children, including cognitive and motor functioning, in the first three years of life. This study aims to evaluate the correlation between grating visual acuity and visual functionality in healthy children using the Bayley-III.
Binocular grating visual acuity was measured using Teller Acuity Cards followed by the Bayley-III in healthy children aged 1-42 months. Visual acuity (logMAR) and Bayley-III scores for both cognitive and motor (gross and fine) skills were compared.
Forty children (20 boys) aged 1.2-42.1 months were tested. Their mean visual acuity was 0.39 ± 0.27 logMAR, which was within the normal age limits for all children. There was a strong and significant negative correlation between visual acuity and age (r=-0.83, p<0.001). The mean cognitive raw data score was 49.92 ± 18.93 points, with a strong and significant positive correlation between cognitive score and age (r=0.81, p<0.001). The mean gross motor score was 41.72 ± 16.23 points, with a strong and significant positive correlation between gross motor score and age (r=0.75, p<0.001). The mean fine motor score was 39.75 ± 14.63 points, with a strong and significant positive correlation between fine motor score and age (r=0.77, p<0.001). Multiple linear regression demonstrated that older age and better visual acuity were significantly associated with higher Bayley-III scores.
This study found a high correlation between grating visual acuity measured using Teller Acuity Cards and cognitive and motor scores measured using the Bayley-III in healthy children, demonstrating that the Bayley-III might be a useful tool for assessing the repercussions of visual impairment on the cognitive and motor development of young children.
《贝利婴幼儿发育量表第三版》（Bayley-III）是一种用于测量儿童在生命头三年的发育状况的工具，包括认知和运动功能。本研究旨在评估使用 Bayley-III 评估健康儿童的光栅视力与视觉功能之间的相关性。
使用 Teller 视力卡测量双眼光栅视力，然后对 1-42 个月龄的健康儿童进行 Bayley-III 测试。比较视力（logMAR）和 Bayley-III 认知和运动（粗大和精细）技能的得分。
共测试了 40 名儿童（20 名男孩），年龄为 1.2-42.1 个月。他们的平均视力为 0.39 ± 0.27 logMAR，所有儿童均在正常年龄范围内。视力与年龄之间存在强烈且显著的负相关（r=-0.83，p<0.001）。认知原始数据的平均得分为 49.92 ± 18.93 分，认知得分与年龄之间存在强烈且显著的正相关（r=0.81，p<0.001）。粗大运动得分的平均值为 41.72 ± 16.23 分，粗大运动得分与年龄之间存在强烈且显著的正相关（r=0.75，p<0.001）。精细运动得分的平均值为 39.75 ± 14.63 分，精细运动得分与年龄之间存在强烈且显著的正相关（r=0.77，p<0.001）。多元线性回归表明，年龄较大和较好的视力与较高的 Bayley-III 得分显著相关。
本研究发现，使用 Teller 视力卡测量的光栅视力与使用 Bayley-III 测量的认知和运动得分之间存在高度相关性，表明 Bayley-III 可能是评估视力障碍对幼儿认知和运动发育影响的有用工具。
