Lin Haishuang, Sun Jing, Congdon Nathan, Xu Meiping, Liu Shanshan, Liang Yuanbo, Wang Hailin, Zhang Shaodan
Department of Glaucoma, Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Zhejiang, China.
National Clinical Research Center for Ocular Diseases, Zhejiang, China.
Front Med (Lausanne). 2021 Oct 28;8:753257. doi: 10.3389/fmed.2021.753257. eCollection 2021.
To assess the potential of a health examination center-based screening model in improving service for uncorrected refractive error. Individuals aged ≥18 years undergoing the routine physical examinations at a tertiary hospital in the northeast China were invited. Presenting visual acuity, noncycloplegic autorefraction, noncontact tonometry, fundus photography, and slit-lamp examination were performed. Refractive error was defined as having spherical equivalent ≤ -0.75 D or ≥ +1 D and uncorrected refractive error was considered as refractive error combined with presenting visual acuity < 6/12 in the better eye. Costs for the screening were assessed. A total of 5,284 participants (61 ± 14 years) were included. The overall prevalence of myopia and hyperopia was 38.7% (95% CI, 37.4-40.0%) and 23.5% (95% CI, 22.3-24.6%), respectively. The prevalence of uncorrected refractive error was 7.85% (95% CI, 7.13-8.58%). Women ( < 0.001 and = 0.003), those with age ≥ 70 years ( < 0.001 and = 0.003), and myopia ( < 0.001 and < 0.001) were at higher risk of uncorrected refractive error and uncorrected refractive error-related visual impairment. Spectacle coverage rate was 70.6% (95% CI, 68.2-73.0%). The cost to identify a single case of refractive error and uncorrected refractive error was US$3.2 and US$25.2, respectively. The prevalence of uncorrected refractive error is high in the urban Chinese adults. Health examination center-based refractive error screening is able to provide an efficient and low-cost model to improve the refractive services in China.
评估基于健康体检中心的筛查模式在改善未矫正屈光不正服务方面的潜力。邀请了在中国东北地区一家三级医院接受常规体检的≥18岁个体。进行了裸眼视力、非散瞳自动验光、非接触眼压测量、眼底照相和裂隙灯检查。屈光不正定义为等效球镜度≤ -0.75 D或≥ +1 D，未矫正屈光不正被视为屈光不正合并较好眼的裸眼视力< 6/12。评估了筛查的成本。共纳入5284名参与者（61±14岁）。近视和远视的总体患病率分别为38.7%（95%CI，37.4 - 40.0%）和23.5%（95%CI，22.3 - 24.6%）。未矫正屈光不正的患病率为7.85%（95%CI，7.13 - 8.58%）。女性（<0.001和 = 0.003）、年龄≥70岁者（<0.001和 = 0.003）以及近视患者（<0.001和<0.001）发生未矫正屈光不正和未矫正屈光不正相关视力损害的风险更高。眼镜佩戴率为70.6%（95%CI，68.2 - 73.0%）。发现一例屈光不正和未矫正屈光不正的成本分别为3.2美元和25.2美元。中国城市成年人中未矫正屈光不正的患病率较高。基于健康体检中心的屈光不正筛查能够提供一种高效且低成本的模式来改善中国的屈光服务。
