Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor; Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor.
Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor.
J AAPOS. 2022 Aug;26(4):185.e1-185.e6. doi: 10.1016/j.jaapos.2022.04.009. Epub 2022 Jul 19.
To analyze clinical and demographic data from a twice monthly optometrist-run comprehensive eye program at a high school in a community with high rates of poverty.
Students received comprehensive eye examinations. We collected demographic and ocular data on 429 initial visits from February 2015 to July 2019. Follow-up visits were excluded.
The average student age was 14.2 ± 2.7 years. Of the total, 55.7% were female, 59.7% were Black, and 61.7% had Medicaid. Of the total, 70.2% had a previous eye examination, 60.8% had worn glasses previously, and 24.1% still wore glasses. Hispanic students were less likely than non-Hispanic students to have had a prior eye examination (59.1% vs 75.3% [P = 0.022]) or worn glasses (47.8% vs 63.8% [P = 0.035]). Black students had significantly worse presenting visual acuity in the better seeing eye than White students (logMAR 0.22 vs 0.13 [P = 0.0004]). Of the 256 Black students, 62.7% had improvement of two or more lines, compared with 42.9% of White students (P = 0.01). Of the students who participated, 74.0% received glasses following their examination, and 21 required referrals to ophthalmologists, of whom 13 attended the appointment.
The high school-based clinic identified high rates of uncorrected refractive error, highlighting the benefit of a school-based eye clinic in a population with high rates of poverty. There were concerning racial and ethnic disparities in prior eye care.
分析在一个贫困率较高的社区中，由验光师每月两次运行的综合眼科计划的临床和人口统计学数据。
学生接受全面的眼科检查。我们收集了 2015 年 2 月至 2019 年 7 月期间 429 名初次就诊的人口统计学和眼部数据。排除了随访就诊。
学生的平均年龄为 14.2 ± 2.7 岁。其中，55.7%为女性，59.7%为黑人，61.7%拥有医疗补助。在总数中，70.2%有过之前的眼科检查，60.8%之前戴过眼镜，24.1%仍戴着眼镜。与非西班牙裔学生相比，西班牙裔学生之前进行过眼科检查的可能性较低（59.1%对 75.3%[P = 0.022]）或戴过眼镜（47.8%对 63.8%[P = 0.035]）。黑人学生的较好眼视力的初始表现明显差于白人学生（logMAR 0.22 对 0.13 [P = 0.0004]）。在 256 名黑人学生中，有 62.7%的人视力提高了两线或更多，而白人学生为 42.9%（P = 0.01）。在参与的学生中，74.0%在检查后配了眼镜，有 21 人需要转介给眼科医生，其中 13 人参加了预约。
该高中诊所发现了大量未经矫正的屈光不正，这突显了在贫困率较高的人群中设立学校眼科诊所的益处。在之前的眼科护理方面存在令人担忧的种族和民族差异。
