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新冠疫情时代近视进展:系统回顾和荟萃分析。

Myopia Progression during the COVID-19 Era: A Systematic Review and Meta-analysis.

机构信息

Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

Department of Ophthalmology, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Semin Ophthalmol. 2023 Aug;38(6):537-546. doi: 10.1080/08820538.2023.2168490. Epub 2023 Feb 2.

Abstract

BACKGROUND

To evaluate myopia progression during the novel coronavirus disease 2019 (COVID-19) pandemic and its risk factors.

METHODS

We searched PubMed, Scopus, and Web of Science to find literature until August 2022 related to COVID-19 pandemic and myopia progression. Outcomes of myopia progression included axial length (AL) and spherical equivalent (SE). Factors of screen time and outdoor activity time were analyzed.

RESULTS

Thirty-three studies were included in this meta-analysis. Compared to the same period before the COVID-19 pandemic, myopia prevalence increased (OR = 1.11; 95% CI, 1.05-1.18). The outcomes of SE decreased -0.61 diopter (95% CI, -0.98 to -0.23), and AL increased 0.42 mm (95% CI, 0.13-0.7). Mean screen time was increased 6.25 hours/day (95% CI, 4.84-7.66), and outdoor activity time was decreased -1.52 hours/day (95% CI, -3.20 to -0.15).

CONCLUSION

Establishing care policies is necessary to restrict behavioral changes and their consequences during the pandemic.

摘要

背景

评估新型冠状病毒病 2019(COVID-19)大流行期间近视的进展情况及其危险因素。

方法

我们检索了 PubMed、Scopus 和 Web of Science,以查找截至 2022 年 8 月与 COVID-19 大流行和近视进展相关的文献。近视进展的结果包括眼轴(AL)和等效球镜(SE)。分析了屏幕时间和户外活动时间的因素。

结果

本荟萃分析纳入了 33 项研究。与 COVID-19 大流行前同期相比,近视患病率增加(OR=1.11;95%CI,1.05-1.18)。SE 的结果下降了-0.61 屈光度(95%CI,-0.98 至-0.23),AL 增加了 0.42 毫米(95%CI,0.13-0.7)。平均屏幕时间增加了 6.25 小时/天(95%CI,4.84-7.66),户外活动时间减少了-1.52 小时/天(95%CI,-3.20 至-0.15)。

结论

有必要制定护理政策,以限制大流行期间的行为变化及其后果。

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