日常近视管理 - 欧洲儿科眼科医生调查。
Myopia Management in Daily Routine - A Survey of European Pediatric Ophthalmologists.
机构信息
Eye Clinic, Cantonal Hospital of Lucerne, Lucerne, Switzerland.
Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.
出版信息
Klin Monbl Augenheilkd. 2023 Apr;240(4):581-586. doi: 10.1055/a-2013-2713. Epub 2023 Apr 25.
PURPOSE
Assessment of diagnostic and therapeutic strategies currently used in routine practice for myopia management in Europe.
METHODS
Online survey study including 11 main questions. The questionnaire was sent to members of the European Paediatric Ophthalmology Society (EPOS). The following items and questions were surveyed: I. Profession and workplace of the survey participants. II. Preventive measures and recommendations for myopia management, a) regarding reading distance and near work, b) optical tools, i.e., application of Defocus Incorporated Multiple Segments (DIMS) glasses, near additions, or contact lenses, and c) the application of atropine eye drops. III. Application of additional diagnostic tools.
RESULTS
Forty-eight individuals completed the survey. Of the respondents, 88% (n = 42) affirmed that they generally gave advice on strategies for myopia prevention and management strategies. Almost all study participants (n = 41; 85%) recommend outdoor time as a preventive measure. The recommendation on near distance is given less frequently, with 28 (58%) participants confirming that they do recommend a "safe" reading distance, and 15 (31%) negating this. Eight (17%) survey participants recommend using near addition glasses, while 36 (75%) do not. Similarly, 35 (73%) respondents do not apply DIMS glasses and 8 (17%) apply them. Fourteen (29%) participants recommend myopia-reducing contact lenses while 30 (63%) do not, and 29 (60%) confirmed that they applied atropine eye drops to slow myopia progression while 14 (29%) do not prescribe these eye drops. The majority of respondents (n = 25; 86%) who prescribe atropine eye drops use atropine 0.01% eye drops.
CONCLUSIONS
Prevention and therapeutic management of childhood myopia is an essential part in the daily routine of pediatric ophthalmologists. Substantial agreement was found for the protective role of outdoor time (85%). The only common therapeutic approach is the administration of atropine eye drops (60%).
目的
评估欧洲近视管理常规实践中目前使用的诊断和治疗策略。
方法
这是一项包含 11 个主要问题的在线调查研究。问卷发送给欧洲儿科眼科学会 (EPOS) 的成员。调查内容如下：一、调查参与者的职业和工作场所。二、近视管理的预防措施和建议，a）关于阅读距离和近距工作，b）光学工具，如应用离焦多焦点（DIMS）眼镜、近附加镜或接触镜，以及 c）阿托品滴眼液的应用。三、额外诊断工具的应用。
结果
共有 48 人完成了调查。在回答者中，88%（n=42）表示他们通常会就近视预防和管理策略提供建议。几乎所有的研究参与者（n=41；85%）都建议增加户外活动时间作为预防措施。关于近距离的建议则较少，28 名（58%）参与者确认他们建议“安全”的阅读距离，而 15 名（31%）参与者则不建议。8 名（17%）调查参与者建议使用近附加镜，而 36 名（75%）不建议使用。同样，35 名（73%）参与者不使用 DIMS 眼镜，而 8 名（17%）使用。14 名（29%）参与者建议使用近视控制接触镜，而 30 名（63%）不建议使用，29 名（60%）参与者确认他们使用阿托品滴眼液减缓近视进展，而 14 名（29%）不建议使用这些滴眼液。在开阿托品滴眼液的调查参与者中，大多数（n=25；86%）使用 0.01%的阿托品滴眼液。
结论
儿童近视的预防和治疗管理是儿科眼科医生日常工作的重要组成部分。对于户外活动的保护作用（85%）达成了广泛共识。唯一常见的治疗方法是使用阿托品滴眼液（60%）。
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