Joint Shantou International Eye Center of Shantou University, The Chinese University of Hong Kong, North Dongxia Road, Shantou, 515041, Guangdong, China.
Shantou University Medical College, Shantou, Guangdong, China.
Int Ophthalmol. 2023 Oct;43(10):3911-3921. doi: 10.1007/s10792-023-02777-0. Epub 2023 Jun 30.
To compare myopia progression in Chinese schoolchildren before and after the COVID-19 pandemic home confinement.
This study was done through the data searched from PubMed, Embase, Cochrane Library, and Web of Science from January 2022 to March 2023 related to the COVID-19 pandemic home confinement and myopia progression among Chinese schoolchildren. Myopia progression was evaluated by the mean change of spherical equivalent refraction (SER) and axial length (AL) before and during the COVID-19 pandemic. Sex and regional differences in myopia progression among schoolchildren before and during the COVID-19 pandemic were also analyzed.
A total of eight eligible studies were included in this study. There was a significant difference in SER before and during home confinement during the COVID-19 pandemic (OR = 0.34; 95%CI = [0.23, 0.44]; Z = 6.39; P < 0.00001), but no significant difference in AL (OR = 0.16; 95%CI = [- 0.09, 0.41]; Z = 1.22, P = 0.22). There was a significant difference in SER between male and female groups during the COVID-19 home confinement (OR = 0.10; 95%CI = [0.00, 0.19]; Z = 1.98, P = 0.05). As for regional analysis, there was a significant difference in SER between urban and rural areas during the COVID-19 quarantine period (OR = -0.56; 95%CI = [- 0.88, - 0.25]; Z = 3.50, P = 0.0005).
Compared with the time before the COVID-19 home confinement, a higher rate of myopic progression among Chinese schoolchildren during the period of the COVID-19 pandemic was demonstrated.
比较新冠疫情居家隔离前后中国学童近视进展情况。
本研究通过检索 2022 年 1 月至 2023 年 3 月 PubMed、Embase、Cochrane 图书馆和 Web of Science 中与新冠疫情居家隔离和中国学童近视进展相关的数据进行。通过比较新冠疫情居家隔离前后的球镜等效屈光度（SER）和眼轴（AL）平均值评估近视进展情况。还分析了新冠疫情居家隔离前后学童近视进展的性别和地区差异。
本研究共纳入 8 项符合条件的研究。新冠疫情居家隔离前后 SER 存在显著差异（OR=0.34；95%CI=[0.23, 0.44]；Z=6.39；P<0.00001），但 AL 无显著差异（OR=0.16；95%CI=[-0.09, 0.41]；Z=1.22，P=0.22）。新冠疫情居家隔离期间，男女组 SER 存在显著差异（OR=0.10；95%CI=[0.00, 0.19]；Z=1.98，P=0.05）。对于地区分析，新冠疫情隔离期间城乡 SER 存在显著差异（OR=-0.56；95%CI=[-0.88, -0.25]；Z=3.50，P=0.0005）。
与新冠疫情居家隔离前相比，中国学童在新冠疫情期间近视进展速度更快。
