Department of Urology, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan.
Department of Urology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Int J Med Sci. 2024 May 13;21(7):1302-1306. doi: 10.7150/ijms.93822. eCollection 2024.
Hyperopia is a significant refractive error in children, often leading to vision impairment. This study aimed to investigate whether partial or full spectacle correction is benefit for hyperopia in preschool-aged children. A retrospective study was conducted on hyperopic children visited to teaching medical center outpatient clinic between October 2011 and October 2018, and were categorized into three groups: full correction, overcorrection, and undercorrection. The study was approved by the institutional ethical committee of Tri-Service General Hospital. Following a minimum of one-year follow-up period, no statistically significant differences were observed in best-corrected visual acuity (BCVA) among children receiving full, over, or under spectacle correction. Notably, the overcorrection group exhibited a significant reduction in spherical equivalent (SE) compared to both the full and under correction groups, indicating a better SE with spectacle overcorrection. Spectacle overcorrection may offer potential benefits for enhancing SE in preschool children with hyperopia. Nevertheless, further investigation through randomized controlled trials is warranted to establish the validity of this approach and its impact on visual outcomes in this hyperopic pediatric population.
远视是儿童中一种常见的屈光不正,常导致视力受损。本研究旨在探讨远视儿童是否需要部分或完全矫正眼镜。
本研究为回顾性研究,纳入 2011 年 10 月至 2018 年 10 月在教学医学中心门诊就诊的远视儿童,分为三组:完全矫正、过矫和欠矫。该研究获得了三军总医院机构伦理委员会的批准。
经过至少一年的随访,完全矫正、过矫和欠矫的儿童最佳矫正视力(BCVA)之间无统计学差异。值得注意的是,与完全矫正和欠矫组相比,过矫组的球镜等效(SE)显著降低,表明远视儿童的 SE 随眼镜过矫而改善。
远视儿童的眼镜过矫可能有助于提高 SE。然而,需要通过随机对照试验进一步研究,以确定这种方法的有效性及其对远视儿童视觉结果的影响。