Hong John D, Choi Elliot H, Suh Susie, Bui Joseph H, Storch Annabelle M, Walker Kimberly R, Shahraki Kourosh, Yanez Carolina, Torres Diana, Espinoza Jennifer, Molina Iliana, Suh Donny W
Gavin Herbert Eye Institute, Department of Ophthalmology, University of California, Irvine, CA, USA.
Shiley Eye Institute, Department of Ophthalmology, University of California, San Diego, CA, USA.
Clin Ophthalmol. 2024 Jun 6;18:1667-1678. doi: 10.2147/OPTH.S460879. eCollection 2024.
Uncorrected refractive errors (REs) and amblyopia can lead to visual impairment with deleterious effects on quality of life and academic performance. Early detection and treatment by community vision care programs, such as the UCI EyeMobile for Children, can aid in addressing preventable vision loss.
A total of 5074 children between the ages of 3 and 10 years were screened at 153 locations, including preschools, head start programs, and elementary schools within Orange County (OC), California (CA). Subsequently, 1024 children presented for comprehensive eye examinations. A retrospective analysis of all examined children was conducted, determining the frequency and severity of REs and amblyopia and the spectacle prescription rate by age. Propensity score matching analysis evaluated the effect of median household income on RE and amblyopia frequency.
Among those who failed initial screening and were subsequently examined, significant rates of REs and amblyopia were detected: myopia (24.4%), hyperopia (35.4%), astigmatism (71.8%), anisometropia (8.9%), amblyopia (7.0%), and amblyopia risk (14.4%). A majority (65.0%) of those examined received prescription spectacles from UCI EyeMobile, with around a third requiring a new or updated prescription. The frequency of REs and amblyopia and the spectacle prescription rate were uniform across OC congressional districts. Myopia and amblyopia risk was positively and negatively associated with household income, respectively.
The UCI EyeMobile for Children serves as a vital vision care program, providing free vision screening, comprehensive eye examinations, and spectacles. A significant number of children required examination, and a high frequency of REs and amblyopia were detected in examined children, with subsequent provision of prescription spectacles to most children.
未矫正的屈光不正（REs）和弱视可导致视力损害，对生活质量和学业成绩产生有害影响。通过社区视力保健项目，如加州大学欧文分校儿童眼科移动诊所，进行早期检测和治疗，有助于解决可预防的视力丧失问题。
在加利福尼亚州（CA）奥兰治县（OC）的153个地点，包括幼儿园、启智计划项目和小学，对总共5074名3至10岁的儿童进行了筛查。随后，1024名儿童前来接受全面眼科检查。对所有接受检查的儿童进行回顾性分析，确定屈光不正和弱视的频率及严重程度，以及按年龄划分的眼镜配镜率。倾向得分匹配分析评估家庭收入中位数对屈光不正和弱视频率的影响。
在初次筛查未通过并随后接受检查的儿童中，检测到了较高比例的屈光不正和弱视：近视（24.4%）、远视（35.4%）、散光（71.8%）、屈光参差（8.9%）、弱视（7.0%）和弱视风险（14.4%）。大多数接受检查的儿童（65.0%）从加州大学欧文分校儿童眼科移动诊所获得了配镜处方，其中约三分之一需要新的或更新的处方。屈光不正和弱视的频率以及眼镜配镜率在奥兰治县各选区是一致的。近视和弱视风险分别与家庭收入呈正相关和负相关。
加州大学欧文分校儿童眼科移动诊所是一项重要的视力保健项目，提供免费视力筛查、全面眼科检查和眼镜。大量儿童需要检查，在接受检查的儿童中检测到了较高频率的屈光不正和弱视，随后大多数儿童都获得了配镜处方。
