对城市中心区学龄前儿童视力筛查项目的评估。
Assessment of an inner city visual screening programme for preschool children.
作者信息
Williamson T H, Andrews R, Dutton G N, Murray G, Graham N
机构信息
Tennent Institute of Ophthalmology, Glasgow.
出版信息
Br J Ophthalmol. 1995 Dec;79(12):1068-73. doi: 10.1136/bjo.79.12.1068.
AIMS
The efficiency of preschool visual screening programmes to detect amblyopia is questionable. In this study such a programme in an inner city was assessed to determine its effectiveness.
METHODS
The results of screening and hospital treatment of 712 patients who were considered to require referral were entered into a database for analysis. Default rates were assessed and the efficacy of treatment determined.
RESULTS
The only effective screening test for the detection of amblyopia was visual acuity. A large proportion of referred patients had refractive problems only. High default rates, particularly in geographical areas of lower socioeconomic grading, severely handicapped any attempt to reduce the incidence of amblyopia.
CONCLUSION
A fresh approach to the detection and care of amblyopia in the inner city community is required, perhaps by performing screening of children in their first year of attendance at school to reduce default rates. Cycloplegic refraction of children who are found to have reduced visual acuity before their referral to hospital is also recommended.
目的
学龄前视力筛查项目检测弱视的效率存在疑问。在本研究中，对市中心的此类项目进行评估以确定其有效性。
方法
将712名被认为需要转诊的患者的筛查和医院治疗结果录入数据库进行分析。评估失访率并确定治疗效果。
结果
检测弱视的唯一有效筛查测试是视力。很大一部分转诊患者仅有屈光问题。高失访率，尤其是在社会经济等级较低的地理区域，严重阻碍了降低弱视发病率的任何尝试。
结论
市中心社区需要一种全新的弱视检测和护理方法，或许可以通过在儿童入学第一年进行筛查以降低失访率。还建议对转诊至医院前视力下降的儿童进行睫状肌麻痹验光。
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