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青少年近视发病前的临床特征:4. 近视家族史。

Clinical findings before the onset of myopia in youth: 4. Parental history of myopia.

作者信息

Goss D A, Jackson T W

机构信息

School of Optometry, Indiana University, Bloomington, USA.

出版信息

Optom Vis Sci. 1996 Apr;73(4):279-82. doi: 10.1097/00006324-199604000-00010.

DOI:10.1097/00006324-199604000-00010
PMID:8728496
Abstract

BACKGROUND

We conducted a study to compare variables in children who were initially emmetropic and became myopic to those in children who remained emmetropic. This paper examines parental history of myopia in the two groups of children.

METHODS

A cohort of initially emmetropic children was given eye and vision examinations at 6-month intervals for 3 years. Data on parental history of myopia were obtained by questionnaire.

RESULTS

A greater proportion of children in the became-myopic group had myopic parents compared to children in the remained-emmetropic group. The sensitivity for onset of myopia was 0.95 and specificity was 0.38 if at least one parent was myopic. A sensitivity of 0.36 and a specificity of 0.87 were found for both parents being myopic. There was a significant association between parental history of myopia and development of myopia in the children in the study (p < 0.01 by chi 2 for categorization of whether neither, one, or both parents were myopic for children in the became-myopic and remained-emmetropic groups).

CONCLUSION

Parental history of myopia is a risk factor for the development of myopia.

摘要

背景

我们开展了一项研究,比较最初正视且后来近视的儿童与一直保持正视的儿童的各项变量。本文研究两组儿童的父母近视史。

方法

一组最初正视的儿童每6个月接受一次眼部和视力检查,持续3年。通过问卷调查获取父母近视史的数据。

结果

与一直保持正视的儿童相比,后来近视组中有近视父母的儿童比例更高。如果至少有一位父母近视,近视发病的敏感度为0.95,特异度为0.38。若父母双方均近视,敏感度为0.36,特异度为0.87。在本研究中,儿童的父母近视史与近视发展之间存在显著关联(对于后来近视组和一直保持正视组儿童,父母均不近视、一方近视或双方近视的分类,经卡方检验p < 0.01)。

结论

父母近视史是近视发展的一个风险因素。

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