关键词: amblyopia mobile clinic pediatrics refractive error screening spectacles

来  源:   DOI:10.2147/OPTH.S460879   PDF(Pubmed)

Abstract:
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要:
未矫正的屈光不正(REs)和弱视会导致视力障碍,对生活质量和学习成绩产生有害影响。社区视力保健计划的早期发现和治疗,例如UCI儿童眼睛移动,可以帮助解决可预防的视力丧失。
在153个地点共筛查了5074名3至10岁的儿童,包括幼儿园,头启动程序,和奥兰治县(OC)内的小学,加利福尼亚州(CA)。随后,1024名儿童参加全面的眼科检查。对所有接受检查的儿童进行了回顾性分析,确定REs和弱视的频率和严重程度以及按年龄的眼镜处方率。倾向得分匹配分析评估了家庭收入中位数对RE和弱视频率的影响。
在初次筛查失败并随后接受检查的人中,检测到显著的REs和弱视率:近视(24.4%),远视(35.4%),散光(71.8%),屈光参差(8.9%),弱视(7.0%),弱视风险(14.4%)。大多数(65.0%)接受检查的人接受了UCIEyeMobile的处方眼镜,大约三分之一的人需要新的或更新的处方。在OC国会各个地区,REs和弱视的频率以及眼镜处方率是一致的。近视和弱视风险与家庭收入呈正相关和负相关,分别。
UCI面向儿童的EyeMobile是一项重要的视力保健计划,提供免费视力筛查,全面的眼科检查,和眼镜。相当数量的儿童需要检查,在被检查的儿童中检测到高频率的REs和弱视,随后为大多数儿童提供处方眼镜。
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