■近视是一个重大的全球性健康问题,尤其是儿童和青少年。了解其特点和进展对于正确的管理和预防至关重要。这项研究旨在通过分析有关克罗地亚儿童和青少年近视的人口统计学和屈光数据来填补研究空白,目的是提供有关近视患病率的见解,进展率,以及克罗地亚人口中的相关风险因素。
这项回顾性研究利用了大学眼科儿科眼科诊所的综合数据集,大学医院“SvetiDuh,\"萨格勒布,克罗地亚。该数据集包括2008年1月至2023年7月的电子医疗记录,包括人口统计学和屈光数据。
■数据分析集中于被诊断为原发性近视和/或复合近视散光的4至18岁的个体。眼科检查,包括视力测试,睫状肌麻痹屈光,和眼睛合并症的评估,由经验丰富的儿科眼科医生进行。统计分析,包括t检验,生存分析,和逻辑回归,进行评估近视患病率,进展率,和相关因素。这些分析针对协变量进行了调整,如年龄,父母近视,和性别。
■该研究包括895名个体,51个预见者,813个低近视,和31个高度近视。诊断为近视前的平均年龄为11.37±3.59岁,11.18±3.53年的低近视,高度近视者为11.44±4.35年。最快的进展发生在2021年和2022年,近视前科为-0.5±0.12D/y,低近视为-0.45±0.1D/y。近视到低度近视的进展与年龄7-9岁(HR2.42,1.53至3.21)和父母双方都近视(HR920.27。850.16至950.53)。父母双方都近视的低近视个体在首次就诊进展率后的11-24个月表现出最快的速度,-0.69(-0.52至-0.87)D/y,而7-9岁年龄组的D/y为-0.36(-0.24至-0.45)。年龄在7-9岁,基线SE在-6D和-4D之间的低近视与≤-0.5D进展密切相关(OR=2.0,95%CI-1.00至2.39)。
■这项研究强调了环境因素的重要性,遗传学,以及解决克罗地亚年轻人近视进展的年龄,敦促进一步研究有效的地方干预策略。
UNASSIGNED: Myopia is a major global health issue, especially among children and adolescents. Understanding its traits and progression is vital for proper management and prevention. This
study aimed to fill a gap in research by analyzing demographic and refractive data concerning myopia among children and adolescents in Croatia, with the goal of providing insights into myopia prevalence, progression rates, and associated risk factors within the Croatian population.
UNASSIGNED: This retrospective
study utilized a comprehensive dataset from pediatric ophthalmology clinics at the University Eye Department, University Hospital \"Sveti Duh,\" Zagreb, Croatia. The dataset included electronic medical records spanning from January 2008 to July 2023, encompassing demographic and refractive data.
UNASSIGNED: Data analysis focused on individuals aged 4 to 18 years who were diagnosed with primary myopia and/or compound myopic astigmatism. Ophthalmic examinations, including visual acuity tests, cycloplegic refraction, and assessments for eye comorbidities, were conducted by experienced pediatric ophthalmologists. Statistical analysis, including t-tests, survival analysis, and logistic regression, was performed to assess myopia prevalence, progression rates, and associated factors. These analyses were adjusted for covariates such as age, parental myopia, and gender.
UNASSIGNED: The
study included 895 individuals, 51 premyopes, 813 low myopes, and 31 high myopes. The average age of diagnosis was 11.37 ± 3.59 years for premyopes, 11.18 ± 3.53 years for low myopes, and 11.44 ± 4.35 years for high myopes. The fastest progression occurred in 2021 and 2022, -0.5 ± 0.12 D/y for premyopes and - 0.45 ± 0.1 D/y for low myopes. Premyopic progression to low myopia was associated with age 7-9 years (HR 2.42, 1.53 to 3.21) and both parents being myopic (HR 920.27. 850.16 to 950.53). Low myopic individuals with both myopic parents displayed the fastest 11-24 months after first visit progression rates, -0.69 (-0.52 to -0.87) D/y, while the 7-9 age group demonstrated -0.36 (-0.24 to -0.45) D/y. Low myopes aged 7-9 years with baseline SE between -6 D and -4 D were more strongly associated with ≤ - 0.5 D progression (OR = 2.0, 95% CI -1.00 to 2.39).
UNASSIGNED: This
study highlights the importance of environmental factors, genetics, and age in addressing myopia progression among Croatian youth, urging further research for effective local intervention strategies.