背景:儿童功能性视觉障碍主要由弱视或斜视引起。这项研究旨在确定上海3-16岁人群中弱视和斜视的患病率和临床特征。中国。
方法:从2023年2月到2024年2月,这家医院,横断面研究包括在上海市总医院眼科就诊的儿童资料.综合眼部检查包括睫状肌麻痹屈光后的视力测量,裂隙灯检查,覆盖试验,扩大眼底检查。进行描述性统计以估计弱视和斜视的比例和临床特征。
结果:共920名儿童被纳入本研究。其中,223例(24.24%)儿童被确定为弱视。单侧弱视占57.85%,双侧弱视占42.15%。大多数参与者在5-10岁的年龄范围内(单侧弱视占75.97%,双侧弱视为70.21%)。屈光参差是单侧弱视的主要原因(68.99%)。大多数弱视儿童有高度远视(38.76%为单侧弱视,双侧弱视占39.89%)。30例(3.26%)儿童被诊断为斜视,其中19人(63.3%)年龄在5-10岁之间。其中7名儿童同时患有斜视和弱视。
结论:在我们的研究中,弱视和斜视患者的比例分别为24.24%和3.26%。屈光参差是导致单侧弱视的主要原因,而高度远视是弱视人群中一个重要的屈光不正。这些发现揭示了针对弱视的年龄相关变化的进一步纵向研究,斜视和屈光误差。因此,应该努力管理未矫正的屈光不正,弱视,上海儿童斜视。
BACKGROUND: Functional visual impairments in children are primarily caused by amblyopia or strabismus. This
study aimed to determine the prevalence and clinical profile of amblyopia and strabismus among individuals aged 3-16 years in Shanghai, China.
METHODS: From February 2023 to February 2024, this hospital-based, cross-sectional
study included data of children who visited the Ophthalmology Department of Shanghai General Hospital. Comprehensive ocular examinations included visual acuity measurement after cycloplegic refraction, slit lamp examination, cover test, and dilated fundus examination. Descriptive statistics were performed to estimate the proportion and clinical characteristics of amblyopia and strabismus.
RESULTS: A total of 920 children were enrolled in our
study. Among them, 223 (24.24%) children were identified as amblyopia. Unilateral amblyopia occupied 57.85%, and bilateral amblyopia occupied 42.15%. Most participants were within the age range of 5-10 years (75.97% for unilateral amblyopia, and 70.21% for bilateral amblyopia). Anisometropia was the primary cause of unilateral amblyopia (68.99%). Most amblyopic children have high hyperopia (38.76% for unilateral amblyopia, and 39.89% for bilateral amblyopia). 30 (3.26%) children were diagnosed with strabismus, and 19 (63.3%) of them were aged 5-10 years. Seven of the children had both strabismus and amblyopia.
CONCLUSIONS: The proportion of patients with amblyopia and strabismus was determined as 24.24% and 3.26% in our
study. Anisometropia was the leading cause of unilateral amblyopia, whereas high hyperopia was a crucial refractive error in the amblyopic population. These findings shed light on further longitudinal studies targeting the age-related changes in amblyopia, strabismus and refraction errors. Therefore, efforts should be made to manage uncorrected refractive errors, amblyopia, and strabismus among children in Shanghai.