Analysis of Refractive Development and Its Influencing Factors in Children Aged 6 ~ 36 Months

Yang ZHANG; Jianmei CHA; Bitao LI; Can YU; Lu SONG

doi:10.12259/j.issn.2095-610X.S20231001

Volume 44 Issue 10

Oct. 2023

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Yang ZHANG, Jianmei CHA, Bitao LI, Can YU, Lu SONG. Analysis of Refractive Development and Its Influencing Factors in Children Aged 6 ~ 36 Months[J]. Journal of Kunming Medical University, 2023, 44(10): 129-133. doi: 10.12259/j.issn.2095-610X.S20231001

Citation:

Yang ZHANG, Jianmei CHA, Bitao LI, Can YU, Lu SONG. Analysis of Refractive Development and Its Influencing Factors in Children Aged 6 ~ 36 Months[J]. Journal of Kunming Medical University, 2023, 44(10): 129-133. doi: 10.12259/j.issn.2095-610X.S20231001

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Analysis of Refractive Development and Its Influencing Factors in Children Aged 6 ~ 36 Months

doi: 10.12259/j.issn.2095-610X.S20231001

Yang ZHANG¹,
Jianmei CHA¹,
Bitao LI²,
Can YU^{2
,
,},
Lu SONG²

1.
Dept. of Ophthalmology
2.
Dept. of Prevention and Health Care，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

Received Date: 2023-05-16
Available Online: 2023-08-31
Publish Date: 2023-10-25

Abstract

Abstract

Objective To investigate the basic status of refractive development in children aged 6～36 months and analyze the related influencing factors. Methods A total of 562 children aged 6～36 months were selected to detect the diopter of both eyes without ciliary paralysis using a hand-held automatic vision screening instrument. The diopter and the prevalence rate of abnormal refraction in different age groups were obtained and compared . Logistic regression was used to analyze the influencing factors of refractive development. Results The mean SE was 0.38 （0, 0.63）D, DS was 0.75 （0.5, 1.13）D, and DC was 0.75 （0.5, 1.28）D. There was no statistical significance in SE, DS and DC between boys and girls （P > 0.05）; there was statistical significance in DS and DC between left and right eyes （P < 0.05）, but there was no statistical significance in SE between right and right eyes （P > 0.05）. Hyperopia was the main refractive state in children aged 6～36 months, of which 38.97% were normal refractive, 61.03% were abnormal refractive （42.70% were premyopia, 20.64% astigmatism, 3.91% were hypertropia, 1.25% were myopia）. There were no significant differences in refractive power and refractive abnormality rate among different age groups （P > 0.05）. Logistic regression analysis showed that preterm birth was a risk factor for refractive abnormalities （P = 0.012, OR = 2.68, 95%CI: 1.24～5.79）, and outdoor activity was a protective factor against refractive abnormalities （P = 0.008, OR = 0.83, 95%CI: 0.72～0.95）. Other factors do not contribute to the influence of diopter （P > 0.05）. Conclusion Hypermetropia is the dominant refractive state in children aged 6 to 36 months, and astigmatism is the main type of refractive abnormalities. The refractive status of children aged 6～36 months is mainly farsightedness, astigmatism is the main type of refractive abnormalities, preterm birth and outdoor activities are the influencing factors of refractive development, and the overall influence of genetic and environmental factors is small. People in the early stage of myopia should be vigilant about the occurrence of myopia young age.
- 6 to 36 months old,
- Young children,
- Refractive development,
- Influencing factor

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