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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References(16)

References

[1]	李蕊,周佳佳,刘虎,等. 双目屈光筛查仪在4~5岁学龄前儿童视力筛查中的应用研究[J]. 中华眼科杂志,2020,56(3):189-196.
[2]	Wu,Carolyn,David G. Hunter. Amblyopia: Diagnostic and therapeutic options[J]. American Journal of Ophthalmology,2006,141(1):175-184. doi: 10.1016/j.ajo.2005.07.060
[3]	王维. Suresight视力筛查仪在大面积儿童屈光度异常筛查中的意义[J]. 生物医学工程与临床,2015,15(6):232-233.
[4]	陈良姝. 3352例6个月~3岁婴幼儿视力筛查结果分析[J]. 中国卫生产业,2019,16(26):188-189.
[5]	马瑞雪,都建英. 6岁以下学龄前儿童视力发育调查,视力异常影响因素及相关预防干预措施的研究[J]. 中国妇幼保健,2019,34(3):181-183.
[6]	Donahue S P,Arthur B,Neely D E,et al. Guidelines for automated preschool vision screening: A 10-year,evidence-based update[J]. Journal of Aapos the Official Publication of the American Association for Pediatric Ophthalmology & Strabismus,2013,17(1):4-8.
[7]	Borchert M S,Varma R,Cotter S A,et al. Risk factors for hyperopia and myopia in preschool children the multi-ethnic pediatric eye disease and Baltimore pediatric eye disease studies[J]. Ophthalmology,2011,118(10):1966-1973. doi: 10.1016/j.ophtha.2011.06.030
[8]	潘攀,罗仁南. 0~3岁婴幼儿视力异常现况调查及影响因素分析[J]. 健康研究,2020,40(2):181-183.
[9]	中华预防医学会公共卫生眼科分会. 中国学龄儿童眼球远视储备,眼轴长度,角膜曲率参考区间及相关遗传因素专家共识(2022年)[J]. 中华眼科杂志,2022,58(2):96-102.
[10]	Yahya A N,Sharanjeet-Kaur S,Akhir S M. Distribution of refractive errors among healthy infants and young children between the age of 6 to 36 months in Kuala Lumpur,malaysia—a pilot study[J]. International Journal of Environmental Research and Public Health,2019,16(23):4730. doi: 10.3390/ijerph16234730
[11]	胡毅倩. 婴幼儿148只眼角膜曲率分析[J]. 中国实用眼科杂志,2016,34(9):949-952. doi: 10.3760/cma.j.issn.1006-4443.2016.09.009
[12]	Jong M,Resnikoff S,Tan K O,等. 亚洲近视管理共识[J]. 中华眼视光学与视觉科学杂志,2022,24(3):161-169.
[13]	Wolffsohn J S,Flitcroft D I,Gifford K L,et al. IMI - Myopia control reports overview and introduction[J]. Invest Ophthalmol Vis Sci,2019,3:M1-M19.
[14]	Hwang H S,Chun M Y,Kim J S,et al. Risk factors for high myopia in Koreans: The Korea National Health and Nutrition Examination Survey[J]. Current Eye Research,2018,43(8):1052-1060. doi: 10.1080/02713683.2018.1472286
[15]	朱欢欢,靳泳,田小磊. 天津市红桥区学龄前儿童屈光状态调查及相关因素分析[J]. 齐齐哈尔医学院学报,2022,43(19):1874-1878.
[16]	He M,Xiang F,Zeng Y,et al. Effect of time spent outdoors at school on the development of myopia among children in China: A randomized clinical trail[J]. JAMA,2015,314(11):1142-1148. doi: 10.1001/jama.2015.10803

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