学龄儿童近视的预防与控制

doi:10.3760/cma.j.cn115909-20190322-00091

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Abstract A younger age of myopia onset and a faster development of myopia may indicate an increase in the likelihood of myopia, as well as an increased likelihood of low vision and blindness caused by high myopia. The prevalence of high myopia, which is caused by myopia acquired in school-age children that gradually worsens, will affect people's work, study and daily life. As a result, the high incidence of myopia in school-age children is not only a public health problem but also increases social and economic burdens in the long run. The prevalence of myopia in China is about 47%, which shows that myopia has become a national disease in China. The harm caused by myopia in school-age children in China is enormous. In recent years, the prevention and treatment of myopia in school-age children has become a research hotspot. This paper summarizes the prevention and treatment measures of myopia in school-age children in order to provide new clues for preventing and treating myopia in this population.

Key words： myopia school-age children prevention control

Received: 22 March 2019

Corresponding Authors: Hu Liu, Department of Ophthalmology, the First Affiliated Hospital with Nanjing Medical Universtity, Najing 210029, China (Email: liuhu66@163.com)

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https://www.cjoovs.com/EN/10.3760/cma.j.cn115909-20190322-00091 OR https://www.cjoovs.com/EN/Y2020/V22/I7/555

[1]	李丽红, 刘虎, 钱犁, 等. 儿童眼病筛查. 北京: 科学出版社, 2011.
[2]	Joint World Health Organization-Brien Holden Vision Institute Global Scientific Meeting on Myopia, Mariotti SP, Kocur I, et al. The impact of myopia and high myopia. World Health Organization, 2015. http://www.who.int/blindness/causes/ Myopia Report for Web.pdf.
[3]	Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology, 2016, 123(5): 1036-1042. DOI: 10.1016/ j.ophtha.2016.01.006.
[4]	Xu L, Wang Y, Li Y, et al. Causes of blindness and visual impairment in urban and rural areas in Beijing: The Beijing Eye Study. Ophthalmology, 2006, 113(7): 1134.el-11. DOI: 10.1016/ j.ophtha.2006.01.035.
[5]	Liang YB, Friedman DS, Wong TY, et al. Prevalence and causes of low vision and blindness in a rural Chinese adult population: The Handan Eye Study. Ophthalmology, 2008, 115(11): 1965- 1972. DOI: 10.1016/j.ophtha.2008.05.030.
[6]	李玲. 国民视觉健康报告. 北京: 北京大学出版社, 2016: 48- 54.
[7]	He M, Huang W, Zheng Y, et al. Refractive error and visual impairment in school children in rural southern China. Ophthalmology, 2007, 114(2): 374-82. DOI: 10.1016/ j.ophtha.2006.08.020.
[8]	Li Y, Liu J, Qi P. The increasing prevalence of myopia in junior high school students in the Haidian District of Beijing, China: A 10-year population-based survey. BMC Ophthalmol, 2017, 17(1): 88. DOI: 10.1186/s12886-017-0483-6.
[9]	王文吉. 病理性近视黄斑病变的诊治. 眼科, 2006, 15(4): 220- 222. DOI: 10.3969/j.issn.1004-4469.2006.04.002.
[10]	Smith TST, Frick KD, Holden BA, et al. Potential lost productivity resulting from the global burden of uncorrected refractive error. Bull World Health Organ, 2009, 87(6): 431-437. DOI: 10.1590/S0042-96862009000600011.
[11]	马成, 李晓英, 黄洁成, 等. 野战部队20 320名新兵眼部疾病复检分析. 临床军医杂志, 2008, 36(4): 631-632.
[12]	肖建和, 蒋华, 李世洋, 等. 激光角膜屈光手术后应征入伍者眼部情况调查及体检标准探讨. 中华眼视光学与视觉科学杂志, 2015, 17(7): 407-410. DOI: 10.3760/cma.j.issn.1674- 845X.2015.07.006.
[13]	马成, 黄洁成, 李晓英, 等. 战士近视矫正术后眼部疾病调查. 临床军医杂志, 2008, 36(4): 633-635. DOI: 10.1016/ j.survophthal.2004.02.007.
[14]	Marumoto T, Sotoyama M, Villanueva M BG, et al. Significant correlation between school myopia and postural parameters of students while studying. Int J Ind Ergon, 1999, 23(1): 33-39. DOI: 10.1016/S0169-8141(97)00098-X.
[15]	郑荣领, 雷士光. 学生近视的防治. 中国学校卫生, 2003, 24(1):92-94.
[16]	Morgan IG, Ohno-Matsui K, Saw S. Myopia. Lancet, 2012, 379(9827): 1739-1748. DOI: 10.1016/S0140-6736(12)60272-4.
[17]	李有强. 体育活动促进背景下“眼保健操”政策及其实施效果的回顾与展望. 中华眼视光学与视觉科学杂志, 2018, 20(11): 700-704. DOI: 10.3760/cma.j.issn.1674-845X.2018.11. 012.
[18]	Loren Cordain, S. Boyd Eaton, Jennie Brand, et al. An evolutionary analysis of the aetiology and pathogenesis of juvenile-onset myopia. Acta Ophthalmologica Scandinavica, 2002, 80(2): 125-135. DOI: 10.1034/j.1600-0420.2002.800203. x.
[19]	张靖东, 张冬梅. 双星明不同时间滴眼预防小学生近视的观察. 安徽医药, 2004, 8(1): 34. DOI: 10.3969/j.issn.1009-6469. 2004.01.016.
[20]	王慧杰. 阿托品和山莨菪碱滴眼液治疗青少年假性近视的疗效比较. 国际眼科杂志, 2017, 17(3): 519-521. DOI: 10.3980/ j.issn.1672-5123.2017.3.33.
[21]	Barathi VA, Weon SR, Beuerman RW. Expression of muscarinic receptors in human and mouse sclera and their role in the regulation of scleral fibroblasts proliferation. Mol Vis, 2009,15: 1277-1293.
[22]	曾彩琼, 周炼红, 张鹏, 等. 湖北省一至三年级小学生近视眼现况调查. 中华眼科杂志, 2018, 54(10): 756-761. DOI: 10.3760/cma.j.issn.0412-4081.2018.10.007.
[23]	Huang J, Wen D, Wang Q, et al. Efficacy comparison of 16 interventions for myopia control in children: A network metaanalysis. Ophthalmology，2016, 123: 697-708. DOI: 10.1016/ j.ophtha.2015.11.010.
[24]	Frederick Mitchelson. Muscarinic receptor agonists and antagonists:effects on ocular function. Handb Exp Pharmacol, 2012, 208: 263-298. DOI: 10.1007/978-3-642-23274-9_12.
[25]	陈辉. 毒蕈碱拮抗剂减缓近视发展的研究进展. 中华实验眼科杂志, 2017, 35(6): 556-560. DOI: 10.3760/cma.j.issn.2095- 0160.2017.06.015.
[26]	孙文峰, 杨景雷, 周翔天. 多巴胺在近视形成中作用的研究进展. 中华眼视光学与视觉科学杂志, 2015, 17(6): 377-380. DOI: 10.3760/cma.j.issn.1674-845X.2015.06.015.
[27]	杨丹, 祝颖, 谷天瀑, 魏瑞华. 7-甲基黄嘌呤为近视防控新发现. 中国实用眼科杂志, 2017, 35(5): 453-455. DOI: 10.3760/ cma.j.issn.1006-4443.2017.05.002.
[28]	Zhong-Wei Xu, Xi Chen, Xiao-Han Jin, et al. SILAC-based proteomic analysis reveals that salidroside antagonizes cobalt chloride-induced hypoxic effects by restoring the tricarboxylic acid cycle in cardiomyocytes. J Proteomics, 2016, 130: 211-220. DOI: 10.1016/j.jprot.2015.09.028.
[29]	Jianming Wu, Xiao Ke, Na Ma, et al. Formononetin, an active compound of Astragalus membranaceus (Fisch) Bunge, inhibits hypoxia-induced retinal neovascularization via the HIF-1alpha/ VEGF signaling pathway. Drug Des Dev Ther, 2016, 10: 3071- 3081. DOI: 10.2147/DDDT.S114022.
[30]	Hao Wu, Wei Chen, Fei Zhao, et al. Scleral hypoxia is a target for myopia control. Proc Natl Acad Sci USA, 2018, 115(30): E7091-e7100. DOI: 10.1073/pnas.1721443115.
[31]	Chung K, Mohidin N, O'Leary DJ. Undercorrection of myopia enhances rather than inhibits myopia progression. Vision Res, 2002, 42(22): 2555-2559. DOI: 10.1016/S0042-6989(02)00258- 4.
[32]	Adler D, Millodot M. The possible effect of undercorrection on myopic progression in children. Clin Exp Optom，2006, 89(5): 315-321. DOI: 10.1111/j.1444-0938.2006.00055.x.
[33]	郭长锋, 施维. 儿童近视戴镜后复诊依从性对近视度数增加影响. 中国实用眼科杂志, 2017, 35(5): 468-471. DOI: 10.3760/ cma.j.issn.1006-4443.2017.05.006.
[34]	朱梦钧, 朱剑锋. 学龄儿童近视防治新进展. 上海医药, 2012, 33(10): 7-10. DOI: 10.3969/j.issn.1006-1533.2012.10.003.
[35]	Yu X, Bao J, Drobe B, et al. Comparison of two prescription methods of personalized addition values for myopic children. Optom Vis Sci, 2016, 93(1): 27-35. DOI: 10.1097/OPX.0000000000000747.
[36]	Yu X, Zhang B, Bao J, et al. Design, methodology, and baseline data of the Personalized Addition Lenses Clinical Trial (PACT). Medicine (Baltimore), 2017, 96(11): e6069. DOI: 10.1097/ MD.0000000000006069.
[37]	Yang Z, Lan W, Ge J, et al. The effectiveness of progressive addition lenses on the progression of myopia in Chinese children. Ophthalmic Physiol Opt, 2009, 29(1): 41-48. DOI: 10.1111/j.1475-1313.2008.00608.x.
[38]	Walline JJ, Mutti DO, Jones LA, et al. The contact lens and myopia progression (CLAMP) study: Design and baseline data. Optom Vis Sci, 2001, 78(4): 223-233. DOI: 10.1097/00006324- 200104000-00011.
[39]	Walline JJ, Greiner KL, ME McVey, et al. Multifocal contact lens myopia control. Optom Vis Sci, 2013, 90(11): 1207-1214. DOI: 10.1097/OPX.0000000000000036.
[40]	肖志刚, 邓姿峰. 角膜塑形镜对青少年儿童近视的矫正效果及对角膜形态和屈光度的影响. 国际眼科杂志, 2018, 18(10): 1934-1936. DOI: 10.3980/j.issn.1672-5123.2018.10.45.
[41]	郑杰, 张钰, 陈跃国, 等. 基线近视屈光度对角膜塑形镜控制青少年儿童近视进展的影响. 中华眼视光学与视觉科学杂志, 2018, 20(10): 582-587. DOI: 10.3760/cma.j.issn.1674- 845X.2018.10.002.
[42]	Hiraoka T, Kakita T, Okamoto F, et al. Long-term effect of overnight orthokeratology on axial length elongation in childhood myopia: A 5 year follow-up study. Invest Ophthalmol Vis Sci, 2012, 53(7): 3913-3919. DOI: 10.1167/iovs.11-8453.
[43]	林思思, 陈镇国, 王建勇, 等. 角膜塑形术后光学治疗区大小及偏心对光学及视觉质量的影响. 中华眼视光学与视觉科学杂志, 2018, 20(9): 530-535. DOI: 10.3760/cma.j.issn.1674- 845X.2018.09.004.
[44]	Garcia MB, Jha AK, Healy KE, et al. A Bioengineering approach to myopia control tested in a guinea pig model. Invest Ophthalmol Vis Sci, 2017, 58(3): 1875-1886. DOI: 10.1167/ iovs.16-20694.
[45]	田甜, 朱煌. 巩膜细胞外基质在近视发生发展中的作用. 中华眼视光学与视觉科学杂志, 2016, 18(7): 443-445. DOI: 10.3760/ cma.j.issn.1674-845X.2016.07.015.
[46]	邢凯, 吴宁玲, 亢泽峰, 等. 高度近视眼巩膜细胞外基质中相关胶原分子机制的研究进展. 中华眼科医学杂志(电子版), 2018, 8(1): 44-48. DOI: 10.3877/cma.j.issn.2095-2007.2018.01. 007.
[47]	孙国荣, 陈忠飞, 石秋梅, 等. 青少年近视进展与双眼视功能缺损关系研究. 临床眼科杂志, 2018, 26(3): 259-261. DOI: 10.3969/j.issn.1006-8422.2018.03.020.

[1]

Chinese Optometric Association, Chinese Ophthalmological Society; Ophthalmology and Optometry Committee, Ophthalmologists Association, Chinese Doctor Association; et al. Expert Consensus on Multifocal Soft Contact Lens Fitting for Myopia Control (2023)[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2023, 25(8): 561-567.