Objective To explore the relative contribution of refractive status and stereopsis in a school population and to determine the associations between refractive status and stereoacuity, age, and axial length. Methods Subject data were sampled from the materials of a population-based cluster sampling of children in 8 primary schools in Shanghai in this cross-sectional investigation. According to the standards established for this study, a table was created based on a questionnaire and the examination of vision, stereopsis and axial length of the subjects. SPSS 20 software was used to analyze the data for the different ages (6, 7, 8, 9 and 10 years of age) and refractive status (emmtropia, mild myopia, severe myopia, mild hyperopia and severe hyperopia). A χ² test was used to compare groups. An ANOVA was used to compare the normal distribution measurement data among groups. For non-normal distributions data, nonparametric tests were used throughout. Results ①The trend for the incidence of myopia increased and for the incidence of hyperopia decreased with an increase in age. There was a positive correlation between the prevalence of myopia and increased age (r=0.427, P<0.01), and a negative correlation between the prevalence of hyperopia and increased age (r=0.269, P<0.01). There was a significant difference in stereopsis with normal uncorrected vision (Kruskal Wallis, χ²=88.867, P<0.01). There was a statistically significant difference in stereopsis between ages 6 and 7 (Kolmogorov-Smirnov, Z=2.584, P<0.01), but no difference between ages 7 and 8, 8 and 9, and 9 and 10 (P>0.05). The difference in the detection rate of anomalous stereopsis was statistically significant for different refractive states (χ²=57.294, P<0.01). Stereoacuity also differed significantly among different refractive groups (Kruskal Wallis, χ²=67.428, P<0.01). The differences were statistically significant between severe hyperopia (Z=2.584, P<0.01), severe myopia (Z=2.138, P<0.01), and mild hyperopia (Z=1.819, P<0.01) and normal groups respectively. The mean value of axial length gradually increased with an increase in age and the differences were significant among age groups (F=115.248, P<0.01). The differences were significant when all age groups were compared to each other (P<0.01). Conclusion ①The results suggest that the prevalence of myopia increases with age, but the prevalence of hyperopia decreases with age in school-aged children. The eye in school-aged children goes from farsightedness to myopia. ②Stereopsis reaches maturity at 7 to 8 years of age. ③Mild and severe hypermetropia obviously influenced the development and establishment of stereopsis. ④The mean axial length of the eye gradually increased with age.
关小一,袁艳,范先群,等. 上海市学龄儿童屈光与立体视锐度的调查. 中华眼视光学与视觉科学杂志, 2014, 16(3):132-136. DOI:10.3760/cma.j.issn.1674-845X.2014.03.002.
Guan Xiaoyi,Yuan Yan,Fan Xianqun,et al. A survey of refractive status and stereopsis in school-aged children in the city of Shanghai. Chinese Journal of Optometry Ophthalmology and Visual Science, 2014, 16(3):132-136.
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