学龄前儿童视力及Spot筛查仪屈光筛查结果分析

doi:10.3760/cma.j.cn115909-20200303-00062

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Abstract Objective: To investigate visual acuity in preschoolers and the application value of refractive screening with the Spot Vision Screener. Methods: In this cross-sectional study, 5 866 preschool children in the Haidian District of Beijing were selected for noncycloplegic visual and refractive examinations. The visual acuity distribution was analyzed by the likelihood-ratio Chi-square test. The refractive results of children with normal vision were tested by a rank sum test. The Kruskal-Wallis H test was used to analyze the differences in refractive values and anisometropia for different age groups. A two-way comparison between any two groups was performed using a Wilcoxon rank test. Medians (Q1, Q3) were used to describe the distribution characteristics of each refraction and anisometropia. The cut-off points for refractive screenings were calculated by percentiles. Results: The respective incidences of visual abnormalities were 4.25% and 17.29% based on the two methods. The differences between different age groups were statistically significant (P<0.05). The differences in spherical values, cylindrical values and spherical anisometropia values in children with normal vision were statistically significant among different age groups (P<0.05). Hyperopia and astigmatism values decreased as age increased. The values of spherical equivalent (SE), cylindrical anisometropia and SE variability were not statistically significant among different age groups (P>0.05). P2.5 and P97.5 of the spherical value and SE were 0 D, +1.50 D, -0.25 D, and +1.00 D, respectively. P5 for the cylinder value was -1.25 D. P95 for spherical and cylindrical anisometropia was 0.75 D. Conclusions: The Spot Vision Screener is considered a useful device in large-scale refractive screening work with children. The cut-off points of refractive screening and visual acuity can be used for referral.

Key words： children preschool visual acuity refraction diopter

Received: 03 March 2020

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Corresponding Authors: Jingjing Feng, Department of Ophthalmology, Haidian Maternal and Child Care Health Hospital, Beijing 100080,China (Email: jing1980jing@126.com)

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https://www.cjoovs.com/EN/ 10.3760/cma.j.cn115909-20200303-00062 OR https://www.cjoovs.com/EN/Y2020/V22/I11/852

[1]	Ransbarger KM, Dunbar JA, Choi SE, et al. Results of a community vision-screening program using the Spot photoscreener. JAAPOS, 2013, 17: 516-520. DOI: 10.1016/j.jaapos.2013.06.013.
[2]	Freedman H, Fundora A, Baker J, et al. Amblyopia elimination project: Pediatric medical home-based community vision screening. JAAPOS, 2019, 56(3): 146-150. DOI: 10.3928/01913913- 20190308-01.
[3]	余继锋, 李莉, 褚慧慧, 等. Spot Vision Screener视力筛查仪在儿童视力筛查中的应用分析. 国际眼科杂志, 2015, 15(7): 1285-1286. DOI: 10.3980/j.issn.1672-5123.2015.7.51.
[4]	中华医学会眼科学分会斜视与小儿眼科学组. 弱视诊断专家共识. 中华眼科杂志, 2011, 47(8): 768. DOI: 10.3760/cma. j.issn.0412-4081.2011.08.027.
[5]	汪芳润. 儿童视光学问题讨论. 中国斜视与小儿眼科杂志, 2002, 10(4): 189-190. DOI:10.3969/j.issn.1005-328X.2002.04. 023.
[6]	任婉娜, 张文芳, 孙一岚, 等. 甘肃省兰州市城关区学龄前儿童视力与屈光状态调查. 中华眼视光学与视觉科学杂志, 2014, 16(3): 143-146. DOI: 10.3760/cma.j.issn.1674- 845X.2014.03.004.
[7]	Garry GA, Donahue SP. Validation of Spot screening device for amblyopia risk factors. JAAPOS, 2014, 18(5): 476-480. DOI: 10.1016/j.jaapos.2014.07.156.
[8]	Peterseim MM, Papa CE, Wilson ME, et al. The effectiveness of the Spot Vision Screener in detecting amblyopia risk factors. JAAPOS, 2014, 18(6): 539-542. DOI: 10.1016/j.jaapos.2014.07. 176.
[9]	Mendez MA, Arguello L, Martinez J, et al. Evaluation of the Spot Vision Screener in young children in Costa Rica. JAAPOS, 2015, 19(5): 441-444. DOI: 10.1016/j.jaapos.2015.08.002.
[10]	孙丽颖, 丁刚, 李雪, 等. Spot视觉筛查仪在学龄前儿童屈光筛查中的应用. 中华眼视光学与视觉科学杂志, 2016, 18(8): 469-472. DOI: 10.3760/cma.j.issn.1674-845X.2016.08.005.
[11]	Mu Y, Bi H, Ekure E, et al. Performance of Spot Photoscreener in detecting amblyopia risk factors in Chinese pre-school and school age children Attending an Eye Clinic. PLos One, 2016, 11(2): e0149561.
[12]	王小娟, 王倩, 曹蔚风, 等. Spot双目视力筛查仪在非近视儿童中的应用. 中国斜视与小儿眼科杂志, 2016, 24(4): 16-18. DOI: 10.3969/J.ISSN.1005-328X.2016.04.005.
[13]	陈巍, 李晓慧, 曲冬懿, 等. 学龄前儿童弱视筛查标准研究. 中华眼视光学与视觉科学杂志, 2014, 16(11): 682-687. DOI: 10.3760/cma.j.issn.1674-845X.2014.11.011.
[14]	Srinivasan G, Russo D, Taylor C, et al. Validity of the Spot Vision Screener in detecting vision disorders in children 6 months to 36 months of age. J AAPOS, 2019, 23(5): 278.e1-e6. DOI: 10.1016/j.jaapos.2019.06.008.
[15]	Barugel R, Touhami S, Samama S, et al. Evaluation of the Spot Vision Screener for children with limited access to ocular health care. JAAPOS, 2019, 23(3): 153.e1-e5. DOI: 10.1016/ j.jaapos.2018.09.012.
[16]	吴广强, 魏宁, 吴兴香, 等. 6月龄～6岁儿童屈光筛查界值点的研究. 中国儿童保健杂志, 2019, 27(12): 1365-1367. DOI: 10.11852/zgetbjzz2019-0351.

[1]	. [J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2023, 25(8): 0-.