Volume 42 Issue 6
Jun.  2021
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ZHU Tianzhu, YUAN Ye, ZHOU Zhihui, HUANG Li, SHEN Huihua, QU Xiaomeng, CHI Sihan. Longitudinal analysis of myopia and refractive errors screening results in adolescents in a community in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(6): 931-934. doi: 10.16835/j.cnki.1000-9817.2021.06.032
Citation: ZHU Tianzhu, YUAN Ye, ZHOU Zhihui, HUANG Li, SHEN Huihua, QU Xiaomeng, CHI Sihan. Longitudinal analysis of myopia and refractive errors screening results in adolescents in a community in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(6): 931-934. doi: 10.16835/j.cnki.1000-9817.2021.06.032

Longitudinal analysis of myopia and refractive errors screening results in adolescents in a community in Shanghai

doi: 10.16835/j.cnki.1000-9817.2021.06.032
  • Received Date: 2020-12-28
  • Rev Recd Date: 2021-01-08
  • Available Online: 2021-06-22
  • Publish Date: 2021-06-25
  •   Objective  To understand the longitudinal changes of refractive errors in adolescent myopia screening in the suburb of Shanghai, and to provide reference for targeted measures of myopia prevention and intervention.  Methods  By using the cluster sampling method, 1 346 students were selected from two primary schools in a town in the suburb of Shanghai. Physical development indicators and refractive examination parameters of non-ciliary muscle paralysis, and uncorrected visual acuity in 2017 and 2020 were collected from the Shanghai adolescent refractive development file. Longitudinal change of spherical equivalent (SE) refractive were assessed. A linear regression model was used to examine the relationship between the rate of SE change with characteristics of the students.  Results  The average annual incidence of myopia was 16.36%, and the SE degrees of the left and right eyes of myopia students decreased by 225 degrees for three years. Girls (right eye Z=-4.33; left eye Z=-3.75, P < 0.01), newly-onset myopia and persistent myopia (right eye Z=634.45; left eye Z=638.85, P < 0.01) was a key for the rapid progress of refractive power.  Conclusion  The proportion of students with severe low vision is relatively high, and the apparent shifts toward more hyperopia in myopia students call for effective prevention and control programs based on changes in refractive to slow the progression of adolescent myopia.
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