: Objectives To analyze the outcome of Welch Allyn spot VS100 in testing for children aged 6 months to 6 years,and to determine the cut-off point of each age group. Methods Totally 15 342 children aged 6 months to 6 years were enrolled in this study from March to September in 2018 and conducted refractive screening by Spot VS100.Statistical descriptions and analysis were conducted by age to determine the cut-off points for each group. Results The x-±2s of spherical equivalent and P95 of cylinder in 6 to 12-month-old children,1 to 3-year-old children and 3 to 6-year-old children were -1.50 D —+2.00 D,2.75 D;-1.25 D —+1.75 D,2.00 D;and -0.75 D —+1.25 D,1.25 D,respectively.The absolute value of cylinder gradually decreased with increasing age (H=739.449,P＜0.059),while the constituent ratio of emmetropia increased with the increasing age of children(χ2=585.048,P＜0.01). Conclusions The results of refractive screening for children aged 6 months to 6 years should be judged according to their age.Children wih spherical equivalent deviating out of x-±2s and cylinder deviating over P95 should be seen as high-risk of amblyopia and be given further examinations.
Key words
refraction screening /
cut-off point /
children
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References
[1] 国家卫生和计划生育委员会.儿童眼及视力保健技术规范[S].2013.
[2] 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[J].中华眼视光学与视觉科学杂志,2016,18(8):469-472.
[3] 国家卫生健康委.儿童青少年近视筛查规范[S].2018.
[4] 李翯,李仕明,刘洛如,等.河南安阳初中学生眼屈光度及生物学参数分布[J].中华医学杂志,2014,94(17):1284-1288.
[5] 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(2011年)[J].中华眼科杂志,2011,47(8):768-768.
[6] 马文豪,略秀勤.5716名学龄前儿童弱视情况调查分析[J].中国妇幼保健,2015,30(33):5862-5863.
[7] Arana MM,Arguello L,Martinez J,et al.Evaluation of the Spot Vision Screener in young children in Costa Rica[J].JAAPOS,2015,19(5):441-444.
[8] Matta NS,Singman EL,Silbert DI.Performance of the plusoptiX S04 photoscreener for the detection of amblyopia risk factors in children aged 3 to 5[J].JAAPOS,2010,14(2):147-149.
[9] 李谐,邹海东,何鲜桂,等.SureSight手持验光仪在3～6岁儿童屈光不正筛查中的应用[J].中华眼视光学与视觉科学杂志,2015,7(2):99-102.
[10] 宋生芳,项道满,胡兰香,等.Welch Allyn Suresight 1和2视力筛查仪与Topcon电脑验光仪及视网膜检影屈光检查结果对照研究[J].中国实用眼科杂志,2016,34(3):210-215.
[11] 何炯.Suresight视力筛查仪检查学龄前儿童屈光标准[J].中国妇幼保健,2017,32(13):2930-2932.
[12] Yan XR,Jiao WZ,Li ZW,et al.Performance of the plusoptix A09 photoscreener in detecting amblyopia risk factors in chinese children attending an eye clinic[J].PLoS One,2015,10(6):e0126052.
[13] Forcina BD,Peterseim MM,Wilson ME,et al.Performance of the Spot vision screener in children younger than three years-of-age[J].Am J Ophthalmol,2017,178:79-83.
[14] 中华医学会眼科学分会防盲和流行病学组.我国几种常见眼病的现场流行病学研究方法学标准专家共识(2016年)[J].中华眼科杂志,2016,52(11):805.
[15] 王小娟,刘丹,李甦雁,等.学龄前儿童眼部生物学参数及其与屈光状态的相关性研究[J].中国实用眼科杂志,2012,30(1):44-47.
[16] 唐业卫,丘小霞,林逾峰,等.6月～2岁婴幼儿屈光发育监测研究[J].中国妇幼保健,2009,24(22):3089-3093.
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