学龄前儿童屈光及远视力检查对早期发现弱视的作用

Effects of Screening Optometry and Eyesight Test on Early Finding Amblyopia Among Preschool Children

目的探索尽早发现学龄前儿童弱视的最佳检查方法,以保护儿童视力。方法对4308名学龄前儿童筛查眼屈光及远视力,异常可疑者转眼科诊断,并对诊断结果进行相关分析。结果4308名学龄前儿童8616眼中,远视力异常247眼(3.80%),屈光筛查异常626眼(7.27%),最终确诊弱视266眼(3.09%)。不同年龄儿童弱视检出率差异有统计学意义(P<0.01)。屈光筛查及远视力检测弱视的灵敏度分别为98.12%,89.10%,特异度分别为95.69%,99.88%。结论利用屈光筛查有利于及早检测弱视,而且其灵敏度高于远视力检测。

Objective To explore the examination way to early finding amblyopia in preschool children, and to protect children＇ s eyesight. Methods A total of 4 308 preschool children received optometry and eyesight test. The skeptical eases were sent to the department of ophthalmology for further diagnosis. Results Among 4 308 preschool children （8 616 eyes）, 247 eyes（3.80% ）had abnormal vldon acuity and 626 eyes（7.27% ） were ametropia. Finally, 266 eyes（3.09% ） were diagiaosed as amblyopia. Statistical significance was found in the prevalence of amblyopia among children of different ages（ P 〈 0. 01）. Visual acuity was 98.12% fnr optometry screening and 89.10% for eyesight test. The specificities of them were 95.69% and 99.88 % respectively. Conclusion Optometry screening can find out amblyopia in early time, and ils acuity is higher than eyesight test.