Abstract：【Objective】To investigate and analyze the incidence of amblyopia in preschool children in Guilin City, and provide local epidemiological data for the prevention and treatment of children's amblyopia.【Methods】A total of 3014 preschool children from 22 kindergartens in Guilin city were examined for eyesight, refraction and eye position. Through statistical analysis, the prevalence rate of low vision and amblyopia in different age of groups and the distribution proportion of different types of amblyopia were investigated.【Results】Among the 3014 children, 362 (12.01%) were found to have low visual acuity; the incidence of amblyopia was 2.39%. There was no significant difference in the incidence of low visual acuity and amblyopia between the different genders (P>0.05). The type of amblyopia with ametropia accounted for 86.11%, the degree of amblyopia with moderate amblyopia accounted for 72.22%, and the main types of distal optic refractive errors accounted for 62.90%. The degree of amblyopia in children with different amblyopia and the degree of amblyopia in children with different types of ametropia were not statistically significant (P>0.05). The incidence of poor eyesight in children aged 3~4 years old, and 6~7 years old were higher than the other age groups. The difference is statistically significant (P<0.05). There is no significant difference in incidence of amblyopia among children of different ages (P>0.05). There is a statistically significant difference in the incidence of amblyopia between children of different ages (P<0.05).【Conclusion】The incidence and misdiagnosis rate of amblyopia in preschool children in the urban area of Guilin are relatively high. Strengthening children's eye care and emphasizing regular visual screening are the key to early prevention, early detection and early treatment of amblyopia.
伍雪云,钱锦芳,黎冬梅. 桂林市城区学龄前儿童弱视调查分析[J]. 医学临床研究, 2018, 35(4): 635-637,641.
WU Xue-yun, QIAN Jin-fang, LI Dong-mei. A Survey of Amblyopia of Preschool Children in Guilin City. JOURNAL OF CLINICAL RESEARCH, 2018, 35(4): 635-637,641.
[1] Birch EE,Li SL,Jost RM,et al.Binocular iPad treatment for amblyopia in preschool children[J].JAAPOS,2015,19(1):6-11. [2] Mori T.Subfoveal choroidal thickness and axial length in preschool children with hyperopic anisometropic amblyopia[J].Cur Eye Res,2015,40(9):954-961. [3] 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. [4] Chen X,Fu Z,Yu J,et al.Prevalence of amblyopia and strabismus in Eastern China:results from screening of preschool children aged 36~72 months[J].Br J Ophthalmol,2016,100(4):515-519. [5] Xiao O,Morgan IG,Ellwein LB,et al.Prevalence of amblyopia in school-aged children and variations by age,gender,and ethnicity in a multi-country refractive error study[J].Ophthalmology,2015,122(9):1924-1931. [6] 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. [7] 钱锦芳,伍雪云,黎冬梅.学龄前儿童弱视筛查情况及Titmus立体视图法在筛查中的应用价值[J].广西医学,2017,39(7):974-976. [8] Suh DW,Kulp MT,Dean TW,et al.Clinical factors associated with moderate hyperopia in preschool children with normal stereopsis and visual acuity[J].JAAPOS,2016,20(5):455-457. [9] Pan CW,Zhu H,Yu JJ,et al.Epidemiology of intermittent exotropia in preschool children in China[J].Optom Vis Sci,2016,93(1):57-62. [10] 何炯,罗晓燕,李艽.成都市学龄前儿童弱视状况调查报告[J].国际眼科杂志,2017,17(2):317-319.[11] Solebo AL,Cumberland PM,Rahi JS.Whole-population vision screening in children aged 4-5 years to detect amblyopia[J].Lancet,2015,385(9984):2308-2319. [12] Varma R,Tarczy-Hornoch K,Jiang X.Visual impairment in preschool children in the United States:demographic and geographic variations from 2015 to 2060[J].JAMA Ophthalmol,2017,135(6):610-616. [13] 许亚萍,陈怀红,许小翔.学龄前儿童弱视危险因素分析[J].浙江预防医学,2016,28(9):955-956. [14] Jonas DE,Amick HR,Wallace IF,et al.Vision screening in children aged 6 months to 5 years:evidence report and systematic review for the US Preventive Services Task Force[J].JAMA,2017,318(9):845-858. [15] 尤媛.杭州市下城区学龄前儿童视力及屈光状态调查[J].中国妇幼保健,2016,31(17):3595-3596. [16] Cotter SA,Cyert LA,Miller JM,et al.Vision screening for children 36 to< 72 months:recommended practices[J].Optom Vis Sci,2015,92(1):6. [17] 张春玲,黄永权,师利农,等.中山市学龄前儿童斜视和弱视调查研究[J].国际眼科杂志,2017,17(5):944-946. [18] Elflein HM,Fresenius S,Lamparter J,et al.The prevalence of amblyopia in Germany:data from the prospective,population-based gutenberg health study[J].Dtsch Arztebl Int,2015,112(19):338.
2018, Vol. 35 
