Prevalence of Refractive Error and Visual Acuity Among School Children in the Plateau Region of Qinghai, China

作者：Qiuxin Wu, Qingmei Tian, Xiuyan Zhang, Jing Xu, Guodong Tang, Runkuan Li, Xiaoxiao Guo, Zongqing Xu, Jiaojiao Feng, Jike Song, Hongsheng Bi · 发表于：International Journal of General Medicine · 年份：2021 · DOI：10.2147/ijgm.s326046 · 被引用次数：15 · 研究领域：Ophthalmology and Visual Impairment Studies、Corneal surgery and disorders、Retinopathy of Prematurity Studies

PURPOSE: This study aimed to investigate the prevalence of refractive error and visual acuity among school children in the plateau region of Qinghai, China. METHODS: The school-based, cross-sectional study was performed in Menyuan, Qinghai, China. Three kindergartens and three primary schools were randomly enrolled from both rural areas and county towns. The participants had undergone ophthalmic examinations of the intraocular pressure (IOP), uncorrected visual acuity (UCVA), presenting visual acuity (PVA) and best corrected visual acuity (BCVA), cycloplegic refraction, and axial length (AL). Regression analysis was applied to investigate the potential risk factors affecting the prevalence of various refractive errors. RESULTS: A total of 3770 children were invited to participate, and 3524 (93.5%) had undergone examination. Among the 3524 children (51.8% boys) with a mean age of 8.3±2.3 years, 1049 (29.8%) had myopia, 30 (0.9%) had high myopia, 1692 (48.0%) had mild hyperopia, 152 (4.3%) had medium to marked hyperopia and 925 (26.2%) had astigmatism. The mean SER was -0.16±1.86 D and decreased with age. The AL increased with age from 21.80±0.59 mm at 4-years to 23.53±1.05 mm at 12-years. The myopia prevalence increased with age from 2.0% at 4 years to 62.8% at 12-years. Myopia was associated with increasing age, county town habitation and girls. Among the 723 participants with PVA 20/40 or worse in one eye, 564 (78.0%) were due to uncorrected refractive error, and 83 (22.0%) ...