The Impact of Parental Myopia and High Myopia on the Hyperopia Reserve of Preschool Children.

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Ophthalmic Research Pub Date : 2024-01-01 Epub Date: 2023-11-21 DOI:10.1159/000535193
Jianing Pu, Yuxin Fang, Zhen Zhou, Wei Chen, Jianping Hu, Shanshan Jin, Xinli Liu, Lihua Wang, Jingjing Feng, Huan Tong, Shanshan Xing, Yonghong Jiao
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引用次数: 0

Abstract

Introduction: The aim of this study was to explore the association between parental myopia and high myopia with children's refraction and ocular biometry in large-scale Chinese preschool children from the Beijing Hyperopia Reserve Study.

Subjects/methods: This cross-sectional kindergarten-based study enrolled children aged 3-6 years. Cycloplegic refraction, axial length (AL), and corneal radius (CR) were measured for all children. Parents were asked to complete a questionnaire about refractive status (no myopia, mild myopia <-3 D, moderate myopia ≥-3 D and ≤-6, and high myopia >-6 D).

Results: The study enrolled 2,053 children (1,069 boys and 984 girls), with a mean age of 4.26 ± 0.96 years and mean spherical equivalent refraction (SER) of 1.11 ± 0.97 diopter. Of the children, 90.7% had at least one myopic parent, and 511 children (24.9%) had at least one highly myopic parent. SER decreased significantly with increasing severity of parental myopia (p < 0.001). Preschool children's myopia was independently associated with parental myopia (OR, 10.4 and 11.5 for one and two highly myopic parent[s]). Age (OR = 1.1), gender (OR = 1.7; girls as references), near work time (OR = 1.2), and both maternal (OR, 1.4 and 2.0 for moderate and high myopia) and paternal myopia (OR, 1.6 and 1.9 for moderate and high myopia) were independent risk factors for lacking hyperopia reserve.

Conclusion: Severe parental myopia was associated with a lower SER, longer AL, and higher AL/CR ratio in preschool children. Parental myopia and near work may predispose children to faster elimination of hyperopia reserves before exposure to higher educational stress.

父母近视和高度近视对学龄前儿童远视储备的影响。
摘要:本研究旨在通过北京远视储备研究,探讨父母近视和高度近视与儿童屈光和眼部生物特征的关系。对象/方法:本研究以幼儿园为基础,以3-6岁儿童为研究对象。测量所有儿童的睫状体麻痹性屈光、眼轴长度(AL)和角膜半径(CR)。家长被要求填写一份关于屈光状态的问卷(非近视,轻度近视-6D)。结果:共纳入2053例儿童,其中男孩1069例,女孩984例,平均年龄4.26±0.96岁,平均球等效屈光度(SER)为1.11±0.97屈光度。90.7%的儿童至少有一位父母近视,511名儿童(24.9%)至少有一位父母高度近视。结论:学龄前儿童SER降低、AL延长、AL/CR比值升高与父母近视严重程度的增加有关。父母近视和近距离工作可能使孩子在接受更高的教育压力之前更快地消除远视储备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Ophthalmic Research
Ophthalmic Research 医学-眼科学
CiteScore
3.80
自引率
4.80%
发文量
75
审稿时长
6-12 weeks
期刊介绍: ''Ophthalmic Research'' features original papers and reviews reporting on translational and clinical studies. Authors from throughout the world cover research topics on every field in connection with physical, physiologic, pharmacological, biochemical and molecular biological aspects of ophthalmology. This journal also aims to provide a record of international clinical research for both researchers and clinicians in ophthalmology. Finally, the transfer of information from fundamental research to clinical research and clinical practice is particularly welcome.
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