Status of Visual Impairment among Children with Special Needs in Rural China.

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Ophthalmic Research Pub Date : 2023-01-01 Epub Date: 2022-08-15 DOI:10.1159/000526494
Jiali Wu, Jieqiong Chen, Ruyi Zhao, Lan Zeng, Tong Li, Wenqiu Wang, Huixun Jia, Fenghua Wang, Hong Zhu, Wei Tan, Xiaodong Sun
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Abstract

Introduction: Previous studies have reported a high prevalence of visual defects in children with special needs. However, routine ocular examinations for these children in rural areas of China are lacking. This study aimed to evaluate the status of visual impairment (VI) in children at special education schools in rural China.

Methods: A total of 316 students from two special schools in Zunyi city, Guizhou province, were enrolled. Full ophthalmic examinations were performed, and gene-sequencing services were offered to potential patients.

Results: The mean age of the 316 participants was 12.27 ± 3.49 years and 75 showed abnormal ophthalmic manifestations on slit-lamp examination. Visual acuity (VA) was assessed in 232 eyes, and the mean VA (logarithm of the minimum angle of resolution, logMAR) was 0.27 ± 0.34. Whole-exome sequencing identified 19 mutations in these children, which might explain their visual complaints. Children with Down syndrome had a significantly higher prevalence of ocular disorders than those without.

Conclusion: VI is common among children at special education schools in rural areas; however, routine screening and effective interventions have not been consistently implemented. Efforts should be made to address this issue in these already disadvantaged children.

中国农村特殊需要儿童的视力障碍状况。
简介以往的研究报告显示,有特殊需要的儿童视力缺陷发生率很高。然而,中国农村地区缺乏对这些儿童的常规眼部检查。本研究旨在评估中国农村特殊教育学校儿童视力障碍(VI)的状况:方法:研究对象为贵州省遵义市两所特殊教育学校的 316 名学生。结果:316 名受试者的平均年龄为 24 岁:316名参与者的平均年龄为(12.27 ± 3.49)岁,其中75人在裂隙灯检查中出现眼部异常表现。对232只眼睛的视力(VA)进行了评估,平均视力(最小分辨角对数,logMAR)为0.27±0.34。全基因组测序在这些儿童中发现了 19 种突变,这可能是他们视力问题的原因。患有唐氏综合征的儿童患眼部疾病的比例明显高于无唐氏综合征的儿童:农村地区特殊教育学校的儿童普遍患有视力障碍,但常规筛查和有效干预措施并未得到持续实施。应努力解决这些本已处于弱势的儿童的这一问题。
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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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