中华眼科杂志Pub Date : 2024-06-11DOI: 10.3760/cma.j.cn112142-20231223-00305
X W Yang, Y Gao, Y Q Jiang, Y J Zhou
{"title":"[Effect of femtosecond laser-assisted phacoemulsification on corneal endothelium and prognosis of diabetic patients with cataract with different nuclear hardness].","authors":"X W Yang, Y Gao, Y Q Jiang, Y J Zhou","doi":"10.3760/cma.j.cn112142-20231223-00305","DOIUrl":"10.3760/cma.j.cn112142-20231223-00305","url":null,"abstract":"<p><p><b>Objective:</b> To assess the impact of femtosecond laser-assisted phacoemulsification on corneal endothelial characteristics and prognosis among patients with type 2 diabetes and age-related cataracts, considering varying nuclear hardness. <b>Methods:</b> This non-randomized controlled trial involved 161 patients (161 eyes) with type 2 diabetes undergoing cataract extraction at Weifang Eye Hospital between March 2020 and December 2022. The cohort comprised 73 males and 88 females, with an average age of (65.9±5.23) years. Based on patient preference, 101 individuals underwent conventional phacoemulsification (group A), while 60 chose femtosecond laser-assisted phacoemulsification (group B). Patients were further stratified based on Emery-Little grade of lens nuclei into A1/B1 (grade Ⅰ and Ⅱ), A2/B2 (grade Ⅲ), and A3/B3 (grade Ⅳ) subgroups. The study compared effective phacoemulsification time (EPT), cumulative energy release of phacoemulsification (CDE), central corneal thickness (CCT), endothelial cell density (ECD), coefficient of variation (CV), and hexagon cell ratio (HEX) before and after surgery at 1 day, 1 week, 1 month, and 3 months. <b>Results:</b> The intraoperative EPT of patients in groups A and B were (6.52±4.93) and (5.63±4.31)s, respectively, and the CDE were 11.57%±5.21% and 10.68%±6.02%, respectively. The differences between them were not statistically significant (all <i>P</i>>0.05).There were no significant differences in EPT and CDE between groups A1 and B1 (all <i>P</i>>0.05), and there were statistically significant differences between groups A2 and B2, A3 and B3 (all <i>P</i><0.05).The postoperative CCT was increased in both groups.There were no statistically significant differences in CCT between A1 and B1 groups at different time after surgery (all <i>P</i>>0.05), and there were statistically significant differences in CCT between A2 and B2, A3 and B3 groups at 1 day and 1 week after surgery (all <i>P<</i>0.05), and group B was significantly lower than group A.There was no significant difference between 1 month and 3 months after surgery (<i>P></i>0.05).ECD was reduced in both groups.There was no statistically significant difference in ECD at different time of operation between A1 and B1 groups (all <i>P</i>>0.05), while there was statistically significant difference in ECD at 1 day, 1 week, 1 month and 3 months after operation in A2 and B2, A3 and B3 groups (all <i>P</i><0.05). Group B was significantly better than group A. There was no significant difference in coefficient of variation and HEX between the two groups at different time after surgery (<i>P</i>>0.05). <b>Conclusion:</b> Femtosecond laser-assisted phacoemulsification demonstrates benefits in preserving corneal endothelial cells, reducing early postoperative corneal edema, and minimizing corneal injury in type 2 diabetes patients with cataracts of high nuclear hardness.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 6","pages":"511-517"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-06-11DOI: 10.3760/cma.j.cn112142-20240325-00139
X J Zhu, F Fan
{"title":"[Cautious application of multifocal intraocular lenses in children with congenital cataracts].","authors":"X J Zhu, F Fan","doi":"10.3760/cma.j.cn112142-20240325-00139","DOIUrl":"10.3760/cma.j.cn112142-20240325-00139","url":null,"abstract":"<p><p>Multifocal intraocular lenses (MIOLs) have demonstrated efficacy and safety in adult cataract surgery, yet they encounter many challenges in pediatric applications. This article elaborates on the difficulties in biometric measurements in children, the unpredictability of postoperative refraction outcomes, the lack of long-term spectacle independence in children with MIOLs, the absence of significant advantages in correcting childhood amblyopia, and the potential increase in the rate of secondary surgeries. Due to the insufficient clinical evidence supporting the use of MIOLs in children at present, it is proposed that MIOLs be cautiously applied to children with congenital cataracts in clinical practice. Further research in this area is encouraged.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 6","pages":"490-493"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-06-11DOI: 10.3760/cma.j.cn112142-20230831-00069
L Liu, X Ma, M Liu, J J Dong, W Tang, S Z Wang, Y T Wang, Y Yang, L Y Guo
{"title":"[Intermittent exotropia complicated with spasm of the near reflex: a case report].","authors":"L Liu, X Ma, M Liu, J J Dong, W Tang, S Z Wang, Y T Wang, Y Yang, L Y Guo","doi":"10.3760/cma.j.cn112142-20230831-00069","DOIUrl":"10.3760/cma.j.cn112142-20230831-00069","url":null,"abstract":"<p><p>A 21-year-old female patient presented to the Ophthalmology Department of Yunnan University Affiliated Hospital with complaints of \"bilateral blurred vision accompanied by diplopia for 3 weeks\". The patient's main symptoms included intermittent visual blurring, diplopia, headaches, and ocular discomfort. Ocular examination revealed intermittent exotropia, sometimes accompanied by esotropia or orthotropia, along with signs of pupillary constriction and pseudomyopia. Based on the clinical presentation, a diagnosis of intermittent exotropia complicated by spasm of the near reflex (SNR) was made. The patient underwent bilateral exotropia surgery, which corrected the ocular alignment and resolved the symptoms and signs of SNR postoperatively.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 6","pages":"537-540"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-06-11DOI: 10.3760/cma.j.cn112142-20231111-00226
L Q Liu, D W Wu
{"title":"[Challenges and prospects in the application of artificial intelligence for ocular disease screening and diagnosis].","authors":"L Q Liu, D W Wu","doi":"10.3760/cma.j.cn112142-20231111-00226","DOIUrl":"10.3760/cma.j.cn112142-20231111-00226","url":null,"abstract":"<p><p>In recent years, artificial intelligence (AI) technologies have experienced substantial growth across various sectors, with significant strides made particularly in medical AI through advancements such as large models. The application of AI within the field of ophthalmology can enhance the accuracy of eye disease screening and diagnosis. However, the deployment of AI and its large models in ophthalmology still encounters numerous limitations and challenges. This article builds upon the transformative achievements in the medical AI sector and discusses the ongoing challenges faced by AI applications in ophthalmology. It provides forward-looking insights from an ophthalmic perspective regarding the era of large models and anticipates research trends in AI applications in ophthalmology, so as to foster the continuous advancement of AI technologies, thereby significantly promoting eye health.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 6","pages":"484-489"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-06-11DOI: 10.3760/cma.j.cn112142-20231024-00173
D D Jiang, C P Zhao, W Z Ding, L Leng
{"title":"[The role of peripheral retinal defocus in myopia progression].","authors":"D D Jiang, C P Zhao, W Z Ding, L Leng","doi":"10.3760/cma.j.cn112142-20231024-00173","DOIUrl":"10.3760/cma.j.cn112142-20231024-00173","url":null,"abstract":"<p><p>The increasing incidence of myopia has become a global public health concern. Exploring the mechanisms underlying the onset and progression of myopia is crucial for prevention and control. This paper reviews the role of peripheral retinal defocus mechanisms in the development of myopia, with particular emphasis on the interaction between accommodation lag and peripheral retinal defocus, as well as the impact of optical intervention on myopia control effectiveness. In recent years, researchers have developed various optical tools for myopia prevention and control based on the peripheral retinal defocus theory, such as peripheral defocus spectacle lenses, orthokeratology lenses, and peripheral defocus soft contact lenses. This paper aims to provide clinicians with the latest research findings to deepen their understanding of the mechanisms involved in myopia development and to guide the future development and clinical application of myopia prevention and control products.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 6","pages":"541-546"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-05-11DOI: 10.3760/cma.j.cn112142-20231012-00135
R Zhou, H Y Wang, X Y Liu, W F Zhang
{"title":"[A case of Takayasu arteritis complicated with cavernous sinus syndrome presenting as unilateral optic nerve DWI hyperintensity].","authors":"R Zhou, H Y Wang, X Y Liu, W F Zhang","doi":"10.3760/cma.j.cn112142-20231012-00135","DOIUrl":"10.3760/cma.j.cn112142-20231012-00135","url":null,"abstract":"<p><p>A 47-year-old male patient with a history of Takayasu arteritis presented with prominent symptoms of left eyeball fixation, protrusion, and visual loss. Orbital magnetic resonance imaging revealed hyperintensity on diffusion-weighted imaging of the left optic nerve, with corresponding low signal on apparent diffusion coefficient maps, suggestive of acute infarction of the left optic nerve. Combined with the patient's cranial magnetic resonance imaging findings, the diagnosis of cavernous sinus syndrome was established.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 5","pages":"454-456"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-05-11DOI: 10.3760/cma.j.cn112142-20231210-00280
K K Wu, Z Q Liang, K Lyu, Y Ma, Y Lu, S Y Yin, H J Wu
{"title":"[Clinical study on the efficacy and safety of glaucoma drainage implants in the treatment of different types of glaucoma].","authors":"K K Wu, Z Q Liang, K Lyu, Y Ma, Y Lu, S Y Yin, H J Wu","doi":"10.3760/cma.j.cn112142-20231210-00280","DOIUrl":"10.3760/cma.j.cn112142-20231210-00280","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate the efficacy and safety of glaucoma drainage implants(XEN-45 Gel Stent) for glaucoma treatment. <b>Methods:</b> A prospective study was conducted to continuously collect the clinical data of patients who were diagnosed with glaucoma and underwent XEN-45 Gel Stent implantation in the Ophthalmology Department of Peking University People's Hospital from January 2022 to August 2023. The visual acuity, intraocular pressure, number of glaucoma medications, and success rate of the patients were analyzed before and after surgery at 1 day, 1 week, 1 month, 3 months, 6 months, 12 months, and 18 months. The differences in intraocular pressure and number of glaucoma medications among primary open-angle glaucoma, primary angle closure glaucoma, secondary glaucoma, and different implantation methods of XEN-45 Gel Stent among patients with primary open-angle glaucoma were compared. The intraoperative and postoperative complications were observed, and the risk factors for needling and surgical complete success were analyzed. <b>Results:</b> A total of 48 eyes from 48 patients were included in this study, comprising 27 males and 21 females, with a mean age of (54.4±18.0) years and the disease duration was 36.0(7.3, 81.0) months.There were 28 cases of primary open-angle glaucoma, 4 cases of primary angle closure glaucoma, and 16 cases of secondary glaucoma.The follow-up period was 8.0 (3.0, 12.0) months. At 12 months after surgery, the intraocular pressure decreased from 20.5 (17.0, 26.0) mmHg to (13.5±3.3) mmHg (<i>P</i><0.05), and the number of glaucoma medications decreased from 3.0 (3.0, 4.0) to 0.0 (0.0, 0.0) (<i>P</i><0.05). The complete success rate and qualified success rate were 73.9% (17/23) and 91.3% (21/23), respectively. The most common postoperative complications were shallow anterior chamber in 6 cases (12.5%), hypotony in 3 cases (6.3%), and blocked stent in 3 cases (6.3%). The most common postoperative treatment was needling in 27 cases (56.3%). There was no significant difference in intraocular pressure among different types of glaucoma. In the comparison of postoperative effects of different surgical implantation methods for primary open-angle glaucoma, there were no statistically significant differences in intraocular pressure and the number of glaucoma medications at other follow-up time points except 1 month after surgery (<i>P</i><0.05). Univariate logistic regression analysis did not find any risk factors associated with needling and surgical complete success. <b>Conclusions:</b> XEN-45 Gel Stent implantation is an effective and safe surgical option for different types of glaucoma patients in China, which can significantly reduce intraocular pressure and the use of glaucoma medications and has a high success rate. However, some patients may need needling or other treatments after surgery.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 5","pages":"430-439"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-05-11DOI: 10.3760/cma.j.cn112142-20231018-00154
J Hong, J Fu, L Li
{"title":"[Quantitative comparison of binocular suppression of patients with anisometropic amblyopia and ametropic amblyopia].","authors":"J Hong, J Fu, L Li","doi":"10.3760/cma.j.cn112142-20231018-00154","DOIUrl":"10.3760/cma.j.cn112142-20231018-00154","url":null,"abstract":"<p><p><b>Objective:</b> To explore the differences in clinical characteristics and interocular interactions between patients with anisometropic amblyopia and ametropic amblyopia. <b>Methods:</b> Cross-sectional study. The newly diagnosed anisometropic (the binocular difference in spherical equivalent≥1.00 D) amblyopia patients and ametropic amblyopia patients (aged 4 to 6 years) in Beijing Tongren Hospital from January 2020 to December 2022 were involved. Patients were further categorized by the refractive status after cycloplegia, including hyperopia, myopia, astigmatism, hyperopia with astigmatism, myopia with astigmatism, mild anisometropia and severe anisometropia. Quantitative measurements of best-corrected visual acuity (logMAR), stereoacuity (transformed to log units), perceptual eye position and interocular suppression were performed, and the differences between groups were analyzed. The rank sum test was used for statistical evaluation. <b>Results:</b> The average age of 45 ametropic amblyopia patients (21 males and 24 females) and 84 anisometropic amblyopia patients (48 males and 36 females) was 5.0 (4.0, 5.0) years and 5.0 (4.0, 6.0) years, respectively. The interocular differences in spherical equivalent [2.56 (1.50, 4.19) D vs. 0.25 (0.13, 0.56) D] and best-corrected visual acuity [0.40 (0.18, 0.70) logMAR vs. 0.07 (0.00, 0.12) logMAR] were larger in patients with anisometropic amblyopia than those with ametropic amblyopia. The anisometropic amblyopia patients had worse stereoacuity [2.60 (2.00, 2.90) log arcsec vs<i>.</i> 2.00 (2.00, 2.30) log arcsec] and deeper suppression [20.0% (13.3%, 40.0%) vs. 10.0% (0, 23.3%)], compared with the ametropic amblyopia patients. The differences were all statistically significant (<i>P</i><0.05). The suppression and stereoacuity between patients with hyperopic anisometropic amblyopia [suppression, 30.0% (17.5%, 50.0%); stereoacuity, 2.90 (2.30, 2.90) log arcsec] and astigmatic anisometropic amblyopia [suppression, 10.0% (0, 20.0%); stereoacuity, 2.00 (2.00, 2.30) log arcsec] were significantly different (<i>P</i><0.05). The differences of suppression and stereoacuity between patients with severe (binocular difference in spherical equivalent>2.50 D) [suppression, 30.0% (20.0%, 53.3%); stereoacuity, 2.90 (2.57, 2.90) log arcsec] and mild anisometropia [suppression, 20.0% (0, 30.0%); stereoacuity, 2.00 (2.00, 2.90) log arcsec] were also statistically significant (<i>P</i><0.05). <b>Conclusions:</b> Patients with anisometropic amblyopia have deeper binocular suppression, worse stereoacuity and more severe binocular interaction abnormality than those with ametropic amblyopia. The severity of anisometropia affects the degree of the interaction abnormality.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 5","pages":"440-446"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-05-11DOI: 10.3760/cma.j.cn112142-20231203-00268
D P Mou, C Zhang, H Z Wang, J Wang, Q Sang, Y H Zhang, Y Wang, N L Wang
{"title":"[Comparison of surgical outcomes between Kahook Dual Blade goniotomy and Trabectome surgery in patients with open-angle glaucoma].","authors":"D P Mou, C Zhang, H Z Wang, J Wang, Q Sang, Y H Zhang, Y Wang, N L Wang","doi":"10.3760/cma.j.cn112142-20231203-00268","DOIUrl":"10.3760/cma.j.cn112142-20231203-00268","url":null,"abstract":"<p><p><b>Objective:</b> To compare the medium-term therapeutic effects of Kahook Dual Blade (KDB) goniotomy and Trabectome surgery in the treatment of patients with primary open-angle glaucoma (POAG). <b>Methods:</b> This study was a non-randomized prospective interventional controlled clinical study. POAG patients who underwent KDB goniotomy or Trabectome surgery at Beijing Tongren Hospital from May 2017 to April 2022 were enrolled. The definition of successful surgery was postoperative average intraocular pressure (IOP)≤21 mmHg (1 mmHg=0.133 kPa) and IOP decrease≥20%. Follow-up visits were conducted on the 1st day, 1st week, 1st, 3rd and 6th month after surgery. The IOP value, the number of IOP-lowering medications, the proportion of surgical success (average IOP≤21 mmHg at 6 months), and complications were evaluated. Statistical methods included independent sample <i>t</i>-test, Mann-Whitney rank sum test, <i>χ</i><sup>2</sup> test, repeated measures two-factor analysis of variance, Bonferroni, Friedman <i>M</i> test, Wilcoxon, and Log-rank. The Kaplan-Meier method was used to calculate the cumulative success rate of each group. <b>Results:</b> Seventeen male patients (17 eyes) and 10 female patients (10 eyes) were included. The mean age was (39.9±17.7) years old. There were 11 patients in the KDB group and 16 patients in the Trabectome group. There was no significant difference in clinical baseline conditions between the two groups (<i>P</i>>0.05). The IOPs in the KDB and Trabectome groups at postoperative 1 week [(16.6±6.3) and (16.4±4.1) mmHg) and 6 months [(17.8±5.3) and (19.9±4.4) mmHg) were lower than those before surgery [(25.1±9.3) and (27.4±9.1) mmHg) (all <i>P</i><0.05). There was no significant difference in the overall IOP between groups (<i>P</i>>0.05). The IOP reduction rates in the KDB and Trabectome groups were 23.4% and 19.0%, with no significant difference (<i>P</i>=0.674). The numbers of IOP-lowering medications used in the KDB and Trabectome groups at 3 months [2.0 (1.0, 4.0) and 2.0 (1.0, 2.3)] and 6 months [2.0 (0.0, 4.0) and 2.0 (1.0, 3.0)] after surgery were not significantly different from those before surgery [4.0 (2.0, 4.0) and 3.0 (2.0, 4.0)] (both <i>P</i>>0.05). There was no statistical significance in the overall number of IOP-lowering medications used between the two groups (<i>P</i>>0.05). There was also no statistically significant difference in the proportion of patients with an IOP decrease of≥20% and the proportion of patients whose mean postoperative IOP was≤21 mmHg (all <i>P</i>>0.05). The proportions of IOP≤21 mmHg in the KDB group and the Trabectome group at 6 months after surgery were 81.8% and 68.8% (<i>P</i>>0.05). Serious intraoperative or postoperative complications occurred in neither group. <b>Conclusions:</b> Both KDB trabeculotomy and Trabectome surgery can effectively reduce IOP and have a good safety profile in treating POAG, with the same number of IOP-lowering medications.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 5","pages":"408-415"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华眼科杂志Pub Date : 2024-04-11DOI: 10.3760/cma.j.cn112142-20240130-00056
X G He
{"title":"[Understanding and reflection on the prevention and control of pre-myopia in children].","authors":"X G He","doi":"10.3760/cma.j.cn112142-20240130-00056","DOIUrl":"https://doi.org/10.3760/cma.j.cn112142-20240130-00056","url":null,"abstract":"<p><p>The International Myopia Institute introduced the concept of \"pre-myopia\" in 2019, defining it as children with refractive error ≤+0.75 D and >-0.50 D. By considering baseline refractive error, age, and other quantifiable risk factors, there is a significant likelihood that individuals falling into this category may develop myopia in the future. Therefore, it is deemed worthwhile to implement preventative intervention measures.This article delves into the epidemiology of premyopia in children and adolescents, the criteria for determining pre-myopia, the characteristics of refractive changes, and the existing evidence gaps in pre-myopia control technology. Furthermore, it explores the role and advantages of implementing pre-myopia control to enhance efforts in preventing and managing myopia. The paper highlights the essential value and future trajectory of pre-myopia control in the comprehensive management of myopia. The ultimate goal is to foster collaboration with professionals, aiming to discuss innovative strategies for effectively preventing and managing the onset and progression of myopia.</p>","PeriodicalId":39688,"journal":{"name":"中华眼科杂志","volume":"60 4","pages":"316-321"},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}