台湾学童眼轴长度标准资料与百分位曲线:一种近视监测工具。

Yao-Lin Liu, Tzu-Ting Lai, Shih-Wen Wang, Tzu-Hsun Tsai, I-Jong Wang
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引用次数: 0

摘要

目的:预防和控制近视是重大的公共卫生问题。因此,本研究以台湾儿童为研究对象,以人口为基础的抽样资料为基础,建构年龄特异性眼轴长度的参考百分位曲线,并以接受角膜塑形术的儿童为研究对象,评估其在近视发展中的作用。方法:分析2016 - 2017年台湾地区6-18岁小学生近视调查中2997例代表性样本的眼轴长度分布。此外,回顾性收集了35名接受角膜塑形术治疗的近视儿童的数据(平均随访时间:36.1±14.6个月)。通过线性和线性混合效应模型的模型比较,比较了基于百分位变化率和轴向伸长率估计近视进展的能力。结果:本研究建立了儿童年龄轴长百分位曲线模型,可作为台湾地区人口之参考。角膜塑形镜使用者队列中百分位变化率与近视进展率的相关性(ρ = 0.64)高于眼轴长度延长率(ρ = 0.57)。在所有参数中,基线球当量和百分位数变化率显示出最有效的评估近视进展的性能。结论:本研究建立了台湾学童轴长参考百分位曲线,可作为评估个体健康和监测人群视力趋势的重要指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Axial length normative data and percentile curves for schoolchildren in Taiwan: A tool for myopia monitoring.

Purpose: The prevention and control of myopia are crucial public health issues. Therefore, this study aimed to construct reference percentile curves of age-specific axial length based on population-based sampling data of Taiwanese children and assess their role in the progression of myopia using a cohort of children undergoing orthokeratology.

Methods: Data from 2997 representative samples of schoolchildren aged 6-18 years from a recent myopia survey in Taiwan between 2016 and 2017 were analysed for axial length distribution. Additionally, data from a cohort of 35 children with myopia treated with orthokeratology (mean follow-up period: 36.1 ± 14.6 months) were retrospectively collected. The ability to estimate myopia progression based on percentile change rate was compared with that of axial elongation rate through model comparisons involving linear and linear mixed-effect models.

Results: Percentile curves of the children's age-specific axial length were modelled and served as a population-based reference in Taiwan. The percentile change rate in the cohort of orthokeratology users showed a higher correlation (ρ = 0.64) with the myopia progression rate compared to the axial length elongation rate (ρ = 0.57). The baseline spherical equivalent and percentile change rate demonstrated the most effective performance in estimating myopia progression among all parameters.

Conclusions: Population-based reference percentile curves were established for age-specific axial length in Taiwanese schoolchildren, which can serve as valuable indicators for assessing individual health and monitoring vision trends within the population.

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