应用Plusoptix A09 小儿自动测光仪探求印尼雅加达地区学龄前儿童弱视影响因素

Amblyopia risk factors findings in preschool children in Jakarta, Indonesia using the Plusoptix pediatric autorefractor A09

摘要:

目的：运用Plusoptix A09小儿自动测光仪探测雅加达地区学龄前儿童屈光不正及其他眼病的发生情况。

方法：对雅加达的三个地区(南唐格朗，勿加泗和西雅加达)三所幼儿园中，平均年龄4.46岁(2～6周岁)的儿童进行屈光不正及其他眼病检测。

结果：受检的166名儿童中，男生占51.2%(n=85)，女生48.8%(n=81)。视力筛选以Arthur修定标准为参考，并为15.67%(n=26)的儿童做更深一步的全面性眼部检查。其中2人高度远视，14人严重散光，6人散光加近视，1人屈光参差，1人无法检测，2人患有其他眼病(由慢性咳嗽导致的先天性眼睑下垂、严重瘀斑和结膜下出血)。

结论：本研究表明，运用Plusoptix A09测出弱视危险因素结果为15.67%。此项数据表明，印度尼西亚地区医疗保健人员对学龄前儿童视力筛选工作不够重视，尤其是对不可逆性弱视的危害性重视度不够。

Abstract:

AIM: To report refractive error findings and other eye abnormalities in preschool children population in Greater Area Jakarta using the Plusoptix pediatric autorefractor A09.

METHODS: Cross sectional study of preschool age children with mean age 4.46(range 2-6 years old)of 3 preschools in 3 municipalities in Greater Area Jakarta(South Tangerang, Bekasi and West Jakarta)were screened for refractive errors and other eye abnormalities.

RESULTS: Totally 166 children, consisting of 51.2%(n=85)male and 48.8%(n=81)female were screened. Using the Arthur modification criteria for vision screening referral, 15.67%(n=26)were given recommendations for further comprehensive ophthalmology examination. From those given recommendations, 2 had high hyperopia, 14 had significant astigmatism, 6 had combined hyperopia/astigmatism, 1 had anisometropia, 1 unable to measure, 2 had other ocular conditions(congenital ptosis and severe ecchymosis and subconjunctival bleeding due to chronic cough).

CONCLUSION: The finding of amblyopia risk factors in using Plusoptix A09 was 15.67% in this study.This percentage should warrant healthcare providers in Indonesia, where the importance of preschool vision screening is not widely acknowledged, especially for the risk of irreversible amblyopia.