Cross-sectional investigation of visual impairing diseases in Shanghai blind children school  

作　　者：ZHU Jian-feng ZOU Hai-dong HE Xian-gui LU Li-na ZHAO Rong XU Hong-mei LIANG Qing-feng 

机构地区：[1]Department of Preventive Ophthalmolgy,Shanghai Eye Disease Prevention&Treatment Center,Shanghai 200040,China [2]Department of Ophthalmology,Shanghai First People's Hospital,Shanghai Jiao Tong University,Shanghai 200080,China [3]Shanghai Blind Children School,Shanghai 200336,China

出　　处：《Chinese Medical Journal》2012年第20期3654-3659,共6页中华医学杂志（英文版）

摘　　要：Background The control of blindness in children is a high priority within the VISION 2020 initiative. To determine the causes of severe visual impairment and blindness in children from Shanghai Blind Children School （SBCS） can provide useful information on childhood blindness in Shanghai. Methods A cross-sectional investigation of students in SBCS was conducted in May 2010. The World Health Organization/Prevention of Blindness （WHO/PBL） eye examination record system for children with low vision and blindness was used. The results were further compared with the findings of two previous investigation studies conducted in 1986 and 2004, respectively in SBCS. Results Of the 146 children observed, 80 children （54.8%） were blind （best corrected best visual acuity less than 0.05）, 27 children （18.5%） had severe visual impairment （best corrected visual acuity less than 0.1 but better than or equal to 0.05）, and 34 children （23.3%） had moderate visual impairment （best corrected visual acuity less than 0.3 but better than or equal to 0.1）. The major affected anatomic sites in the 107 children with severe visual impairment and blindness （SVI/BL） were retina （47.7%）, whole globe （16.8%）, optic nerve （13.1%） and lens （9.3%）. The leading causes of SVI/BL were retinopathy of prematurity （ROP, 25.2%）, followed by retinal dystrophy （15.9%）, optic nerve atrophy （9.3%） and microphthalmos （9.3%）. The two leading etiologic categories of SVI/BL were perinatal/neonatal （36.4%） and congenital/hereditary groups （29.0%）. The leading cause of moderate visual impairment was aphakia after cataract surgery （congenital cataract, 44.1%）. Compared with the findings in two previous investigations in SBCS, the proportion of ROP in visual impairing diseases increased, while the proportion of disorders of the lens （cataract and aphakia） significantly decreased.Background The control of blindness in children is a high priority within the VISION 2020 initiative. To determine the causes of severe visual impairment and blindness in children from Shanghai Blind Children School （SBCS） can provide useful information on childhood blindness in Shanghai. Methods A cross-sectional investigation of students in SBCS was conducted in May 2010. The World Health Organization/Prevention of Blindness （WHO/PBL） eye examination record system for children with low vision and blindness was used. The results were further compared with the findings of two previous investigation studies conducted in 1986 and 2004, respectively in SBCS. Results Of the 146 children observed, 80 children （54.8%） were blind （best corrected best visual acuity less than 0.05）, 27 children （18.5%） had severe visual impairment （best corrected visual acuity less than 0.1 but better than or equal to 0.05）, and 34 children （23.3%） had moderate visual impairment （best corrected visual acuity less than 0.3 but better than or equal to 0.1）. The major affected anatomic sites in the 107 children with severe visual impairment and blindness （SVI/BL） were retina （47.7%）, whole globe （16.8%）, optic nerve （13.1%） and lens （9.3%）. The leading causes of SVI/BL were retinopathy of prematurity （ROP, 25.2%）, followed by retinal dystrophy （15.9%）, optic nerve atrophy （9.3%） and microphthalmos （9.3%）. The two leading etiologic categories of SVI/BL were perinatal/neonatal （36.4%） and congenital/hereditary groups （29.0%）. The leading cause of moderate visual impairment was aphakia after cataract surgery （congenital cataract, 44.1%）. Compared with the findings in two previous investigations in SBCS, the proportion of ROP in visual impairing diseases increased, while the proportion of disorders of the lens （cataract and aphakia） significantly decreased.

关 键 词：BLINDNESS visual impairment  school  children retinopathy of prematurity  cataract 

分 类 号：R[医药卫生]