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作 者:Lin-Song Qi Lu Yao Xue-Feng Wang Jin Zhao Yong Liu Teng-Yun Wu Qing-Hong Yang Chen Zhao Zhi-Kang Zou
机构地区:[1]Department of Ophthalmology,Air Force Medical Center,Beijing 100142,China [2]Department of Physical Examination,Cadet Bureau of PLA Air Force,Beijing 100195,China [3]Department of Clinic and Research,Air Force Medical Center,Beijing 100142,China
出 处:《International Journal of Ophthalmology(English edition)》2022年第7期1108-1115,共8页国际眼科杂志(英文版)
基 金:Supported by National Natural Science Foundation of China(No.81800854);Joint Innovation Project of National Defense Technology Innovation Zone(No.20-163-15-ZT-001-001-10);Efficiency Improvement Project of Air Force Medical University(No.2021HKYX24)。
摘 要:AIM:To characterize peripheral refraction and its relationship with myopia development in a selected group of male teenage Chinese students.METHODS:This 2-year prospective cohort study randomly enrolled 85 non-myopic boys(age,14-16 y)from the Experimental Class of Air Force in China.Cycloplegic peripheral refraction was examined at 0°,±10°,and±20°along the horizontal visual field in the right eye at the baseline and 2-year follow-up.RESULTS:The incidence of myopia at the 2-year followup was 15.29%(13/85).The baseline central refraction(CR)and peripheral refraction at±10°were significantly lower in students who developed myopia than in those who did not(P<0.05).Relative peripheral refraction(RPR)did not differ between students with and without myopia(P>0.05).At the 2-year follow-up,the RPR at±10°and 20°nasal was significantly more hyperopic in the myopic group than in the non-myopic group.Multiple linear regression analysis indicated that the change in CR was significantly correlated with the changes in RPR at 20°nasal,10°nasal,and 20°temporal.Multivariate Logistic regression analysis indicated that the baseline CR[odds ratio(OR):0.092,95%confidence interval(CI):0.012-0.688,P=0.020]and the baseline RPR at 10°nasal(OR:0.182,95%CI:0.042-0.799,P=0.024)were significantly correlated with incident myopia(Omnibus test,χ=10.20,P=0.006).CONCLUSION:CR change is significantly correlated with changes in RPR,and students who develop myopia have more relative peripheral hyperopia.More baseline CR and relative peripheral hyperopia at 10°nasal are protective of myopia onset.
关 键 词:relative peripheral hyperopia peripheral refraction incident myopia SCHOOLCHILDREN
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