Prevalence of habitual refractive errors and anisometropia among Dutch schoolchildren and hospital employees
| Autor: | Theo J W Hendricks, Frans van der Horst, Fred Hendrikse, J. André Knottnerus, John de Brabander, Marlou H P Vankan-Hendricks |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Refractive error Adolescent genetic structures Cross-sectional study Health Personnel Visual impairment Spherical equivalent Astigmatism Anisometropia Age and gender Young Adult Age Distribution Ophthalmology Myopia Prevalence Humans Medicine Child Students Netherlands business.industry General Medicine Hospital employees Middle Aged Refractive Errors medicine.disease Hospitals eye diseases Cross-Sectional Studies medicine.symptom business Optometry |
| Zdroj: | Acta Ophthalmologica. 87:538-543 |
| ISSN: | 1755-3768 1755-375X |
| DOI: | 10.1111/j.1755-3768.2008.01251.x |
| Popis: | Purpose: Refractive error (RE) is suggested to cause not only visual impairment, but also functional problems such as aspecific health complaints and lower levels of school achievement. During the last few decades the prevalence of myopia has increased worldwide, especially in Asia. We investigated the prevalence of habitual RE and anisometropia in a Dutch population of children and employees. Methods: In a cross-sectional study, RE in both eyes of 520 children (aged 11–13 years) and 444 hospital employees (aged 17–60 years) were measured using an autorefractometer. The measurements were performed without using a cycloplegium. Pearson’s correlation coefficient (r) was used to analyse correlations between the right and left eyes. Chi-square tests were used to test the differences between subgroups according to gender and age. Results: In schoolchildren 28% of right eyes were myopic (> 0.50 D) and 8% hyperopic (> 0.50 D). Pearson’s r between right and left eyes for spherical equivalent power (SEP) was 0.93. The mean cylinder deviation in right eyes was 0.26 D (range 0.00–4.50 D). Anisometropia > 1.00 D was present in 4.6% of children; 22% of children were not optimally (> 0.50 D) corrected. In hospital employees, 30% of right eyes were myopic (> 0.50 D) and 10% hyperopic (> 0.50 D). Pearson’s r between right and left eyes for SEP was 0.53. The mean cylinder deviation in right eyes was 0.35 D (range 0.00–5.75 D). Anisometropia > 1.00 D was present in 25% of employees. Anisometropia was more frequently present in employees aged 40–60 years, than in those aged 17–39 years (30% versus 18%; p = 0.02, Cramer’s V = 0.15). Conclusions: Refractive errors are common in children aged 11–13 years and in working adults aged 17–60 years. Distributions of sphere and cylinder deviations are similar for Dutch schoolchildren and hospital employees. Surprisingly, anisometropia proved to be more prevalent with age. In children many eyes are not optimally corrected. Increased attention should be paid to uncorrected and miscorrected REs. |
| Databáze: | OpenAIRE |
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