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Objective This study aimed to compare the macular and choroidal thicknesses and blood-flow parameters of patients with intermediate and simple juvenile moderate myopia in order to provide a greater understanding of the pathogenesis of myopia and a basis for its prevention. Methods Participants were selected from patients under the age of 18 with moderate myopia who were treated in our ophthalmic clinic between June and December 2019. Seventy-five right eyes were selected from participants with a mean spherical equivalent ranging from −6.0 to −3.0 D. These samples were divided into two groups based on eye axial length (AL). The thicknesses of the macula and choroid, the area of the foveal avascular zone (FAZ), and the blood flow density of the macular capillaries were measured, intergroup comparison was conducted. Results The average area of the FAZ was larger in the intermediate group than in the simple group. PERIM in the upper half was lower in the intermediate group than in the simple group, and the blood-flow density in the lower half of the macular area was higher in the simple group than in the intermediate group. The blood-flow density within 1 mm of the fovea centralis and the downward blood-flow density were higher in the intermediate group than in the simple group. The thicknesses of the lower part of the FAZ, the choroid of the fovea centralis, and the choroid under the retina were all larger in the intermediate group than in the simple group. Conclusion The area of the FAZ in patients with intermediate juvenile moderate myopia is larger than that in patients with simple myopia; the choroid in the fovea of macula compensatorily increases, and blood flow density also increases; the thickness of the choroid under the retina increases with myopia.

Objective: The present study aims to observe the optic nerve fiber layer thickness and blood flow density in the papillary area and investigate the effects of axial length (AL) and the refractive state of the optic papilla blood flow density in children with different refractive conditions. Methods: The present study was a clinical control study. The right eyes of 204 minors aged 6-17 years were studied. The eyes were divided into four groups according to myopic refractive states. OCTA analyzed the data to compare the radial peripapillary capillary (RPC) density and the difference in the retinal nerve fiber layer (RNFL) thickness adjacent to the optic papilla between the four refraction groups. Results: The intra-optic disc blood flow density was significantly and negatively correlated with the AL and was negatively correlated with the AL in the inferior temporal quadrants. The RNFL in the superior, nasal, and inferior quadrants was negatively correlated with the AL. The RNFL in the temporal quadrant was positively correlated with the AL. Conclusion: Our present study revealed that aAs myopia increased and the AL grew in children, the blood density of the entire image of the optic papilla, in the optic disc, and the retinal capillaries in the inferior parapapillary and temporal quadrant would change significantly. With increasing AL, a significant decrease in the intra-disc and para-disc RNFL was observed in the superior, nasal, and inferior quadrants, while a substantial increase in RNFL was observed in the temporal quadrant.

ObjectiveTo provide a reference for the prevention and control of myopia by analyzing and discussing the findings of an epidemiological survey of the prevalence of myopia among children and adolescents in Fuzhou City from 2019 to 2021.MethodsParticipants for this cross-sectional study were drawn from Gulou District and Minqing County in Fuzhou City using cluster random sampling to account for differences in population density, economic development, and other environmental variables.ResultsMyopia was more prevalent in 2020 than in 2019, but by 2021 it had dropped to about the same level as in 2019. Myopia was more prevalent among girls than boys during the course of the study period, with a three-year prevalence of 44.72% for boys and 52.16% for girls. Mild myopia accounted for 24.14% of all cases, followed by moderate myopia at 19.62%, and severe myopia at 4.58%. Students in urban regions had a prevalence of myopia equivalent to that of students in the suburbs, and this prevalence rose with age.ConclusionMyopia was quite prevalent among children and adolescents in Fuzhou City, and was shown to be steadily rising as students progressed through the school system. This suggests that all levels of government, educational institutions, medical facilities, and concerned parents in Fujian Province should focus on the issue of myopia and collaborate to reduce the risk factors for the development of myopia in school-aged participants.

With the continuous application of Virtual reality technology (VR) in medical teaching, disease diagnosis, surgical simulation, rehabilitation medicine, telemedicine and other medical fields, virtual medicine came into being. The rapid development of virtual medicine has brought new weather to the medical field, and also provided new means, new methods and new platforms for ophthalmology teaching. The rapid development of information technology makes the application of VR in ophthalmology teaching more and more extensive. This paper proposes an optimization design scheme for the application of VR in the clinical teaching of ophthalmology. Through the analysis of the eye structure based on the principle of refraction, the VR is used to build a clinical teaching simulation system. Finally, the simulation test analysis is carried out. The simulation results show that the algorithm has a certain accuracy, which is 7.45% higher than the traditional algorithm.As a new technology, VR, with the continuous development of computer and Internet technology, its application in the field of medical education will have a significant impact on medical education, accelerate the speed of medical transmission, and its advantages for training medical students will be fully demonstrated, and its application will be more and more extensive. The VR teaching method can promote the homogeneity of medical education and assessment, thus shortening the training cycle of medical talents, reducing the training cost and reducing the risk.

Purpose The 2020 epidemiological investigation of myopia in children and adolescents in Fujian Province’ aimed to provide reference guidelines for the prevention and control of myopia. The purpose of the present study was to address shortfalls in the epidemiological survey of myopia in Fujian and provide a basis for government decision making. Study design A cross-sectional and epidemiological investigation Methods Based on their levels of economic development and other economic factors, three cities in Fujian Province (Fuzhou, Xiamen, Longyan) were chosen through cluster random sampling and epidemiological investigation. Final analysis included 41,906 cases. Examinations including visual acuity and mydriatic optometry were performed on all subjects. Results The overall proportion of myopia was 63.35% in boys and 70.55% in girls living in Fujian in 2020. The proportions of myopia in Xiamen and Longyan were similar; both cities showed a higher proportion of myopic cases than Fuzhou. The proportion of girls with myopia was higher than boys. The proportion of primary and middle school students with myopia was higher in economically developed regions compared with underdeveloped regions. The proportion of urban students with myopia was higher than in suburban students. Analysis showed that the prevalence of myopia increased with age. Interestingly, the prevalence of myopia was higher in children born in June and August than in children born in other months. Conclusion Children and adolescents in Fujian have a high rate of myopia which increases as the school grade increases. The better the economic conditions are, the higher the myopic rate. In addition, the myopic rate is higher in girls in and students born in June and August. The government, schools, hospitals, and parents should be alerted to this issue and coordinate to control the risk of myopia exacerbation and improve eyesight conditions of students in Fujian Province.

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In order to explore the relationship between the habit of using eyes and myopia, summarize and put forward to develop good habit of using eyes of school-age children to achieve the purpose of preventing myopia. 960 school-age children aged 7 to 12 were selected from the ophthalmology clinic of Fujian Provincial Government Hospital. The data collected included reading distance, sleep time, average daily outdoor activity time, average daily continuous eye use time. Ophthalmologists are responsible for visual examination, which includes mild myopia, moderate myopia and severe myopia. SPSS 22.0 statistical software was used for data processing. As a results, P < 0.05 was statistically significant. There are significant differences in the distribution of sleep time among the three groups (P < 0.05); There are significant differences in the time distribution of each continuous close eye use among the three groups (P < 0.05); There are significant differences in the distribution of distance habit among the three groups (P < 0.05); There are significant differences in the distribution of outdoor activity time among the three groups (P < 0.05).Myopia is closely related to the time of close eye use, the distance of eye use, the length of sleep and the length of outdoor activities.