Refractive Status and Amblyopia Risk Factors in Chinese Children with Autism Spectrum Disorder

Wang, Jiaxing; Ding, Gang; Liu, Ying; Hua, Ning; Wei, Nan; Qi, Xiaoli; Ning, Yuxian; Zhang, Ying; Li, Xue; Li, Jing; Song, Lei; Qian, Xuehan

doi:10.1007/s10803-017-3387-7

Cited by 18 publications

(19 citation statements)

References 38 publications

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“…Red reflex images are acquired from subject, and non-cycloplegic refractive status, pupil size and gaze deviation are automatically recorded. Since both eyes are examined simultaneously, data acquisition is finished within 2 s [11,12]. All screened subjects from this study were successfully tested.…”

Section: Visual Acuity Test and Refraction Screeningmentioning

confidence: 99%

School-based epidemiology study of myopia in Tianjin, China

et al. 2020

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Purpose To study the epidemiology of myopia in school-aged children in Tianjin and the relationship between visual acuity-based screening and refraction-based screening. Method This school-based prospective cohort study was performed on children from 42 elementary schools and 17 middle schools in Tianjin, China. Totally 14,551 children, ages ranging from 5 to 16 years, were included in this study. Uncorrected visual acuity (UCVA) was determined by logarithmic tumbling E chart. Non-cycloplegic photorefraction was examined by the Spot (v2.1.4) photoscreener. The relationship between the UCVA and refractive error was investigated for different age groups. Results The overall prevalence of myopia at this school based screen is 78.2%, ranged from 10% at age of 5 to 95% at age of 16. The most dramatic increase in prevalence is from age of 6 (14.8%) to age of 7 (38.5%). The overall prevalence of high myopia is 2.5%. UCVA is found corresponding to spherical equivalent refraction (SER) in a manner of normal distribution and is significantly affected by age. When using UCVA to estimate the prevalence of myopia, the overall sensitivity and specificity are 0.824 and 0.820, respectively. Age-dependent optimal cutoff points and 95% confident intervals of such estimation are reported. Conclusions Myopia is heavily affecting school-aged children in Tianjin, China. The refraction screening is preferable for myopia screening, whereas the UCVA screening results need to be interpreted in an age-dependent manner for myopia estimation.

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Section: Visual Acuity Test and Refraction Screeningmentioning

confidence: 99%

School-based epidemiology study of myopia in Tianjin, China

et al. 2020

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“…By simply asking the subject to look at the instrument, images of the red reflex can be acquired by the device, and then non-cycloplegic refractive status, pupil size and gaze deviation are automatically calculated. Minimal requirement of cooperation has made it a useful tool for children, even for children younger than 3 years of age6 or for those with developmental disorders such as autism spectrum disorders 7…”

Section: Introductionmentioning

confidence: 99%

Compared performance of Spot and SW800 photoscreeners on Chinese children

et al. 2018

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“…It should be taken into consideration that a delayed operation may result in irreversible vision loss such as amblyopia. Fortunately, widely used vision screeners allow doctors to detect risk factors for amblyopia and intervene earlier, thereby reducing the incidence of amblyopia [36,37]. Patients with other types of congenital cataracts, that do not impair the vision seriously, such as anterior, coronal, or punctate cataract, should only be followed-up closely instead of immediate surgery.…”

Section: Discussionmentioning

confidence: 99%

The role of primary intraocular lens implantation in the risk of secondary glaucoma following congenital cataract surgery: A systematic review and meta-analysis

Zhang

Wang

et al. 2019

PLoS ONE

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This meta-analysis aims to evaluate the incidence of secondary glaucoma in patients under the age of 2 years who underwent congenital cataract surgery with or without primary intraocular lens (IOL) implantation. Methods An electronic literature search was performed in Medline, EMBASE, and Web of Science databases to retrieve studies between January 2011 and November 2018. Patients with congenital cataract who did primary IOL implantation, aphakia, or secondary IOL implantation followed by receiving extraction surgery were included in this study. Relevant studies meeting defined eligibility criteria were selected and reviewed systematically by meta-analysis. Long-term incidences of secondary glaucoma, which developed at least one year after cataract surgery, were considered and discussed as clinical outcomes in each cohort. The pooled data were analyzed according to a random effects model. Results Eight publications involving 892 eyes were included in the current meta-analysis. In the general population of eyes with congenital cataract, the long-term incidence of secondary glaucoma was lower (P = 0.06) in eyes with primary IOL (9.5%) than in eyes without primary IOL (15.1%), including aphakia and secondary IOL. The pooled risk ratio (RR) favors primary IOL implantation in all patients (RR = 0.63). For bilateral congenital cataract, the incidence was 6.7% in eyes with primary IOL implantation, which is significantly lower than the 16.7%

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Refractive Status and Amblyopia Risk Factors in Chinese Children with Autism Spectrum Disorder

Cited by 18 publications

References 38 publications

School-based epidemiology study of myopia in Tianjin, China

School-based epidemiology study of myopia in Tianjin, China

Compared performance of Spot and SW800 photoscreeners on Chinese children

The role of primary intraocular lens implantation in the risk of secondary glaucoma following congenital cataract surgery: A systematic review and meta-analysis

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