国际眼科纵览 ›› 2021, Vol. 45 ›› Issue (2): 123-130.doi: 10.3760/cma.j.issn.1673-5803.2021.02.007

• 综述 • 上一篇    下一篇

儿童视觉筛查技术与标准的研究现状

姚瑶  陈伟伟  付晶   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室 100730
  • 收稿日期:2020-04-20 出版日期:2021-04-22 发布日期:2021-04-28
  • 通讯作者: 付晶,Email:fu_jing@126.com
  • 基金资助:
    2020年度首都临床诊疗技术及示范应用(协同创新重点项目-定向征集);北京市卫生和计划生育委员会首都卫生发展科研专项重点攻关(首发2018-1-2051);首都临床特色应用研究专项课题(Z171100001017066)  

Pediatric vision screening techniques and standards

Yao Yao, Chen Weiwei, Fu Jing   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing 100730, China
  • Received:2020-04-20 Online:2021-04-22 Published:2021-04-28
  • Contact: Fu Jing, Email: fu_jing@126.com
  • Supported by:
    2020 Capital Clinical Diagnosis and Treatment Technology and Demonstration Application; Capital Health Development Project-Major Project, Beijing Municipal Bureau of Health(SF-2018-1-2051); Special Project of Clinical Characteristic Application Research in Beijing (Z171100001017066)  

摘要: 儿童视觉筛查对于潜在眼病的早期发现和干预治疗起着重要作用,其方法和标准也在不断更新完善。儿童视觉筛查的主要目标为屈光不正、斜视、弱视及其危险因素,筛查方法主要包括直接视力测试和仪器辅助的视觉检查(摄影验光仪、自动验光仪、小儿视觉扫描仪等)。直接视力测试无需专业技术人员,成本低廉,但对儿童年龄和配合度有要求。仪器检查覆盖受试者范围大,敏感性高,但需专业技术人员操作,成本较高且易造成过度转诊。目前虽无统一的视觉筛查方案,但对各年龄儿童能进行的筛查项目、转诊标准和危险因素等有较为明确的共识。要做到儿童视觉筛查的普遍化、规范化,很多方面仍需努力和完善。(国际眼科纵览,2021, 45:123-130)


关键词: 儿童, 视觉筛查

Abstract: Children's visual screening plays an important role in the early detection and intervention of potential eye diseases. With the continuous development of medical technology and an in-depth understanding of the development process of the visual system, the methods and standards of children's visual screening are constantly updated and improved. The main goals of children's visual screening are refractive errors, strabismus, amblyopia and their risk factors. The screening methods include direct vision testing and instrument-assisted visual inspections (photographic refractor, automatic refractor, pediatric visual scanner, etc.). Direct vision test does not require professional and technical personnel, and the cost is low, but it has requirements for children's age and degree of cooperation. The instrumental examination covers a wide range of subjects and has high sensitivity, but requires professional and technical personnel to operate, which is costly and easily leads to excessive referrals. Although there is no unified visual screening program, there is a clear consensus on the screening items, referral criteria, and risk factors that can be carried out by children of all ages. To achieve the universalization and standardization of children's visual screening, many aspects still need to work hard and improve.(Int Rev Ophthalmol, 2021, 45: 123-130)


Key words: children, vision screening