兒童近視比例攀升! 醫囑:高度近視恐導致多種眼球病變

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兒童近視比例攀升! 醫囑:高度近視恐導致多種眼球病變
都市化、數位化影響加速兒童近視度數增長,台灣兒童近視的比例在東亞國家中名列前茅。高度近視恐導致早發性白內障、視網膜剝離、近視性黃斑部病變和青光眼等威脅。
在一份長達7年的研究,研究對象範圍涵蓋8至17歲的兒童,結果指出,在研究的前6年配戴近視控制專用日拋隱形眼鏡的兒童,近視惡化程度平均降低了約50%,且年紀較大的兒童配戴近視控制專用日拋隱形眼鏡,也可以降低一半的近視程度。最新研究結果更指出,配戴近視控制專用日拋隱形眼鏡的近視控制效果,在配戴的週期結束後仍持續存在[vi] 。

吳昱愷表示:「過去2年,自己的孩子也一直配戴近視控制專用日拋隱形眼鏡,他們的近視程度明顯達到減緩,且配戴上比角膜塑型片更軟也更舒適,因此更容易適應。」他也建議,孩子是否能持續進行治療為矯正關鍵,因此家長需選擇孩子最能夠適應的方式來進行近視矯正,且定期回診檢查視力,才能長久且持續地控制近視,避免惡化。

[i] Lu, P. C. S. (2020). Assessment of Five-Year Myopia Intervention Study in Taipei (MIT) Program for Delaying Myopia Progression in Taipei Primary Schools (Doctoral dissertation, The Johns Hopkins University). Available at:
https://jscholarship.library.jhu.edu/handle/1774.2/62593.

[ii] Hung, T. (2001). Epidemiologic study of the prevalence and severity of myopia among schoolchildren in Taiwan in 2000. J Formos Med Assoc, 100(10), 684-91.
http://www.fma.org.tw/jfma/PDF/2001-100/issue_10/Article_6.pdf.

[iii] Cheng, H. C., Chang, K., Shen, E., Luo, K. S., & Ying, Y. H. (2020). Risk factors and behaviours of schoolchildren with myopia in Taiwan. International Journal of Environmental Research and Public Health, 17(6), 1967.
https://pubmed.ncbi.nlm.nih.gov/32192125/.

[iv]Hsu, W. M., Cheng, C. Y., Liu, J. H., Tsai, S. Y., & Chou, P. (2004). Prevalence and causes of visual impairment in an elderly Chinese population in Taiwan: the Shihpai Eye Study. Ophthalmology, 111(1), 62-69.
https://pubmed.ncbi.nlm.nih.gov/14711715/.

[v] Fu, A., Stapleton, F., Wei, L., Wang, W., Zhao, B., Watt, K., ... & Lyu, Y. (2020). Effect of low-dose atropine on myopia progression, pupil diameter and accommodative amplitude: low-dose atropine and myopia progression. British Journal of Ophthalmology, 104(11), 1535-1541.
https://web.archive.org/web/20210116090601id_/https://bjo.bmj.com/content/bjophthalmol/104/11/1535.full.pdf.

[vi] Hammond D, Arumugam B, et al. (2021) Myopia Control Treatment Gains are Retained after Termination of Dual focus Contact Lens Wear with no Evidence of a Rebound Effect. Optometry and Vision Science, 98, E-abstract 215130.

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【健康醫療網/記者鄭宜芬報導】2023/09/24