دورية أكاديمية
IMI-Management and Investigation of High Myopia in Infants and Young Children.
| العنوان: | IMI-Management and Investigation of High Myopia in Infants and Young Children. |
|---|---|
| المؤلفون: | Flitcroft I; Children's Health Ireland (CHI) at Temple Street, Dublin, Ireland.; Centre for Eye Research Ireland, Technological University of Dublin, Dublin, Ireland., Ainsworth J; Birmingham Children's Hospital, Steelhouse Lane Birmingham, United Kingdom., Chia A; Singapore National Eye Center, Singapore., Cotter S; Southern California College of Optometry, Marshall B Ketchum University, Fullerton, California, United States., Harb E; Wertheim School Optometry and Vision Science, Berkeley, California, United States.; University of California - San Francisco, School of Medicine, San Francisco, California, United States., Jin ZB; Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing, China., Klaver CCW; Department of Ophthalmology, Erasmus Medical Center, Rotterdam, The Netherlands.; Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands.; Department of Ophthalmology, Radboud University Medical Center, Nijmegen, The Netherlands.; Institute of Molecular and Clinical Ophthalmology, Basel, Switzerland., Moore AT; University of California - San Francisco, School of Medicine, San Francisco, California, United States., Nischal KK; UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States., Ohno-Matsui K; Tokyo Medical and Dental University, Tokyo, Japan., Paysse EA; Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, United States., Repka MX; Wilmer Eye Institute, The John Hopkins University School of Medicine, Baltimore, Maryland, United States., Smirnova IY; Ophthalmology Center Glazka, Novosibirsk, Russia., Snead M; Department of Vitreoretinal Research, John van Geest Centre for Brain Repair, University of Cambridge, United Kingdom., Verhoeven VJM; Department of Ophthalmology, Erasmus Medical Center, Rotterdam, The Netherlands.; Department of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands., Verkicharla PK; L V Prasad Eye Institute, Hyderabad, India. |
| المصدر: | Investigative ophthalmology & visual science [Invest Ophthalmol Vis Sci] 2023 May 01; Vol. 64 (6), pp. 3. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Association For Research In Vision And Ophthalmology (Arvo) Country of Publication: United States NLM ID: 7703701 Publication Model: Print Cited Medium: Internet ISSN: 1552-5783 (Electronic) Linking ISSN: 01460404 NLM ISO Abbreviation: Invest Ophthalmol Vis Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Brookline Ma : Association For Research In Vision And Ophthalmology (Arvo) Original Publication: St. Louis, Mosby. |
| مواضيع طبية MeSH: | Myopia*/diagnosis, Humans ; Infant ; Child, Preschool ; Child ; Refraction, Ocular ; Eye ; Vision Tests ; Biometry |
| مستخلص: | Purpose: The purpose of this study was to evaluate the epidemiology, etiology, clinical assessment, investigation, management, and visual consequences of high myopia (≤-6 diopters [D]) in infants and young children. Findings: High myopia is rare in pre-school children with a prevalence less than 1%. The etiology of myopia in such children is different than in older children, with a high rate of secondary myopia associated with prematurity or genetic causes. The priority following the diagnosis of high myopia in childhood is to determine whether there is an associated medical diagnosis that may be of greater overall importance to the health of the child through a clinical evaluation that targets the commonest features associated with syndromic forms of myopia. Biometric evaluation (including axial length and corneal curvature) is important to distinguishing axial myopia from refractive myopia associated with abnormal development of the anterior segment. Additional investigation includes ocular imaging, electrophysiological tests, genetic testing, and involvement of pediatricians and clinical geneticists is often warranted. Following investigation, optical correction is essential, but this may be more challenging and complex than in older children. Application of myopia control interventions in this group of children requires a case-by-case approach due to the lack of evidence of efficacy and clinical heterogeneity of high myopia in young children. Conclusions: High myopia in infants and young children is a rare condition with a different pattern of etiology to that seen in older children. The clinical management of such children, in terms of investigation, optical correction, and use of myopia control treatments, is a complex and often multidisciplinary process. |
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| تواريخ الأحداث: | Date Created: 20230501 Date Completed: 20230503 Latest Revision: 20230512 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10153576 |
| DOI: | 10.1167/iovs.64.6.3 |
| PMID: | 37126360 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1552-5783 |
|---|---|
| DOI: | 10.1167/iovs.64.6.3 |