近视前期管理
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最新近视前期管理专家共识发布!进入“关口前移”时代,尚未近视但远视储备不足的儿童需要注意啥
Yang Zi Wan Bao Wang· 2026-01-06 11:40
近日,中国民族医药协会眼视光学分会、北京眼视光学会于《中华眼科杂志》发表了《中国近视前期管 理专家共识(2025年)》(以下简称"共识")。记者注意到,此前,针对尚未近视但远视储备不足的近视前 期儿童,临床缺乏系统、统一的管理指导。此专家共识明确了近视前期的定义、监测内容及多维度干预 策略,尤其强调了"保证充足睡眠""佩戴平光高非球微透镜框架眼镜"等较新的管理方法。 近视前期定义明确,与两项关键指标相关 国家疾控局监测数据显示:2022年我国儿童青少年总体近视率为51.9%,其中,中、高度近视占比为 46.7%。儿童青少年作为近视防控的重点人群,预防近视发生、延缓近视进展是近视防控的重中之 重。"近视前期管理专家共识可以体现出目前我们从'控制近视'向'预防近视'的思路转变。"南京儿童医 院眼科主任陈志钧在接受记者采访时表示,所谓近视前期是指屈光状态向近视方向漂移但未达到近视诊 断标准的过渡阶段。 此前,对于"近视前期"的标准并不明确。共识提到,对于"近视前期"诊断需满足两项关键指标:睫状肌 麻痹验光检测的远视储备量≤同年龄段下限(6岁为+0.75D,7-8岁为+0.50D,9-10岁为+0.25D);等效球镜 ...
全国150余名教育、卫生领域专家学者汇聚上海共议儿童青少年近视防控问题
Zhong Guo Xin Wen Wang· 2025-10-28 13:02
Core Viewpoint - The "AI Mingmu - Eye Protection Action" for the prevention and control of myopia in children and adolescents has been launched in Shanghai, aiming to address the rising prevalence of myopia among youth in China [1][2]. Group 1: Action Overview - The initiative is led by the National Clinical Research Center for Eye Diseases and involves a large-scale, multi-center prospective cohort study across various medical institutions [2]. - The study will utilize new smart glasses to objectively monitor compliance with myopia prevention glasses, eye behavior, and environmental factors, providing comprehensive solutions and dynamic management for individuals [2]. - The project aims to enhance the effectiveness of myopia prevention strategies through quantitative data analysis and evidence-based research [2]. Group 2: Conference and Expert Collaboration - The third Bright China 2025 Myopia Prevention Conference was held in Shanghai, gathering over 150 experts from ophthalmology, optometry, public health, and education to share experiences and contribute to the high-quality development of myopia prevention [2]. - An expert group for visual health (myopia prevention) was officially established during the conference, led by the Chinese Preventive Medicine Association, with a diverse team of specialists from various fields [3][4]. Group 3: Project Implementation and Results - The Shanghai Eye Disease Prevention Center initiated a project as part of the city's public health system enhancement plan, focusing on a comprehensive management model for myopia [3]. - The project has covered 30 primary schools and 15,000 children aged 6-11, showing a relative decrease in the incidence of myopia and a delay in the progression of eye axis length over six months [3]. - The project has received national recognition and is preparing for the next phase of public health initiatives to promote intervention strategies [3]. Group 4: Expert Consensus and Future Directions - The conference released the "Expert Consensus on Early Management of Myopia in Children and Adolescents," emphasizing the need for further research into emerging techniques and collaboration among families, schools, and medical professionals [4][5]. - The consensus identifies high-risk groups for myopia and promotes early detection and intervention strategies [5]. - Eight exemplary units were awarded standardized myopia prevention spaces, which will serve as critical hubs for visual health initiatives for children and adolescents [5].