2021, Number 3
<< Back Next >>
Rev Cub Oftal 2021; 34 (3)
Risk factors in pediatric myopic patients
Guzmán MML, Pons CL, Illescas OT, Hernández SLR
Language: Spanish
References: 30
Page: 1-20
PDF size: 487.26 Kb.
ABSTRACT
Objective:
Evaluate the association between risk factors in pediatric myopic patients.
Methods:
A case-control study was conducted to evaluate the risk factors associated to myopia in patients attending the Pediatric Ophthalmology Service at Ramón Pando Ferrer Cuban Institute of Ophthalmology. The sample was 263 patients (123 cases and 140 controls) who met the inclusion criteria. The study variables were age, sex, skin color, place of residence, low birth weight, prematurity, smoking mothers, a family history of refractive defects, screen time, sun exposure hours and axial length.
Results:
A correlation was found between a family history of refractive defects and the presence of myopia (p = 0.009), as well as a 1.9 risk of developing the disorder. More than two screen hours were associated to myopic patients (p = 0.003), doubling the risk. More than two sun exposure hours were more frequent among controls (p = 0.004) and constitute a protection factor. Axial lengths were greater among myopics (p = 0.000). Exposure and screen time were correlated with greater axial length.
Conclusions:
A family history of refractive defects increases the risk for myopia 1.9 times, exposure to screens for more than two hours per day doubles it, and the same number of sun exposure hours reduces it to half. Axial length is greater among myopics and screen exposed people.
REFERENCES
Hashemi H, Fotouhi A, Yekta A, Pakzad R, Ostadimoghaddam H, Khabazkhoob M. Global and regional estimates of prevalence of refractive errors: Systematic review and meta-analysis. J Curr Ophthalmol. 2018;30(1):3-22. DOI: https://doi.org/10.1016/j.joco.2017.08.009.
Naidoo KS, Leasher J, Bourne RR, Flaxman SR, Jonas JB, Keeffe J, et al. Global Vision Impairment and Blindness Due to Uncorrected Refractive Error, 1990-2010. Optom Vis Sci. 2016 [acceso: 10/09/2020];93(3):227-34. Disponible en: http://journals.lww.com/00006324-201603000-00003
Monteés-Micó R. Optometría. Principios básicos y aplicación clínica. Barcelona: Elsevier; 2011. p. 3-37.
Borchert MS, Varma R, Cotter SA, Tarczy-Hornoch K, McKean-Cowdin R, Lin JH, et al. Risk factors for hyperopia and myopia in preschool children. Ophthalmology. 2011 [acceso: 10/09/2020];118(10):1966-73. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0161642011006099
Galvis V, Tello A, Camacho PA, Parra MM, Merayo-Lloves J. Los factores bioambientales asociados a la miopía: una revisión actualizada. Arch Soc Esp Oftalmol. 2017 [acceso: 10/09/2020];92(7):307-25. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0365669117300126
Myrowitz EH. Juvenile myopia progression, risk factors and interventions. Saudi J Ophthalmol. 2012 [acceso: 10/09/2020];26(3):293-7. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S131945341100018X
Lagrèze WA, Schaeffel F. Preventing Myopia. Dtsch Aerzteblatt. 2017 [acceso: 10/09/2020]. Disponible en: https://www.aerzteblatt.de/10.3238/arztebl.2017.0575
Kilic-Toprak E, Toprak I. Future Problems of Uncorrected Refractive Errors in Children. Procedia - Soc Behav Sci. 2014 [acceso: 10/09/2020];159:534-6. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1877042814065495
Radesky JS, Schumacher J, Zuckerman B. Mobile and Interactive Media Use by Young Children: The Good, the Bad and the Unknown. Pediatrics. 2015 [acceso: 10/09/2020];135(1):1-3. Disponible en: http://pediatrics.aappublications.org/lookup/doi/10.1542/peds.2014-2251
Saxena R, Vashist P, Tandon R, Pandey RM, Bhardawaj A, Gupta V, et al. Incidence and progression of myopia and associated factors in urban school children in Delhi: The North India Myopia Study (NIM Study). PLoS One. 2017;12(12):1-12.
He M, Xiang F, Zeng Y, Mai J, Chen Q, Zhang J, et al. Effect of Time Spent Outdoors at School on the Development of Myopia Among Children in China. JAMA. 2015 [acceso: 10/09/2020];314(11):1142. Disponible en: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2015.10803
Flitcroft DI, He M, Jonas JB, Jong M, Naidoo K, Ohno-Matsui K, et al. IMI - Defining and classifying myopia: A proposed set of standards for clinical and epidemiologic studies. Investig Ophthalmol Vis Sci. 2019;60(3):20-30. DOI: https://doi.org/10.1167/iovs.18-25957
American Academy of Ophthalmology. Basic and Clinical Science Course 2018-2019: Fundamentals and Principles of Ophtalmology. The Academy; 2019. p. 37-81.
Yang M, Luensmann D, Fonn D, Woods J, Jones D, Gordon K, et al. Myopia prevalence in Canadian school children: a pilot study. Eye. 2018 [acceso: 10/09/2020];32(6):1042-7. Disponible en: http://www.nature.com/articles/s41433-018-0015-5
Estévez Y, Naranjo R, Pons L, Méndez T, Rúa R, Dorrego M. Defectos refractivos en estudiantes de la Escuela "Pedro D. Murillo". Rev Cubana Oftalmol. 2011 [acceso: 10/09/2020];24(2). Disponible en: http://revoftalmologia.sld.cu/index.php/oftalmologia/article/view/72
Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016 [acceso: 10/09/2020];123(5):1036-42. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0161642016000257
Kannan U, Rajendiran A, Yeraballi D, Shanmugavel K, John N, Rene S. Refractive error and associated risk factors in 6-12 years school children. Natl J Physiol Pharm Pharmacol. 2016 [acceso: 10/09/2020];6(6):554. Disponible en: http://www.scopemed.org/fulltextpdf.php?mno=226618
Rudnicka AR, Kapetanakis VV, Wathern AK, Logan NS, Gilmartin B, Whincup PH, et al. Global variations and time trends in the prevalence of childhood myopia, a systematic review and quantitative meta-analysis: implications for aetiology and early prevention. Br J Ophthalmol. 2016 [acceso: 10/09/2020];100(7):882-90. Disponible en: https://bjo.bmj.com/lookup/doi/10.1136/bjophthalmol-2015-307724
Honavar S. Pediatric eye screening - Why, when, and how. Indian J Ophthalmol. 2018 [acceso: 10/09/2020];66(7):889. Disponible en: http://www.ijo.in/text.asp?2018/66/7/889/234947
Ho CL, Wu WF, Liou YM. Dose-response relationship of outdoor exposure and myopia indicators: a systematic review and meta-analysis of various research methods. Int J Environ Res Public Health. 2019 [acceso: 10/09/2020];16(14):2595. Disponible en: https://www.mdpi.com/1660-4601/16/14/2595
Theophanous C, Modjtahedi B, Batech M, Marlin D, Luong T, Fong D. Myopia prevalence and risk factors in children. Clin Ophthalmol. 2018 [acceso: 10/09/2020];12:1581-7. Disponible en: https://www.dovepress.com/myopia-prevalence-and-risk-factors-in-children-peer-reviewed-article-OPTH
Zhou X, Pardue MT, Iuvone PM, Qu J. Dopamine signaling and myopia development: What are the key challenges. Prog Retin Eye Res. 2017 [acceso: 10/09/2020];61:60-71. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1350946217300101
Shah RL, Huang Y, Guggenheim JA, Williams C. Time outdoors at specific ages during early childhood and the risk of incident myopia. Investig Opthalmology Vis Sci. 2017 [acceso: 10/09/2020];58(2):1158. Disponible en: http://iovs.arvojournals.org/article.aspx?doi=10.1167/iovs.16-20894
Xiong S, Sankaridurg P, Naduvilath T, Zang J, Zou H, Zhu J, et al. Time spent in outdoor activities in relation to myopia prevention and control: a meta-analysis and systematic review. Acta Ophthalmol. 2017;95(6):551-66. DOI: http://doi.wiley.com/10.1111/aos.13403
Dirani M, Crowston JG, Wong TY. From reading books to increased smart device screen time. Br J Ophthalmol. 2019 [acceso: 10/09/2020];103(1):1-2. Disponible en: https://bjo.bmj.com/lookup/doi/10.1136/bjophthalmol-2018-313295
Lanca C, Saw S. The association between digital screen time and myopia: A systematic review. Ophthalmic Physiol Opt. 2020;40(2):216-29. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/opo.12657
Enthoven CA, Tideman JWL, Polling JR, Yang-Huang J, Raat H, Klaver CCW. The impact of computer use on myopia development in childhood: The Generation R study. Prev Med. 2020;132:105988. DOI: https://doi.org/10.1016/j.ypmed.2020.105988
Jiang X, Tarczy-Hornoch K, Cotter SA, Matsumura S, Mitchell P, Rose KA, et al. Association of Parental Myopia With Higher Risk of Myopia Among Multiethnic Children Before School Age. JAMA Ophthalmol. 2020 [acceso: 10/09/2020];138(5):501. Disponible en: https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2762851
Ip JM, Huynh SC, Kifley A, Rose KA, Morgan IG, Varma R, et al. Variation of the contribution from axial length and other oculometric parameters to refraction by age and ethnicity. Investig Opthalmology Vis Sci. 2007 [acceso: 10/09/2020];48(10):4846. Disponible en: http://iovs.arvojournals.org/article.aspx?doi=10.1167/iovs.07-0101
Li SM, Li SY, Kang MT, Zhou YH, Li H, Liu LR, et al. Distribution of ocular biometry in 7- and 14-year-old Chinese children. Optom Vis Sci. 2015 [acceso: 10/09/2020];92(5):566-72. Disponible en: http://journals.lww.com/00006324-201505000-00009