Fatores de risco na miopia escolar
DOI:
https://doi.org/10.70313/2718.7446.v16.n01.208Palavras-chave:
miopia, fatores de risco, história familiar, ar puro, leituraResumo
Introdução: O objetivo deste estudo foi avaliar a miopia e seus fatores de risco em pacientes pediátricos.
Métodos: Este foi um estudo observacional sobre os fatores de risco para miopia escolar em crianças examinadas na cidade de La Plata, Argentina. A refração sob cicloplegia foi realizada em um grupo de crianças míopes e outro grupo de controles normais. O adulto acompanhante recebeu um questionário com perguntas sobre histórico familiar, horas semanais de exposição ao ar livre e horas diárias de trabalho próximo e/ou telas.
Resultados: Foram estudados 166 pacientes com média de idade de 8,6 ± 2,9 anos, dos quais 94 (56,6%) eram meninas. A amostra contou com 97 crianças míopes (58,4%) e 69 crianças não míopes (41,6%). O equivalente esférico foi semelhante em ambos os olhos, sendo -1,64 ± 1,16 dioptrias no olho direito das crianças míopes e +0,83 ± 0,27 dioptrias nas crianças não míopes. Houve diferenças significativas na história, uma vez que apenas 26,1% dos controles tinham história parental de miopia e 64,6% das crianças míopes tinham (p<0,001). Também houve diferenças significativas no número de horas passadas ao ar livre que as crianças de ambos os grupos (p<0,01), mas não no número de horas por dia que passaram a utilizar o telemóvel (p=0,75).
Conclusões: Nesta amostra de pacientes oftalmológicos pediátricos de nosso meio, observam-se os mesmos fatores de risco modificáveis descritos na literatura, possibilitando a prevenção da miopia.
Referências
Sankaridurg P, Tahhan N, Kandel H et al. IMI impact of myopia. Invest Ophthalmol Vis Sci 2021; 62: 2.
Jan C, Li L, Keay L et al. Prevention of myopia, China. Bull World Health Organ 2020; 98: 435-437.
Morgan IG, He M, Rose KA. Epidemic of pathologic myopia: what can laboratory studies and epidemiology tell us? Retina 2017; 37: 989-997.
Franco PJ, Suwezda A, Schlottmann P et al. Analysis of visual disability in Buenos Aires, Argentina. Pathologic myopia is the leading cause in working age. Medicina (B Aires) 2021; 81: 735-741.
Iribarren R, Cortinez MF, Chiappe JP. Age of first distance prescription and final myopic refractive error. Ophthalmic Epidemiol 2009; 16: 84-89.
Jonas JB, Ang M, Cho P et al. IMI prevention of myopia and its progression. Invest Ophthalmol Vis Sci 2021; 62: 6.
Morgan IG, Wu PC, Ostrin LA et al. IMI risk factors for myopia. Invest Ophthalmol Vis Sci 2021; 62: 3.
Tedja MS, Haarman AEG, CREAM Consortium et al. IMI: myopia genetics report. Invest Ophthalmol Vis Sci 2019; 60: M89-M105.
Morgan IG, French AN, Ashby RS et al. The epidemics of myopia: aetiology and prevention. Prog Retin Eye Res 2018; 62: 134-149.
Morgan IG, Ohno-Matsui K, Saw SM. Myopia. Lancet 2012; 379: 1739-1748.
Morgan IG, Rose KA. Myopia and international educational performance. Ophthalmic Physiol Opt 2013; 33: 329-338.
Iribarren L, Iribarren R. Myopia and culture: social, environmental and educational changes after Western colonization. J Clin Exp Ophthalmol 2022; 13: 1000932.
American Academy of Ophthalmology. Pediatric eye evaluations. San Francisco: AAO, 2017 (Preferred practice pattern).
Williams KM, Bertelsen G, European Eye Epidemiology (E[3]) Consortium et al. Increasing prevalence of myopia in Europe and the impact of education. Ophthalmology 2015; 122: 1489-1497.
Flitcroft DI, He M, Jonas JB et al. IMI: defining and classifying myopia: a proposed set of standards for clinical and epidemiologic studies. Invest Ophthalmol Vis Sci 2019; 60: M20-M30.
Jones LA, Sinnott LT, Mutti DO et al. Parental history of myopia, sports and outdoor activities, and future myopia. Invest Ophthalmol Vis Sci 2007; 48: 3524-3532.
Zadnik K, Sinnott LT, Collaborative Longitudinal Evaluation of Ethnicity and Refractive Error (CLEERE) Study Group et al. Prediction of juvenile-onset myopia. JAMA Ophthalmol 2015; 133: 683-689.
Morgan IG WP, Ostrin LA, et al. IMI report on risk factors for myopia: from associations to causal mechanisms and preventive interventions. Invest Ophthalmol Vis Sci 2021; 62: article 3.
Huang HM, Chang DS, Wu PC. The association between near work activities and myopia in children-a systematic review and meta-analysis. PLoS One 2015; 10: e0140419.
French AN, Morgan IG, Mitchell P, Rose KA. Patterns of myopigenic activities with age, gender and ethnicity in Sydney schoolchildren. Ophthalmic Physiol Opt 2013; 33: 318-328.
Twelker JD, Mitchell GL, CLEERE Study Group et al. Children’s ocular components and age, gender, and ethnicity. Optom Vis Sci 2009; 86: 918-935.
Wojciechowski R, Congdon N, Anninger W, Broman AT. Age, gender, biometry, refractive error, and the anterior chamber angle among Alaskan eskimos. Ophthalmology 2003; 110: 365-375.
Wolffsohn JS, Flitcroft DI, Gifford KL et al. IMI: myopia control reports overview and introduction. Invest Ophthalmol Vis Sci 2019; 60: M1-M19.
Picotti C, Sánchez V, Fernández Irigaray L, Morgan IG, Iribarren R. Myopia progression in children during COVID-19 home confinement in Argentina. Oftalmol Clin Exp 2021; 14: 156-161.
Picotti C, Sanchez V, Fernandez Irigaray L et al. Rapid progression of myopia at onset during home confinement. J AAPOS 2022; 26: 65 e1-65.e4.
Arnold J, Caldera-Sánchez A, Garda P et al. América Latina tras el COVID-19: cómo impulsar una recuperación tan deseada. En: ECOSCOPE [blog]. OCDE, 2021. Disponible en: https://oecdecoscope.blog/2021/05/31/america-latina-tras-el-covid-19-como-impulsar-una-recuperacion-tan-deseada/
Aslan F, Sahinoglu-Keskek N. The effect of home education on myopia progression in children during the COVID-19 pandemic. Eye (Lond) 2022; 36: 1427-1432.
Liu J, Li B, Chen Q, Dang J. Student health implications of school closures during the COVID-19 pandemic: new evidence on the association of e-learning, outdoor exercise, and myopia. Healthcare (Basel) 2021; 9: 500.
Wang J, Li Y, Musch DC et al. Progression of myopia in school-aged children after COVID-19 home confinement. JAMA Ophthalmol 2021; 139: 293-300.
Fernández Irigaray L BA, Armesto A, Magnetto I, Szeps A, Iribarren LR, Iribarren R, Grzybowski A. Outdoor exposure in children from Buenos Aires province, Argentina. Arch Soc Esp Oftalmol 2022; 97: 396-401.
Rose KA, Morgan IG, Smith W et al. Myopia, lifestyle, and schooling in students of Chinese ethnicity in Singapore and Sydney. Arch Ophthalmol 2008; 126: 527-530.
Cortinez MF, Chiappe JP, Iribarren R. Prevalence of refractive errors in a population of office-workers in Buenos Aires, Argentina. Ophthalmic Epidemiol 2008; 15: 10-16.
Kotlik C, Zaldivar R, Szeps A et al. Myopia and outdoor sports in university students of Mendoza, Argentina. Oftalmol Clin Exp 2021; 14: 96-101.
Magnetto I, Magnetto O, Magnetto A et al. Low prevalence of myopia in children from a rural population in Marcos Juárez, Argentina. Oftalmol Clin Exp 2022; 15: e31-e39.
Sánchez MV, Iribarren R, Latino SG et al. refractive errors survey in older adults in an Argentinean city. Invest Ophthalmol Vis Sci 2011; 52 (14): 2511.
Sánchez MV, Iribarren R, Latino SG et al. Prevalence of refractive errors in Villa Maria, Córdoba, Argentina. Eye Science 2016; 31: 68-77.
Zeman L, Danza R, Fejerman L, Iribarren R. Prevalence of high astigmatism in Salta province, Argentina. Oftalmol Clin Exp 2021; 14: 162-170.
Publicado
Como Citar
Edição
Secção
Licença
Direitos de Autor (c) 2023 Consejo Argentino de Oftalmología
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-SemDerivações 4.0.
Con esta licencia no se permite un uso comercial de la obra original, ni la generación de obras derivadas. Las licencias Creative Commons permiten a los autores compartir y liberar sus obras en forma legal y segura.