Protecting the "hyperopia reserve" of preschool children cannot be ignored and enhancing the effectiveness of vision protection for teenagers
In recent years, with the popularization of electronic products, the prevention and treatment of myopia among teenagers has been paid more and more attention in school and family education. However, tracing back to its roots, protecting the "hyperopia reserve" of preschool children is often overlooked.
The so-called "hyperopia reserve" means that both eyes of newborns are in a state of hyperopia. As they grow and develop, they gradually become normal until they reach preschool age. The myopia rate among children and adolescents in my country shows a trend of early onset, rapid progression, and deep degree. Data released by the Third National Vision Health Summit Forum shows that as of 2023, the overall myopia rate among children and adolescents in my country is 52.7%, including 14.3% for 6-year-old children, 35.6% for primary school students, 71.7% for junior high school students, and 71.7% for high school students. 80.5%, and this proportion continues to grow by 1-2.5 percentage points every year.
"Hyperopia reserve" has been ignored, partly because some parents have insufficient awareness of vision protection. From birth to 6 years old, a child's eye axis changes very rapidly, especially between the ages of 3 and 6, which is an important period for the development of children's visual functions. Parents must control their children's close eye use well. If the axial length of the eye grows too fast, the "hyperopia reserve" will be overdrawn prematurely, and myopia will occur, and the development of myopia will be irreversible. Indulging in the use of various electronic products will cause serious damage to children's vision; on the other hand, there is a lack of mechanism for annual vision testing of preschool children. Although prevention and control of youth myopia has been included in government performance assessments in various places, annual eye care and vision examinations for preschool children aged 0 to 6 are still mainly paid on a voluntary basis. The prevention and control mechanism is not perfect, the "gateway forward" for myopia prevention is not enough, and full coverage cannot be achieved.
The first is to strengthen publicity and guidance to create an atmosphere in which the whole society attaches great importance to the protection of the "far-sighted reserve" of preschool children. Currently, society as a whole has insufficient understanding of the concept of "hyperopia reserve" in preschool children. It is recommended to increase publicity in communities, hospitals, early childhood education institutions, public areas, etc., and call on parents and the whole society to attach great importance to the problem of insufficient "hyperopia reserve" in preschool children, so as to "move forward" the prevention and treatment of myopia in children and adolescents. .
The second is to explore and implement the construction of multidisciplinary MDT clinics for myopia prevention and control in preschool children. MDT clinic, that is, multidisciplinary joint clinic, usually consists of a working group composed of relatively fixed experts from more than three related disciplines. For a certain organ or system disease, scientific and reasonable opinions on clinical treatment are proposed through scheduled and located outpatient meetings. model. As far as I know, the Huacao Community Health Service Center in Minhang District opened an MDT clinic for myopia prevention and control for teenagers in April this year. This is the first MDT clinic for myopia prevention and control for teenagers opened by a community health service center in the city. The funding is provided by the town health service center. If you raise funds, the expenses will go into medical insurance. It is recommended that community health service centers with relatively mature conditions explore the opening of MDT clinics for adolescent myopia prevention and control, implement regular annual inspections of health service centers, fully implement the "hyperopia reserve" screening for children aged 0-6 years old, and establish refractive development files as early as possible. Investigate and treat, promptly popularize children’s eye health knowledge to parents, carry out vision health guidance, strive to improve the effectiveness of myopia prevention and treatment among teenagers in the city, and better protect the healthy growth of teenagers.
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