Ophthalmologist Shi Yining's profound analysis of myopia
Ophthalmologist Shi Yining's profound analysis of myopia
Myopia is an important cause of visual impairment worldwide.
Preventing myopia has been a good wish of people for many years, but the incidence of myopia continues to rise.
In order to improve the health of individuals in society, especially young people
To this end, this journal specially invited Shi Yining, an ophthalmologist from Shaanxi Provincial People's Hospital
Launched the series of "What Dr. Shi Yining Has to Say About Myopia" to help sort out a feasible way of myopia prediction, prevention, control, and correction that Chinese people should pay attention to.
Shi Yining
Female, Bachelor's degree in 1983 and Doctor of Medicine degree in 1998,
In 1987, he studied ophthalmology at the University of Kansas, Missouri, USA, and went to Japan in 1995 for study and study.
He is currently the chief physician of the Department of Ophthalmology of Shaanxi Provincial People's Hospital and the graduate tutor of the Department of Ophthalmology of Xi'an Jiaotong University.
From 1994 to 2006, he was awarded the titles of Xi'an Professional and Technical Talent with Outstanding Contributions, Shaanxi Provincial Third Five-Year Talent, Shaanxi Provincial Health Department 215 Talent, Xi'an Cross-Century Academic and Technical Leader, State Council Special Allowance Expert, Shaanxi Province Young and Middle-aged Expert with Outstanding Contributions, Shaanxi Provincial Health System "Love Angel", and Shaanxi Provincial Expert with Outstanding Contributions.
Member of the editorial board of Journal of Clinical Ophthalmology and Chinese Journal of Practical Ophthalmology.
Professional Expertise:
Vitreoretinal disease, optometry,
Difficult eye disease.
1. "National disease" myopia is no longer an eye problem, not only an ophthalmologist's problem.
Myopia is not simply a medical problem, it has risen to a social problem!2 Our research - is it unfounded to worry about the sky?
In the busy outpatient clinic, I saw many parents with children staring blankly,
Seeing the child's glasses thickening year after year, as an ophthalmologist,
I feel a lot of pressure and responsibility! If parents can learn something about the eyes
Understand the prevention methods of myopia and actively cooperate with the doctor in the treatment of the child.
It can prevent the onset of myopia or slow down the progression of myopia.
It is with this purpose in mind that in 2010 we compiled popular science books.
It aims to bring the concept of active prevention to parents and people who are concerned about the health of children and adolescents
Tell parents about myopia prevention and treatment to build confidence that myopia is predictable.
Establish the concept of "children's eyes take care of themselves", so that myopia prevention "starts from children".
Starting from the "early start" of myopia, in life and learning, like taking care of children's food, clothing, housing and transportation,
Take care of your child's eyes.
1.56 Anti-blue light computer mobile phone radiation spectacle lens 3 Why China is the hardest hit area of myopia Myopia has developed to this state today,
It is closely related to people's awareness and attention, and the human factor is the driving force.
Excessive development of the brain too early causes the eyeball to develop earlier with the development of the brain - growth,
The commercialization and marketization of medical care make medical treatment prematurely intervene in the natural growth process of the eyeball and grow in advance.
Parents' test-taking thoughts, the idea of not letting children lose at the starting line,
Parents are driven to use a ruler - eyesight without seeking to understand it, half-knowingly, mechanically and dogmatically
Measure the visual development of different children - "less than 1.0, with astigmatism."
It is thought that the child has amblyopia and farsightedness", which promotes the premature and rapid growth of the eyeball.
4. How dangerous myopia is: Myopia has a great impact on personal life and learning.
- After the development of myopia at a certain age,
There is no effective cure, and myopia mostly affects both eyes; ——The binocular unaided visual acuity of moderate to high myopia with a myopia degree of more than -4.0D is often 0.05~0.3,
Be in the upper bound and low visual acuity range of national legal blindness; - Premature aging of eye tissue caused by high myopia can cause a variety of complications
For example, macular hemorrhage, retinal detachment, open-angle glaucoma, etc. can lead to vision loss and loss of working ability; - Blindness caused by myopia often occurs after the age of 40.
It seriously affects people's quality of life.
5How to control myopiaFirst of all, we should grasp how the eye axis grows? The eye axis of the eye grows out of one micron at a time.
Second, can we see the growth of the eye axis? This requires sophisticated instruments to measure,
To date, ocular biometers have been able to resolve 5-8 microns with an accuracy of 10 microns.
after
We break down the temporal variation in the growth of the small eye axis that can be measured:
If you are between the ages of 3 and 15,
The eye grows only about 1 mm - 10 years 1 mm = -3.0D - 1 year 0.1 mm = -0.3D - 6 months 0.05 mm = -0.15D - 3 months 0.025 mm = -0.075D Pinxiu 1.553 anti-fatigue ultra-thin aspheric myopia spectacle lenses means that the change of 25 microns in the axial month within 3 months can be monitored.
Knowing that eyes grow, as long as you calculate the growth rate,
Different schemes can be adopted for the average speed and rapid growth period.
Controlling growth makes it possible to control myopia; 1. Establish an eye health record system.
Increase the number of eye exams in the annual school physical examination and pay attention to the information and feedback from parents.
2. To ensure the people's livelihood for a century, it is a medical behavior to regulate the optometry industry for children and adolescents under the age of 18.
Optometrists are trained as undergraduates, as well as a system for admitting to the industry.
3. Regulate the supervision of the medical market such as myopia glasses.
Strictly supervise and access the market for eye care, optometry, and ophthalmic medical devices related to children's vision and amblyopia training.
Ensure the delay of myopia and young age.
4. Ensure that children and adolescents under the age of 18 have myopia glasses under the guidance of a licensed optometrist/ophthalmologist.
Qualified glasses that have undergone a standard refraction and are in line with the individual's physiological state.
5. The diagnosis of amblyopia, astigmatism and amblyopia, myopia and amblyopia in kindergarten children should strictly follow the diagnostic standards; visual training associated with amblyopia,
In particular, electronic products and artificial light source stimulation, manual massage and pressurized heating, red light and heat physiotherapy should be strictly managed with indications and operating specifications.
Formulate relevant laws and adopt legislation to ensure the safety of children's eye health in China.
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