한국안광학회지 (Journal of Korean Ophthalmic Optics Society)

한국안광학회 (The Korean Ophthalmic Optics Society)
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도시와 농촌지역 초등학생들의 굴절상태 비교에 관한 연구

A Study of the Refractive Errors Comparition between City and Rural Elementary School Children

  • 김인숙 (초당대학교 안경광학과) ;
  • 장정운 (을지대학교 안경광학과)
  • 투고 : 2016.04.09
  • 심사 : 2016.05.18
  • 발행 : 2016.06.30
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초록

목적: 본 연구에서는 도시와 농촌 지역별 초등학생들의 굴절상태 현황을 비교, 분석하여 시기능 기초자료로 활용하고자 하였다. 방법: 도시지역인 목포와 농촌지역인 영암군, 무안군 초등학교 2,501명을 대상으로 타각적, 자각적 굴절검사, 양안 시기능 검사를 실시 후 도시와 농촌의 굴절상태를 비교 분석하였다. 결과: 농촌지역 초등학생들의 평균 근시도는 2012년 -1.47 D, 2013년 -1.52 D, 2014년 -1.40 D로 나타났으며 도시지역 초등학생들의 평균 근시도는 2012년 -1.65 D, 2013년 -1.76 D, 2014년 -1.75 D로 나타났다. 자.타각적 측정결과 도시지역 초등학생들의 근시도가 농촌지역 초등학생들의 근시도보다 높게 나타났다. 농촌지역과 도시지역 초등학생들의 비교에서는 모두 유의한 차이를 보였고(p = 0.03), 평균 원시도는 지역별에 의한 차이는 유의하지 않았다(p = 0.32). 농촌과 도시지역 초등학생들의 연령에 따른 평균 근시도는 연령이 증가할수록 근시도가 증가하는 것으로 나타났으며, 도시지역 초등학생들의 근시도가 농촌 지역 초등학생들보다 높게 나타났다. 결론: 가장 굴절상태의 변화가 많은 시기에 시력검사를 정기적인 시기에 적절하게 맞추어 정확하게 교정하는 것이 중요하며, 주기적인 검사와 지속적으로 관리하는 전담인력의 배치가 필요할 것으로 사료된다.

Purpose: This study was designed to be used as the basic visual function data after analyzing and investigating the refractive errors variation between city and rural elementary school children. Methods: To compare with city and rural areas, 2501 elementary school children who lived in Mokpo, Yeongam, Muan, Hampyeong were participated. Objective refraction, Subjective refraction and binocular function examinations were measured. Results: Mean of refractive error of rural areas was -1.47 D in 2012 years, -1.52 D in 2013 years, and -1.40 D in 2014 years. However average of refractive error was -1.65 D in 2012 years, -1.76 D in 2013 years and -1.75 D in 2014 years who lives in city areas. Average myopia was showed higher who lives in rural areas elementary school children than city areas elementary school children. There were significant differences between rural areas and city areas elementary school children (p = 0.03), but there were no significant differences by averagre hyperopia (p = 0.32). Average myopia was showed the tendency of increase as the students get older by analysis compare with rural and city areas elementary school children. It also showed high prevalence of myopia who lives in city areas elementary school children compare with lives in rural areas elementary school children. Conclusions: It is the very important to performed regular visual acuity test and correction during the largest refractive change period and it is necessary to have experts in the visual acuity test.

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참고문헌

  1. Saw SM, Nieto FJ, Katz J, Schein OD, Levy B, Chew SJ. Factors related to the progression of myopia in Singaporean children. Optom Vis Sci. 2000;77(10):549-554. https://doi.org/10.1097/00006324-200010000-00009
  2. Park EK. Relationship of visual acuity and refractive error in elementary school students. J Korean Ophthalmic Opt Soc. 2008;13(4):141-143.
  3. Ho CS, Nq CB, Chan E, Wijaya R, Ashok V, Tang W et al. Uncorrected refractive error in Singapore teenagers. Br J Ophthalmol. 2006;90(2):202-207. https://doi.org/10.1136/bjo.2005.079343
  4. Choi YH, Choi YY. The difference comparison according to child refractive method and effect of life style on myopia. J Korean Ophthalmol Soc. 2005;46(11):1841-1847.
  5. MOE(Ministry of Education, Korea). Sample Survey results announcement about physical development, health, etc of elementary, middle and high school students, 2016. http://www.moe.go.kr/web/106888/ko/board/view.do?bbsId=339&boardSeq=58466(21 February 2016).
  6. Kim IS, Jang JU. A study of research on uncorrected refractive error in elementary school children in Mokpo. J Korean Ophthalmic Opt Soc. 2011;16(3):313-317.
  7. Park JH, Chun JS, Lee SH. The correlates analysis between parental socioeconomic factors and eye health of the primary school children. Korean J Vis Sci. 2011;13(1):11-19.
  8. Yun MO, Mah KC. Comparative analysis of refractive error in rural and urban elementary schoolchildren. Korean J Vis Sci. 2007;9(3):269-281.
  9. Yun MO, Eom JH, Mah KC. The survey of environmental factors by questionnaries with refractive state rural and urban elementary schoolchildren. Korean J Vis Sci. 2008; 10(2):87-97.
  10. Cho YO. A study on the refraction state of rural primary school children. MS Thesis. Hanyang University, Seoul. 1982;18-23.
  11. Shin KH. A study on the refraction state of urban primary school children. MS Thesis. Hanyang University, Seoul. 1982;16-28.
  12. Mah KC, Lee KJ, Jang TW. The effect of ocular growth to the progression of myopia in children who live in Seoul. Korean J Vis Sci. 2002;4(1):1-9.
  13. Lee WS, Ye KH, Shin BJ. A study on the progression and prevalence of myopia according to age for the last five years: from 2008 to 2012. J Korean Ophthalmic Opt Soc. 2014;19(1):121-133. https://doi.org/10.14479/jkoos.2014.19.1.121
  14. Dandona R, Dandona L, Srinivas M, Sahare P, Narsaiah S, Muoz SR et al. Refractive error in children in a rural population in India. Invest Ophthalmol Vis Sci. 2002; 43:615-622.
  15. Koo BS, Kim JC, Yang HN. A survey of the visual impairment and the refractive errors in urban school children in Korea. J Korean Soc School Health. 1988;1(1): 103-113.
  16. Nam WG, Cho HG, Son JS, Kwak HW, Moon BY. Examination of refractive correction and accommodative ability on myopic elementary school children wearing glasses in Jinju city. J Korean Ophthalmic Opt Soc. 2009;14(1):109-114.
  17. Saw SM, Chua WH, Hong CY, Wu HM, Chan WY, Chia KS et al. Nearwork in early-onset myopia. Invest Ophthalmol Vis Sci. 2002;43(2):332-339.
  18. Saw SM, Zhang MZ, Hong RZ, Fu ZF, Pang MH, Tan DT. Near-work activity, night-lights, and myopia in the Singapore-China study. Arch Ophthalmol. 2002;120(5): 620-627. https://doi.org/10.1001/archopht.120.5.620
  19. Jang JU, Park IJ. The study of prevalence rate of refractive error among the primary students in Jeollanamdo. J Korean Ophthalmic Opt Soc. 2015;20(3):311-318. https://doi.org/10.14479/jkoos.2015.20.3.311

피인용 문헌

  1. Refractive status of Elementary School Children in Gyeongsan-si, Gyeongbuk vol.19, pp.4, 2017, https://doi.org/10.17337/jmbi.2017.19.4.443
  2. A Study on the Refractive State of Elementary School Students in Wonju, Gangwon-do vol.21, pp.1, 2016, https://doi.org/10.17337/jmbi.2019.21.1.37
  3. Refractive Error and Correction of Second-year Elementary School Students in Keongsan-si, Gyeongbuk vol.21, pp.4, 2016, https://doi.org/10.17337/jmbi.2019.21.4.525