臨床眼科74巻13号

2020年12月発行

連載 国際スタンダードを理解しよう！　近視診療の最前線・3

—小児の近視をみたらどうすればよいか？—小児の近視の環境因子

著者： 五十嵐多恵¹

所属機関： ¹東京医科歯科大学大学院医歯学総合研究科眼科学分野

ページ範囲：P.1558 - P.1565

◆エビデンスに基づく有効な近視予防対策が，東アジア・東南アジアの先進諸国では迅速に講じられている。

◆国際基準に基づいた適切な視環境整備が日本で推進されるためには，エビデンスに基づく正しい近視の予防法を理解する必要がある。

◆クラウクリップや電子機器に内蔵されたアプリなどの客観的なデータを用いた研究から，近視予防のための視環境整備への理解が深まることが期待されている。

参考文献

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3）Rose KA, Morgan IG, Ip J et al：Outdoor activity reduces the prevalence of myopia in children. Ophthalmology 115：1279-1285, 2008

4）French AN, Morgan IG, Mitchell P et al：Risk factors for incident myopia in Australian schoolchildren：the Sydney adolescent vascular and eye study. Ophthalmology 120：2100-2108, 2013

5）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 16：2595, 2019

6）Wu PC, Chen CT, Chang LC et al：Increased time outdoors is followed by reversal of the long-term trend to reduced visual acuity in Taiwan primary school students. Ophthalmology S0161-6420（20）30139-1, 2020

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11）Wen L, Cao Y, Cheng Q et al：Objectively measured near work, outdoor exposure and myopia in children. Br J Ophthalmol bjophthalmol-2019-315258, 2020

12）Lanca C, Teo A, Vivagandan A et al：The effects of different outdoor environments, sunglasses and hats on light levels：Implications for myopia prevention. Transl Vis Sci Technol 8：7, 2019

13）Flitcroft DI：The complex interactions of retinal, optical and environmental factors in myopia aetiology. Prog Retin Eye Res 31：622-660, 2012

14）Mutti DO, Zadnik K：Has near work's star fallen? Optom Vis Sci 86：76-78, 2009

15）Ip JM, Saw SM, Rose KA et al：Role of near work in myopia：findings in a sample of Australian school children. Invest Ophthalmol Vis Sci 49：2903-2910, 2008

16）Huang J, Wen D, Wang Q et al：Efficacy comparison of 16 interventions for myopia control in children a network meta-analysis. Ophthalmology 123：697-708, 2016

17）https://www.aoa.org/AOA/Images/Patients/Eye%20Conditions/20-20-20-rule.pdf（閲覧日：2020年10月19日）

18）Wen L, Cheng Q, Lan W et al：An objective comparison of light intensity and near-visual tasks between rural and urban school children in China by a wearable device clouclip. Transl Vis Sci Technol 8：15, 2019

19）Cao Y, Lan W, Wen L et al：An effectiveness study of a wearable device（Clouclip）intervention in unhealthy visual behaviors among school-age children：A pilot study. Medicine（Baltimore） 99：e17992, 2020