Prevention is better than control. Control is better than cure

"I have communicated with parents around the topic of children's vision, I feel that some parents do not pay enough attention to the problem of myopia, found that the child's vision has been significantly reduced, but can only wear kids eyeglasses onlines." Xiong Me

"I have communicated with parents around the topic of children's vision, I feel that some parents do not pay enough attention to the problem of myopia, found that the child's vision has been significantly reduced, but can only wear kids eyeglasses onlines." Xiong Meijuan said.

 

"For the problem of myopia, for a long time, there has been a widespread misconception that" treatment is more important than prevention." Xiao Yanfeng, chairman of the special committee of school health and health of Shaanxi Provincial Health Association, said that the problem of myopia in children and adolescents should be prevented rather than controlled, and control is more important than treatment.

 

The National Health Commission issued the "Prevention and control of children and adolescents myopia core knowledge ten" (hereinafter referred to as the "ten") pointed out that the prevention of myopia from early childhood start. Children's eyeballs and vision are gradually mature, the newborn's eyeballs are smaller, the eye axis is shorter, and the eyes are in a state of hyperopia at this time, which is physiological hyperopia, known as "hyperopia reserve". With the growth and development of children, the degree of hyperopia gradually decreases and tends to face squarely. The lack of hyperopia reserve is easy to develop into myopia.

 

Family is the first line of defense against myopia. Parents should establish myopia prevention and control awareness from the child's birth, give the child a healthy visual environment, help the child develop good eye habits, and achieve early detection, early prevention, early diagnosis and treatment of myopia.

 

Age-specific control of screen time is an important part of myopia prevention and control. Data show that in 2022, the number of underage Internet users in China will be 193 million, and the Internet penetration rate of minors will reach 97.2%, basically in a saturated state. The popularity of intelligent terminals for minors to broaden their vision at the same time, but also have an invisible impact on vision. "Screen brightness, ambient brightness, viewing distance and exposure time of video electronic products are the main factors affecting children and adolescents' vision." Ma Jun, a professor at the Institute of Child and Adolescent Health of Peking University, believes that children and adolescents have good eye penetration, sensitivity to light stimulation, strong response to light changes, and are more susceptible to the impact of video electronic products.

 

Experts suggest that families choose electronic products, the order of use should be projectors, TVS, computers, tablets, mobile phones. The general principle is that the larger the screen, the higher the resolution, the better, and adjust the brightness according to the environment. At the same time, parents should actively pay attention to their children's visual health, accompany their children to exercise together, and guide them to reduce the use of electronic products.

 

The guidelines also put forward the establishment of a regular vision screening system and information management of vision health. In Qingxiu District of Nanning, Guangxi Zhuang Autonomous Region, parents can log on to the home-school information sharing platform for student vision monitoring, see all aspects of their children's vision data in real time, and take corresponding prevention and control measures according to suggestions.

 

Once the child is diagnosed with myopia, it should be timely scientific intervention. "Ten" suggested that by wearing glasses and other correction, delay the progress of myopia. For those who wear glasses and have normal vision, preschool children and primary school students are reviewed every 3-6 months, and middle and high school students every 6-12 months, and whether to replace glasses is decided according to the specific situation. The appropriate techniques of Chinese medicine such as auricular-point pressure pill have been proved by evidence-based medicine to control the progression of myopia, and students and parents should be standardized under the guidance of professional doctors.

 

In addition, the National Health Commission and other six departments jointly issued the "Notice on Further regulating the work of myopia correction for children and Adolescents and Strengthening supervision" clearly pointed out that under the current medical technology conditions, myopia can not be cured. Any treatment that claims to be able to reverse myopia is suspected of exaggeration and false propaganda, parents need to pay attention to screening, and do not "rush to the doctor".


Tina Yuu

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