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專訪 #理大 #眼科視光學診所 (近視專科) 伍尚舜博士 近視問題日趨嚴重,香港的青少年患有600度以上近視實屬常見。家長都關心如何可以幫助子女延緩近視形成和減慢近視加深。 香港理工大學 #眼科視光學院 副顧問眼科視光師 (近視專科) #伍尚舜博士 將透過影片解答以下常見問題: • 有什麼因素導致近視的形成? • 如何延緩近視形成? • 眼鏡度數應否減淺? • 如何減慢近視加深? (眼鏡、硬性及軟性隱形眼鏡、眼藥水) 了解更多: 綜合眼科視光檢查 ( • 綜合眼科視光檢查 Primary Eye Care Consultation ) 理大眼科視光學 ( • 理大眼科視光學 PolyU Optometry ) It is common to find young adults with over -6.00D of myopia in Hong Kong and the severity of myopia is escalating. Parents concern about the prevention measures of childhood myopia and what they could do once it is onset. Dr Vincent Ng, Associate Consultant Optometrist (Myopia Clinic), School of Optometry, The Hong Kong Polytechnic University will discuss the following FAQs in the video. • What causes myopia? • How to delay myopia development? • Should we reduce the prescription? • How to slow down myopia progression? (By spectacles, contact lenses and eye drop) To know more: Primary Eye Care Consultation ( • 綜合眼科視光檢查 Primary Eye Care Consultation ) PolyU Optometry ( • 理大眼科視光學 PolyU Optometry ) 參考文獻 /References: Prevalence of myopia in Hong Kong Lam CS et al. Prevalence of myopia among Hong Kong Chinese schoolchildren: changes over two decades. Ophthalmic Physiol Opt, 2012; 32(1): 17-24. Lam CSY & Goh WSH. The incidence of refractive errors among school children in Hong Kong and its relationship with the optical components. Clin Exp Optom, 1991; 74: 97-103. Factors for myopia development Parental myopia Jones LA et al. Parental history of myopia, sports and outdoor activities, and future myopia. Invest Ophthalmol Vis Sci, 2007; 48(8): 3524-32. Kurtz D et al. Role of parental myopia in the progression of myopia and its interaction with treatment in COMET children. Invest Ophthalmol Vis Sci, 2007; 48(2): 562-70. Other factors Parssinen O, Lyyra AL. Myopia and myopic progression among schoolchildren: a three-year follow-up study. Invest Ophthalmol Vis Sci, 1993; 34: 2794-802. 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, 2008; 49: 2903-10. Time outdoors vs myopia Deng L, Gwiazda J, Thorn F. Children’s refractions and visual activities in the school year and summer. Optom Vis Sci, 2010; 87: 406-13. Dirani M, Tong L, Gazzard G et al. Outdoor activity and myopia in Singapore teenage children. Br J Ophthalmol, 2009; 93: 997-1000. Myopia control using prismatic bifocal Cheng D, Schmid KL, Woo GC, Drobe B. Randomized trial of effect of bifocal and prismatic bifocal spectacles on myopic progression: two-year results. Arch Ophthalmol, 2010; 128: 12-19. Cheng D, Woo GC, Drobe B, Schmid KL. Effect of bifocal and prismatic bifocal spectacles on myopia progression in children: three-year results of a randomized clinical trial. JAMA Ophthalmol, 2014; 132: 258-264. Myopia control using orthokeratology Cho P, Cheung SW, Edwards M. The Longitudinal orthokeratology research in children (LORIC) in Hong Kong: a pilot study on refractive changes and myopic control. Curr Eye Res, 2005; 30: 71-80. Cho P, Cheung SW. Retardation of myopia in orthokeratology (ROMIO) study: a 2-year randomized Clinical Trial. Invest Ophthalmol Vis Sci, 2012; 53: 7077-7085. Myopia control using DISC lens Lam CSY, Tang WC, Tse DY, Tang YY, To CH. Defocus incorporated soft contact (DISC) lens slow myopia progression in Hong Kong Chinese schoolchildren: a 2-year randomized clinical trial. Br J Ophthalmol, 2014; 98: 40-45. Myopia control using atropine Chua WH, Balakrishnan V, Chan YH et al. Atropine for the treatment of childhood myopia. Ophthalmology, 2006; 113: 2285-91. Chia A, Chua WH, Cheung YB et al. Atropine for the treatment of childhood myopia: safety and efficacy of 0.5%, 0.1%, and 0.01% doses (ATOM2). Ophthalmology, 2012; 119: 347-54. (Full reference is listed at the end of the video.)