{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:22:07Z","timestamp":1740108127454,"version":"3.37.3"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"S1","license":[{"start":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T00:00:00Z","timestamp":1620000000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T00:00:00Z","timestamp":1620000000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologe"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Wir stellen ein Projekt zur Verbesserung der Augengesundheit bei Schulkindern vor: J\u00e4hrliche optometrische Reihenuntersuchungen mit Fokus auf die Fr\u00fcherkennung der Schulmyopie. Die logistische Machbarkeit wird am Beispiel eines Pilotprojektes an einem staatlichen Gymnasium in Nordrhein-Westfalen beleuchtet. Die erhobenen biometrischen Parameter tragen au\u00dferdem zur Erhebung epidemiologischer Daten bei.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>An organisierten Untersuchungstagen wurde bei den Schulkindern der 5.\u00a0bis 7.\u00a0Klassen (Alter\u00a09 bis 16\u00a0Jahre) die objektive und subjektive Refraktion ermittelt, auf Auff\u00e4lligkeiten im Binokularsehen getestet und der photopische und mesopische Pupillendurchmesser bestimmt. Mittels ber\u00fchrungsfreier Biometrie wurden die Hornhautradien, zentrale Hornhautdicke, Vorderkammertiefe, Linsendicke und die Achsl\u00e4nge der Augen gemessen. Mittels optischer Koh\u00e4renztomographie (OCT) wurde au\u00dferdem die zentrale Aderhautdicke der Augen bestimmt. Mit Frageb\u00f6gen wurden die Sehgewohnheiten der Schulkinder erfragt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Im Herbst 2019 nahmen 274 Schulkinder (11,2\u202f\u00b1\u20091,2\u00a0Jahre) freiwillig an den Untersuchungen teil; 22\u202f%\u00a0(61) zeigten eine Myopie (sph\u00e4risches \u00c4quivalent \u2264\u202f\u22120,50\u202fdpt), hiervon waren 11\u202f%\u00a0(7) bisher unkorrigiert (unkorrigierter Fernvisus &lt;\u202f0,8); 8\u202f%\u00a0(5) der Schulkinder zeigten eine Zunahme der Myopie um mehr als \u22120,5\u202fdpt verglichen mit ihrem aktuellen Brillenwert (Fernvisus mit Brillenwert &lt;\u202f0,8). Eine Schulklasse mit ca.\u00a025 Kindern kann innerhalb von 2\u00a0Schulstunden optometrisch untersucht werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Notwendigkeit der optometrischen Reihenuntersuchung ist objektiv gegeben, da insgesamt 4,4\u202f%\u00a0(12) myope Schulkinder identifiziert werden konnten, die aufgrund ihrer Brillenkorrektion einen Fernvisus von kleiner\u00a00,8 aufwiesen. Durch die Ermittlung der Achsl\u00e4nge und der Einordnung dieses Wertes in Abh\u00e4ngigkeit des Alters in die Literatur kann das individuelle Myopierisiko abgesch\u00e4tzt und Eltern und Kinder k\u00f6nnen sensibilisiert werden, um dem Missstand zu begegnen. Die geplanten Wiederholungsuntersuchungen werden genauere Aussagen zum Bulbuswachstum bei Schulkindern liefern.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00347-021-01394-5","type":"journal-article","created":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T11:02:57Z","timestamp":1620039777000},"page":"25-32","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Optometrische Schulreihenuntersuchungen","Optometric eye screening in schools"],"prefix":"10.1007","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5006-7420","authenticated-orcid":false,"given":"Hakan","family":"Kaymak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Neller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saskia","family":"Funk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achim","family":"Langenbucher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berthold","family":"Seitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hartmut","family":"Schwahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,3]]},"reference":[{"issue":"2","key":"1394_CR1","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/j.ophtha.2015.07.004","volume":"123","author":"A Chia","year":"2016","unstructured":"Chia\u00a0A, Lu\u00a0Q\u2011S, Tan\u00a0D (2016) Five-year clinical trial on atropine for the treatment of myopia 2: myopia control with atropine 0.01\u202f% eyedrops. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}