Eye health care should run through the entire life cycle of the entire population. In order to help and guide residents in the area to achieve the goal of eye health, the Pudong New Area Visual Health Standard Diagnosis and Treatment Center was established recently. In this regard, Ma Xiaoyun, director of the ophthalmology technology of Shanghai Health Medical College, director and chief physician of the ophthalmology department of Zhoupu Hospital in Pudong New Area, gave Detailed interpretation.
Everyone is unavoidable to deal with eye diseases
According to clinical observation, the eye disease with the largest number of operations is cataract in the elderly, and the most common eye disease in holidays is juvenile myopia glasses or myopia correction surgery. The most common treatment is dry eye in adults. It can be seen that every age group is inevitably dealing with eye diseases. Ma Xiaoyun introduced that the incidence of myopia in children and adolescents in Shanghai remains high, and the demand for prevention and treatment of eye diseases such as dry eye syndrome and diabetic retinopathy (referred to as diabetic retinopathy) among young people and middle-aged and elderly people is growing rapidly. Zhoupu Hospital is one of the first regional medical centers in Shanghai. It is based in Pudong and serves Zhangjiang Science City at the same time. The “Visual Health Standard Diagnosis and Treatment Center” established this time will provide residents in the jurisdiction with eye health services for the entire population and the entire life cycle. Build a visual health comprehensive service management system with characteristics and connotations.
Get out of the misunderstanding of myopia prevention
Myopia is the most common refractive error in young children. Prevention and treatment of myopia must start at an early age. Eyeball development has a natural law, normal newborns have hyperopia of 1600 degrees, and then the degree gradually decreases, and develops to emmetropia at the age of 10-14. If you do not pay attention to protecting your vision in childhood, resulting in insufficient hyperopia reserves, and reaching normal vision prematurely, the possibility of myopia will increase in the future.
Ma Xiaoyun suggested that parents help children and adolescents to adhere to good eye habits, and advocate the “20-20-20” rule when reading and writing, that is, every 20 minutes, look 20 feet (about 6 meters) away for at least 20 seconds; maintain a “one punch, one inch, one foot” posture, especially to ensure 2 hours of outdoor activities every day. The light of the lighting lamp should be stable. Don’t tilt your head to look at things, avoid stressing fatigue and deepening the degree of myopia. The diet structure should be reasonable, the meat and vegetables should be matched, pay attention to supplement the vegetables and fruits rich in lutein, and eat less or no sweets. Check your vision at least once a year. If you have myopia, you need to see a doctor as soon as possible to get glasses and scientific correction treatment. Don’t have the fluke mentality of “resolved by laser surgery when you grow up” and “wait and see”.
Go to a designated hospital with refractive files
Introduced by Ma Xiaoyun, Zhoupu Hospital led the establishment of an eye medical consortium, formed an eye health volunteer service team, and joined hands with community health service centers , enter kindergartens and primary and secondary schools, implement refractive screening for children and adolescents, establish refractive files, and move forward the prevention and control of myopia.
In addition to myopia, the effects of strabismus and amblyopia on the eye health of adolescents also need attention. Strabismus and amblyopia are also a major component of the refractive profile of adolescents and children. Generally, 5 years old is the age of diagnosis of amblyopia. By fitting glasses, covering normal eyes or systematically training amblyopia, many children’s vision can be improved to normal. If treatment is started after the age of 10, the effect will be greatly reduced.
Adults need to take the initiative to consciously protect their eyes
Young people are more and more suffering from dry eye syndrome due to long-term eye use and excessive eye use. There are also many eye problems caused by contact lenses, mites and other reasons. According to Ma Xiaoyun, Zhoupu Hospital, in combination with the actual needs of professionals, cooperates with the government, enterprises, universities, etc., to carry out targeted treatment and popular science education for this group of people, and constantly improve the consciousness and initiative of young people to love and protect their eyes.
The prevention of blindness in the elderly requires regular screening and follow-up
“Health management of blinding eye diseases in the elderly” has been included in the “Shanghai Public Health Service Project”, and diabetic retinopathy As the key work in this project is getting more and more attention. “Screening” and “follow-up” are the focus of diabetes prevention and treatment, and “screening rate” and “follow-up rate” are also difficult points. Ma Xiaoyun pointed out that in order to move the threshold of tertiary prevention forward, we must concentrate on the “screening” and “follow-up” of elderly patients. By accurately grasping the advantages and characteristics of modern information technology, and empowering a series of managements such as early screening and auxiliary diagnosis and treatment of diabetes mellitus with information technology, the “Internet of Information” can help improve the quality of prevention and treatment of diabetes mellitus.
No matter what age you are in, good eye habits and a healthy lifestyle are the basic requirements for eye protection. In addition to annual visual inspection, once you find obvious changes in vision, such as blurred vision, straight lines, etc., it is recommended to see a doctor.
(Pan Jiayi)