Refractive Errors Among Members of the Armed Forces of the Czech Republic.

Q4 Medicine Ceska a Slovenska Oftalmologie Pub Date : 2024-01-01 DOI:10.31348/2024/7

Veronika Poláčková, Hana Šindelářová, Kristýna Lahodová, Iveta Němcová, Martin Šín

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Abstract

Objective: To evaluate the prevalence of refractive errors among members of the Armed Forces of the Czech Republic, to recommend a safe way of correcting refractive errors with regard to the specific needs of military personnel (especially members of combat units and flying personnel), and to propose a system for solving these errors in order to increase combat effectivity. Methodology: Questionnaire to determine previous refractive surgery and spectacle correction wear. Measurement of refraction with a hand-held autorefractometer and evaluation of current visual acuity on ETDRS optotypes (Landolt rings). Results: 259 servicemen (518 eyes) were investigated. The return rate of the questionnaires was 100%. The incidence of myopia greater than -0.75D was 22% (113 eyes), myopia greater than -0.5D 32% (166 eyes). The mean value of myopia was -0.78 D (SD ±0.6). Hypermetropia values ranged from +0.25 to +5.0 D. The mean value of hypermetropia was 0.63 D (SD ±0.7). Astigmatism values ranged from -0.25 to -3.75. The mean value of astigmatism was -0.55 Dcyl (SD ±0.49). The average visual acuity was 84.1 letters ETDRS SD (±6.1), visual acuity worse than 80 letters was manifested by 23% of the members of the monitored group. 25 people (10%) had undergone laser refractive surgery. Visual acuity after laser refractive surgery was measured in 19 people (38 eyes). Mean uncorrected post-laser visual acuity was 83.87 (SD ±6.1) ETDRS letters. The mean follow-up period after laser refractive surgery was 6.78 (SD ±4.8) years. Conclusion: Despite the initial selection of military personnel and entry limitations, the prevalence of refractive errors is comparable to the general population. However, in contrast with the general population, refractive errors larger than -3.0 D were not represented in the group. Due to the finding of insufficient correction of refractive errors, increased emphasis should be placed on identifying and regularly observing military personnel with refractive errors

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捷克共和国武装部队成员的屈光不正。

目的评估捷克共和国武装部队成员屈光不正的普遍程度，针对军事人员（尤其是作战部队成员和飞行人员）的特殊需求，推荐一种矫正屈光不正的安全方法，并提出一种解决屈光不正的系统，以提高战斗力。研究方法：通过问卷调查了解以往屈光手术和眼镜矫正佩戴情况。使用手持式自动屈光仪测量屈光度，并根据 ETDRS 光型（Landolt 光环）评估当前视力。结果：共调查了 259 名军人（518 只眼睛）。问卷回收率为 100%。近视度数大于 -0.75D 的发生率为 22%（113 眼），大于 -0.5D 的发生率为 32%（166 眼）。近视的平均值为-0.78 D (SD ±0.6)。远视度数从 +0.25 到 +5.0 D 不等，平均值为 0.63 D（标准差 ±0.7）。散光值在 -0.25 至 -3.75 之间。散光的平均值为-0.55 Dcyl (SD ±0.49)。平均视力为 84.1 ETDRS SD (±6.1)，监测组中有 23% 的人视力低于 80 个字母。25人（10%）接受过激光屈光手术。对 19 人（38 只眼）的激光屈光手术后视力进行了测量。激光术后未矫正视力的平均值为 83.87 (SD ±6.1) ETDRS 字母。激光屈光手术后的平均随访时间为 6.78 年（标准差 ±4.8）。结论：尽管最初选择的是军人并有入伍限制，但屈光不正的发生率与普通人群相当。然而，与普通人群不同的是，该群体中不存在大于 -3.0 D 的屈光不正。由于发现屈光不正矫正不足，因此应更加重视识别和定期观察有屈光不正的军人。

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Ceska a Slovenska Oftalmologie Medicine-Ophthalmology

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0.80

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0.00%

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