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Study on introduction of new ophthalmic examinations to improve the effectiveness of infant health check-up in Japan

Research Project

Project/Area Number 16K21322
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Special needs education
Epidemiology and preventive medicine
Research InstitutionAichi Shukutoku University (2018)
International University of Health and Welfare (2016-2017)

Principal Investigator

Mochizuki Hiroshi  愛知淑徳大学, 健康医療科学部, 准教授 (60633401)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Keywords乳幼児健康診査 / 弱視 / 斜視 / 健康診査 / 瞳孔 / 発達障害
Outline of Final Research Achievements

Amblyopia and strabismus should be evaluated in the visual examination conducted in children at 3 years of age in Japan. The prevalence rate of refractive error was high as a cause of amblyopia (2.4%) and constant or intermittent strabismus (2.3%). Our study showed that 80.0% of the patients with strabismus or amblyopia did not receive a recommendation for a follow-up examination at the health check-up performed at 3 years of age. Therefore, 80.0% of the amblyopia and strabismus cases were overlooked in the health check-up conducted in children at 3 years of age in Japan. The questionnaire, which was answered by the parent, on the primary examination of 3-year-old children, is relatively inefficient in detection of amblyopia and strabismus.

Academic Significance and Societal Importance of the Research Achievements

視力の発達障害である弱視や両眼視機能の異常を引き起こす斜視はそれぞれ約2%程度の有病率であり、早期に発見し早期に治療を行う必要がある。これらの疾患を発見する機会として、三歳児健康診査(健診)における視覚検査が重要な役割を果たす。しかし、三歳児健診での弱視や斜視の見逃しが多く、特に1次健診として家庭で保護者が回答する目に関する質問紙での検出が比較的難しいことが判明した。患児と生活を共にする保護者による1次検査の限界を考慮する必要がある。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (12 results)

All 2018 2017 2016

All Journal Article (7 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 6 results,  Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (5 results)

  • [Journal Article] Investigation of the health checkup results for 3-year-old children with strabismus or amblyopia2018

    • Author(s)
      望月浩志,大谷優,大森沙江子,吉田美沙紀,渡辺楓香,藤山由紀子,新井田孝裕
    • Journal Title

      JAPANESE ORTHOPTIC JOURNAL

      Volume: 47 Issue: 0 Pages: 73-79

    • DOI

      10.4263/jorthoptic.047F104

    • NAID

      130007609449

    • ISSN
      0387-5172, 1883-9215
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 斜視・弱視検査&訓練 裏技とコツ これだけは知っておきたい斜視・弱視の基礎知識2018

    • Author(s)
      望月浩志
    • Journal Title

      眼科ケア

      Volume: 20 Pages: 1038-1042

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 眼位検査経験者と未経験者における眼位ずれの認識の差異2018

    • Author(s)
      望月浩志,阿久津美歩,原郁美,真柄百香,三森奈菜,藤山由紀子,新井田孝裕
    • Journal Title

      眼科臨床紀要

      Volume: 11 Pages: 117-121

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Evaluation of visual function in preschool-age children using a vision screening protocol2018

    • Author(s)
      Satou Tsukasa、Takahashi Yoshiaki、Ito Misae、Mochizuki Hiroshi、Niida Takahiro
    • Journal Title

      Clinical Ophthalmology

      Volume: Volume 12 Pages: 339-344

    • DOI

      10.2147/opth.s160288

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 特集 第70回日本臨床眼科学会講演集[4] 原著 未就学児における両眼視機能の検討2017

    • Author(s)
      髙橋 由嗣、佐藤 司、伊藤 美沙絵、望月 浩志、新井田 孝裕
    • Journal Title

      臨床眼科

      Volume: 71 Issue: 6 Pages: 893-898

    • DOI

      10.11477/mf.1410212299

    • ISSN
      0370-5579, 1882-1308
    • Year and Date
      2017-06-15
    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Refraction and visual acuity in preschool children2017

    • Author(s)
      佐藤 司,高橋由嗣,伊藤美沙絵,望月浩志,新井田孝裕
    • Journal Title

      臨床眼科

      Volume: 71 Issue: 3 Pages: 409-414

    • DOI

      10.11477/mf.1410212201

    • ISSN
      0370-5579, 1882-1308
    • Year and Date
      2017-03-15
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 脳梁欠損症に似た高度水頭症症例の両眼視機能2016

    • Author(s)
      望月浩志,原 直人,内山仁志,小町祐子,塚原麻由佳,小野里規子,新井田孝裕
    • Journal Title

      眼科臨床紀要

      Volume: 9 Pages: 264-267

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] 3歳児健康診査で利用されている目に関するアンケートの有効性の調査2018

    • Author(s)
      望月浩志,大谷優,大森沙江子,吉田美沙紀,渡辺楓香,藤山由紀子,新井田孝裕
    • Organizer
      第59回日本視能矯正学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 眼位検査経験者と未経験者における眼位ずれの認識の差異2017

    • Author(s)
      望月浩志,阿久津美歩,原郁美,真柄百香,三森奈菜,藤山由紀子,新井田孝裕
    • Organizer
      第73回日本弱視斜視学会総会
    • Place of Presentation
      石川県立音楽堂
    • Year and Date
      2017-06-16
    • Related Report
      2016 Research-status Report
  • [Presentation] 眼位検査経験者と未経験者における眼位ずれの認識の差異2017

    • Author(s)
      望月浩志、阿久津美歩、原 郁美、真柄百香、三森奈菜、藤山由紀子、新井田孝裕
    • Organizer
      第73回日本弱視斜視学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 斜視や弱視で通院中の患児における三歳児健康診査の判定状況の調査2017

    • Author(s)
      望月浩志、大谷 優、大森沙江子、吉田美沙紀、渡辺楓香、藤山由紀子、新井田孝裕
    • Organizer
      第58回日本視能矯正学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 真応答および虚偽応答時の瞳孔の変化2016

    • Author(s)
      望月浩志,天川志保,河原弓恵,鈴木美穂,椿映莉子,村松里美,藤山由紀子,新井田孝裕
    • Organizer
      第57回日本視能矯正学会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2016-10-15
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2020-03-30  

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