国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2010年
2期
218-221
,共4页
高度近视%性别%年龄%屈光度%眼底
高度近視%性彆%年齡%屈光度%眼底
고도근시%성별%년령%굴광도%안저
high myopia%sex%age%diopter%fundus
目的:分析不同年龄阶段高度近视患者的性别、年龄、病程、视力、屈光度、眼底等情况并探讨它们与高度近视发生的风险,视力与屈光状态及眼底情况的关系,为防止高度近视的发生、发展提供一定依据.方法:根据年龄将高度近视患者分为4组:组1,年龄≤29岁的患者;组2,年龄为30～49岁;组3,年龄为50～69岁;组4,年龄为≥70岁.非睫状肌麻痹状态下自动验光仪验光,取等效球镜进行屈光度计算.用直接眼底镜行眼底检查,结果行相关统计学分析.结果:各组男女患者比例有显著性差异,女性显著多于男性(P＜0.01),高度近视患者的年龄和病程有相关性,年龄越大的患者其病程越长.随着年龄增加,高度近视患者的视力显著的下降,且眼底出现漆裂纹、黄斑出血、Fuchs斑、脉络膜萎缩灶的比率呈增加趋势.结论:女性可能是高度近视发生的风险因素之一,年龄增加是导致高度近视患者视力下降的一个重要因素,对高度近视患者宜进行早期治疗,以防治近视的发展及黄斑病变的发生.
目的:分析不同年齡階段高度近視患者的性彆、年齡、病程、視力、屈光度、眼底等情況併探討它們與高度近視髮生的風險,視力與屈光狀態及眼底情況的關繫,為防止高度近視的髮生、髮展提供一定依據.方法:根據年齡將高度近視患者分為4組:組1,年齡≤29歲的患者;組2,年齡為30～49歲;組3,年齡為50～69歲;組4,年齡為≥70歲.非睫狀肌痳痺狀態下自動驗光儀驗光,取等效毬鏡進行屈光度計算.用直接眼底鏡行眼底檢查,結果行相關統計學分析.結果:各組男女患者比例有顯著性差異,女性顯著多于男性(P＜0.01),高度近視患者的年齡和病程有相關性,年齡越大的患者其病程越長.隨著年齡增加,高度近視患者的視力顯著的下降,且眼底齣現漆裂紋、黃斑齣血、Fuchs斑、脈絡膜萎縮竈的比率呈增加趨勢.結論:女性可能是高度近視髮生的風險因素之一,年齡增加是導緻高度近視患者視力下降的一箇重要因素,對高度近視患者宜進行早期治療,以防治近視的髮展及黃斑病變的髮生.
목적:분석불동년령계단고도근시환자적성별、년령、병정、시력、굴광도、안저등정황병탐토타문여고도근시발생적풍험,시력여굴광상태급안저정황적관계,위방지고도근시적발생、발전제공일정의거.방법:근거년령장고도근시환자분위4조:조1,년령≤29세적환자;조2,년령위30～49세;조3,년령위50～69세;조4,년령위≥70세.비첩상기마비상태하자동험광의험광,취등효구경진행굴광도계산.용직접안저경행안저검사,결과행상관통계학분석.결과:각조남녀환자비례유현저성차이,녀성현저다우남성(P＜0.01),고도근시환자적년령화병정유상관성,년령월대적환자기병정월장.수착년령증가,고도근시환자적시력현저적하강,차안저출현칠렬문、황반출혈、Fuchs반、맥락막위축조적비솔정증가추세.결론:녀성가능시고도근시발생적풍험인소지일,년령증가시도치고도근시환자시력하강적일개중요인소,대고도근시환자의진행조기치료,이방치근시적발전급황반병변적발생.
AIM:To analyse the risk factors of age, sex, course, best corrected visual acuity(BCVA),diopter and fundus features of high myopes with progressive high myopia. METHODS: A total of 167 patients with high myopes were categorized into four groups: group 1,age of 29 years or younger; group 2,between the age of 30 to 49 years; group 3,between the age of 50 to 69 years and group 4,age of 70 years or older. The refractive errors of all patients were measured without cycloplegia with an autorefractometer. Data of the spherical equivalent(SE) of the refractive errors in diopters (D)and fundus examed by direct ophthalmoscope were used in statistical analyses.RESULTS: The number of female was statistically larger than that of male(P＜0.01),also the disease course was correlated to the age. The visual acuity of high myopes significantly decreased as they grew older including the higher incidence of lacquer cracker, submacular hemorrhage, Fuchs spots, chorioretinal atrophy . CONCLUSION: Female maybe a risk factor of high myopia, advanced age is an important factor of visual acuity decrease. High myopes ought to be treated early to delay the progress of myopia and development of macular degeneration.
