中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2009年
10期
1086-1088
,共3页
隐斜视%近距隐斜视%屈光不正%远视%近视
隱斜視%近距隱斜視%屈光不正%遠視%近視
은사시%근거은사시%굴광불정%원시%근시
Heterophoria%Near heterophoria%Refractive error%Nyopia%Hyperopia
目的 探讨近距隐斜视的发生、类型与屈光不正的关系.方法 连续收集近距隐斜视患者267例,男145例,女122例,年龄(8.05+5.0)岁(3～44岁),分别进行近距隐斜视检测,静态检影.结果 正视者63例,其中发生近距外隐斜60例,近距内隐斜3例,近距外隐斜所占比重明显高于内隐斜(P=0.000).近距内隐斜47例,其屈光状态构成分别为正视和近视各3例,远视41例;近距外隐斜220例,其屈光状态构成分别为正视60例,近视64例,远视96例,经卡方检验,近距隐斜视类型与屈光状态有关(X2=29.47,P=0.000).就137例远视患者而言,发牛近距内隐斜41例,其不同程度屈光构成分别为轻度远视12例,中度远视18例,重度远视11例;发生近距外隐斜96例,其不同程度屈光构成分别为轻度远视56例,中度远视27例,重度远视13例,经卡方检验,对远视患者而言,近距隐斜视类型与远视的程度有关(X2=16.61,P=0.000),近距内隐斜多发生于中度远视,而近距外隐斜多发生于轻度远视.结论 近距隐斜视类型与屈光状态相关,其中近距内隐斜主要为远视眼未经屈光矫正引致;一定范嗣内的近距外隐斜可能是一种,圭理性眼位,而近距内隐斜则可能是一种病理性眼位,并与近视的发生发展相关.
目的 探討近距隱斜視的髮生、類型與屈光不正的關繫.方法 連續收集近距隱斜視患者267例,男145例,女122例,年齡(8.05+5.0)歲(3～44歲),分彆進行近距隱斜視檢測,靜態檢影.結果 正視者63例,其中髮生近距外隱斜60例,近距內隱斜3例,近距外隱斜所佔比重明顯高于內隱斜(P=0.000).近距內隱斜47例,其屈光狀態構成分彆為正視和近視各3例,遠視41例;近距外隱斜220例,其屈光狀態構成分彆為正視60例,近視64例,遠視96例,經卡方檢驗,近距隱斜視類型與屈光狀態有關(X2=29.47,P=0.000).就137例遠視患者而言,髮牛近距內隱斜41例,其不同程度屈光構成分彆為輕度遠視12例,中度遠視18例,重度遠視11例;髮生近距外隱斜96例,其不同程度屈光構成分彆為輕度遠視56例,中度遠視27例,重度遠視13例,經卡方檢驗,對遠視患者而言,近距隱斜視類型與遠視的程度有關(X2=16.61,P=0.000),近距內隱斜多髮生于中度遠視,而近距外隱斜多髮生于輕度遠視.結論 近距隱斜視類型與屈光狀態相關,其中近距內隱斜主要為遠視眼未經屈光矯正引緻;一定範嗣內的近距外隱斜可能是一種,圭理性眼位,而近距內隱斜則可能是一種病理性眼位,併與近視的髮生髮展相關.
목적 탐토근거은사시적발생、류형여굴광불정적관계.방법 련속수집근거은사시환자267례,남145례,녀122례,년령(8.05+5.0)세(3～44세),분별진행근거은사시검측,정태검영.결과 정시자63례,기중발생근거외은사60례,근거내은사3례,근거외은사소점비중명현고우내은사(P=0.000).근거내은사47례,기굴광상태구성분별위정시화근시각3례,원시41례;근거외은사220례,기굴광상태구성분별위정시60례,근시64례,원시96례,경잡방검험,근거은사시류형여굴광상태유관(X2=29.47,P=0.000).취137례원시환자이언,발우근거내은사41례,기불동정도굴광구성분별위경도원시12례,중도원시18례,중도원시11례;발생근거외은사96례,기불동정도굴광구성분별위경도원시56례,중도원시27례,중도원시13례,경잡방검험,대원시환자이언,근거은사시류형여원시적정도유관(X2=16.61,P=0.000),근거내은사다발생우중도원시,이근거외은사다발생우경도원시.결론 근거은사시류형여굴광상태상관,기중근거내은사주요위원시안미경굴광교정인치;일정범사내적근거외은사가능시일충,규이성안위,이근거내은사칙가능시일충병이성안위,병여근시적발생발전상관.
Objective To investigate the relationship of refractive error to the underlying mechanism and the direction of deviation of near heterophoria.Methods A total of 267 consecutive heterophoric patients (145 males and 122 females)were reviewed,with an age range of 3 to 44 years(mean 8.0±0.5 years).Near heterophoria and cycloplegic refraction were measured respectively.Results of 63 cases of emmetropia,60 cases showed near exophoria and 3 cases showed near esophoria,and the difference was statistically significant (P-=0.000.Of 47 eases of near esophoria,3 cases of emmetropia,3 cases of myopia and 41 cases hyperopia were showed respectively.Of 220 cases of hyperopia,60 cases showed emmetropia,64 cases myopia and 96 cases hyperopia.A significant correlation between the direction of deviation of near heterophoria and refractive error was demonstrated(x2 =29.47,P=0.000).As for all cases of hyperopia,41 cases showed near esophoria in which 12 cases of mild hyperopia,18 cases of moderate hyperopia and 11 cases of severe hyperopia were ineluded,and,96 cases showed near exophoria in which 56 cases of mild hyperopia,27 cases of moderate hyperopia and 13 cases of severe hyperopia were included.There was a significant relationship between the direction of deviation of near heterophoria and the degree of hyperopic error(x2= 16.611,P=0.000),more cases of near esophoria were found in moderate hyperopic errors and more eases of near exophoria were found in mild hyperopic errors.Conclusions The direction of deviation of heterophoria was correlated to refractive error,and uncorrected hyperopia maybe a major factor in the etiology of near esophoria.A small degree of near exophoria may be a physiological condition,and near esophoria should be a anomalous condition which may be associated with the onset and the progression of myopia.
