CAJ | 학술논문

目的比较屈光不正儿童使用1%环戊通眼液与1%阿托品眼膏后检影验光结果的差异情况.方法对226例(452只眼)屈光不正儿童使用环戊通眼液扩瞳后检影验光,48h后用1%阿托品眼膏对相同的患者再行扩瞳检影验光,比较两次验光结果.结果远视组中两种药扩瞳验光结果球镜差值≤0.5D的眼数占72.2%,球镜差值＞0.5D的眼数为27.8%;阿托品眼膏扩瞳后验光的远视球镜值均高于环戊通眼液扩瞳后验光的结果.随着年龄增加,两种药验光的远视球镜差异值下降,2～5岁组与5～7岁组和7～12岁组比较,球镜差异值均有统计学意义.2～8岁组中近视球镜差值＞0.5D的眼数占9%,8～12岁组中近视球镜差值＞0.5D的占2.7%.混合性散光组中两种药扩瞳验光结果球镜差值＞0.5D的眼数占32%.使用两种药扩瞳后验光,近视和混合性散光组的前、后柱镜差值无统计学意义,而远视组的前、后柱镜差异有统计学意义,但差异＞0.5D的仅为1.8%.结论 1%环戊通眼液扩瞳验光结果与阿托品眼膏扩瞳验光结果比较,主要表现为球镜值的误差,柱镜值误差极小.8岁以上近视儿童首诊验光可使用环戊通作为睫状肌麻痹剂.12岁以下的远视和混合性散光儿童验光应尽量使用1%阿托品眼膏扩瞳.
목적 비교굴광불정인동사용1%배무통안액여1%아탁품안고후검영험광결과적차이정황.방법 대226례(452지안)굴광불정인동사용배무통안액확동후검영험광,48h후용1%아탁품안고대상동적환자재행확동검영험광,비교량차험광결과.결과 원시조중량충약확동험광결과구경차치≤0.5D적안수점72.2%,구경차치＞0.5D적안수위27.8%;아탁품안고확동후험광적원시구경치균고우배무통안액확동후험광적결과.수착년령증가,량충약험광적원시구경차이치하강,2～5세조여5～7세조화7～12세조비교,구경차이치균유통계학의의.2～8세조중근시구경차치＞0.5D적안수점9%,8～12세조중근시구경차치＞0.5D적점2.7%.혼합성산광조중량충약확동험광결과구경차치＞0.5D적안수점32%.사용량충약확동후험광,근시화혼합성산광조적전、후주경차치무통계학의의,이원시조적전、후주경차이유통계학의의,단차이＞0.5D적부위1.8%.결론 1%배무통안액확동험광결과여아탁품안고확동험광결과비교,주요표현위구경치적오차,주경치오차겁소.8세이상근시인동수진험광가사용배무통작위첩상기마비제.12세이하적원시화혼합성산광인동험광응진량사용1%아탁품안고확동.
Objective To compare the cycloplegic effects of 1% cyclopentolate and 1% atropine in Chinese children. Methods Examined refraction of 452 eyes in 256 Chinese children. 1% Cyclopentolate was instilled 3 times after 5-min intervals and refraction was evaluated 40 min after the last instillation. After 48 hours, 1% atropine was instilled third time daily for 3 days. Refractions were measured by the same optometrist.Results The power of astigmatism was not affected by either agent. Among the hyperopic eyes, 27.8% had more than 0.5DS difference after instillation of the two agents. More hyperopic sphere in atropine than cyclopentolate, and the difference was significant. Just 1.8% had more than 0.5 DS difference in the older than 8-year age of myopic children. There was 32% more than 0.5 DS difference in mixed astigmatism. Conclusions Though cyclopentolate is not as effective as atropine in all Chinese children. Nevertheless, 1% cyclopentolate can be a good agent for routine refractive status checking on myopic Chinese children over the age of 8 years.