CAJ | 학술논문

目的探索一种简便易行且准确率高的测量主导眼的方法;研究屈光矫正时强调主导眼优势对近视加深的影响.方法临床病例对照研究.对2009年1月至2010年12月在江西省人民医院眼科做屈光检查的466例近视患儿用三种不同方法:手指法、卡洞法、Worth四点法分别检查每位患儿的主导眼;筛查出78例双眼等效球镜度为中低度近视且屈光参差＜-1.00 D,矫正视力≥1.0,且均为右眼为主导眼的近视患儿随机分成两组:一组双眼矫正视力均达1.0并让主导眼更清晰:另一组只考虑矫正视力达1.0.随访一年后,观察两组病例近视加深情况.结果三种主导眼检查法,手指法与卡洞法一致性好,符合率高(96.35％);Worth四点法与手指法、卡洞法一致性差,符合率低(58.6％,55.6％).两组近视患儿一年后,主导眼清晰组近视加深较慢,两组比较有统计学意义(t =2.348,P ＜0.01).结论主导眼测试应采用手指法或卡洞法简便易行且符合率高,Worth四点法作为感觉融像检查法不适合主导眼检查.屈光矫正中主导眼更清晰不仅能改变配镜舒适度,且可能在一定程度上延缓近视的发展.
목적 탐색일충간편역행차준학솔고적측량주도안적방법;연구굴광교정시강조주도안우세대근시가심적영향.방법 림상병례대조연구.대2009년1월지2010년12월재강서성인민의원안과주굴광검사적466례근시환인용삼충불동방법:수지법、잡동법、Worth사점법분별검사매위환인적주도안;사사출78례쌍안등효구경도위중저도근시차굴광삼차＜-1.00 D,교정시력≥1.0,차균위우안위주도안적근시환인수궤분성량조:일조쌍안교정시력균체1.0병양주도안경청석:령일조지고필교정시력체1.0.수방일년후,관찰량조병례근시가심정황.결과 삼충주도안검사법,수지법여잡동법일치성호,부합솔고(96.35％);Worth사점법여수지법、잡동법일치성차,부합솔저(58.6％,55.6％).량조근시환인일년후,주도안청석조근시가심교만,량조비교유통계학의의(t =2.348,P ＜0.01).결론 주도안측시응채용수지법혹잡동법간편역행차부합솔고,Worth사점법작위감각융상검사법불괄합주도안검사.굴광교정중주도안경청석불부능개변배경서괄도,차가능재일정정도상연완근시적발전.
Objective To explore a feasible and high-accurate way to examine the dominant eye and to study the impact of over-emphasize the privilege of the dominant eye on myopia progression.Methods A total of 466 myopic kids were examined through three different methods:figure method,hole-in-the-card test,and Worth 4 dot test on their dominant eyes.They were screened and divided 78 cases with dominant right eyes,whose spherical equivalent refraction were low myopia,and anisomtropia ＜-1.00D,corrected visual acuity ≥1.0,into two random groups.One group had corrected visual acuity =1.0 on the dominant eye,the other group had a precise corrected visual acuity 1.0.The groups were revisited one year later to observe their myopia progression.Results Among the three dominant eye control methods,the consistency and coincident rate (96.35％) of the figure method and hole-in-the-card test was good,while the consistency and coincident rate (58.6％,55.6％) of Worth 4 dot test and the other two methods were worse.In our observation one year later,the group with clearer dominant eye grew slower in myopia progression.There was statistical significance between the two groups (t =2.348,P ＜0.01).Conclusions The figure method and hole-in-the-card test are more feasible and have higher coincident rate when examining the dominant eye.The Worth 4 dot test is not a suitable way for dominant eye examination.Making the dominant eye clearer than the other one in diopter correction can improve the glass comfort and slow myopia progression.