CAJ | 학술논문

目的观察间歇性外斜视患者的眼位控制力及双眼视觉功能状况,寻找合适的眼位控制力检查方法及评分标准.方法收集2011年10月至2012年10月在保定市第二中心医院眼科门诊就诊的遮盖试验阳性患者分别检查眼位控制力及双眼视觉.眼位控制力参照Mayo评分标准,观察患者的远距离眼位控制力.根据用时不同计为0～5分.0分为外隐斜,5分为可疑恒定性外斜视,均予以排除.1～4分患者共40例,其中男性18例,女性22例,年龄7～15岁,平均(10.4±2.72)岁.依据控制力评分分为两组:1～2分为第一组,3～4分为第二组,每组各20例,比较两组患者的双眼视觉功能状况.双眼视觉应用Titmus《立体视觉检查图》检查近立体视,应用长春光电生产的同视机检查同时视、融合范围,随机点图片检查定量远立体视.结果第一组患者的同时视重合点位置、融合范围、远立体视锐度及近立体视锐度四项观察指标均优于第二组患者,差异具有统计学意义(P＜0.05).结论不同控制力的间歇性外斜视患者双眼视觉功能具有差异,远距离眼位控制力检查方便,结果可靠.该评分可以作为评价间歇性外斜视患者病情轻重的指标之一.
목적 관찰간헐성외사시환자적안위공제력급쌍안시각공능상황,심조합괄적안위공제력검사방법급평분표준.방법 수집2011년10월지2012년10월재보정시제이중심의원안과문진취진적차개시험양성환자분별검사안위공제력급쌍안시각.안위공제력삼조Mayo평분표준,관찰환자적원거리안위공제력.근거용시불동계위0～5분.0분위외은사,5분위가의항정성외사시,균여이배제.1～4분환자공40례,기중남성18례,녀성22례,년령7～15세,평균(10.4±2.72)세.의거공제력평분분위량조:1～2분위제일조,3～4분위제이조,매조각20례,비교량조환자적쌍안시각공능상황.쌍안시각응용Titmus《입체시각검사도》검사근입체시,응용장춘광전생산적동시궤검사동시시、융합범위,수궤점도편검사정량원입체시.결과 제일조환자적동시시중합점위치、융합범위、원입체시예도급근입체시예도사항관찰지표균우우제이조환자,차이구유통계학의의(P＜0.05).결론 불동공제력적간헐성외사시환자쌍안시각공능구유차이,원거리안위공제력검사방편,결과가고.해평분가이작위평개간헐성외사시환자병정경중적지표지일.
Objective To observe the eye position control and functional status of binocular vision in intermittent exotropia patients,to find the suitable eye position control check methods and scoring criteria for oblique amblyopia.Methods Intermittent exotropia patients were collected from our department during October 2011 to October 2012,and the eye position control and visual function was checked.In order to observe the eye position control,the marking methods of Mayo was used.The specific methods as follow:Patients stared at the 6 meters object,for masking experiment,and the time needed for eye restore was observed,according to the time different,assigned 0-5 points respectively.0 point:exophoria,5 point:Suspicious constancy exotropia.The patients during 1-4 point were 40 cases,including 18 males and 22 females,aged 7-15 years,mean 10.4±2.72 years old,and everyone were examined binocular vision.The process as follow:Application Titmus check figure in stereo vision inspection near stereopsis,Application with the machine to check at the same time,convergence range and far stereopsis.All 40 patients were divided into two groups:control over the score 1-2 fall into the first group,3-4 into the second group,and comparison the binocular vision function of two groups of patients.Results The patients' simultaneous vision coincidence point location,the range of fusion,near and far stereo visual sharpness and stereoscopic sharpness of the first group were better than the second group of patients.There was significant difference in statistics (P ＜0.05).Conclusions Binocular vision function of intermittent exotropia patients who have different control force,and through checking the eye position control judgment state of intermittent exotropia patients.