中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
4期
459-461
,共3页
间歇性外斜视%调节%正/负相对调节%隐斜性近视漂移
間歇性外斜視%調節%正/負相對調節%隱斜性近視漂移
간헐성외사시%조절%정/부상대조절%은사성근시표이
Intermittent exotropia%Accommodation%Phoria myopia
目的 研究间歇性外斜视患者的调节功能与隐斜性近视漂移的关系.方法 临床病例对照研究.对2007年7月至2012年7月在江山市中医院眼科就诊的年龄在21～38岁的成人间歇性外斜视组患者56例;正常对照组40例,用MEM (Monocular Estimate Method)动态检影的方法测量注视40cm处调节视标时主导眼的调节反应、正/负相对调节(Positive Relative Accommodation,PRA/Negative relative Accommodation,NRA)及与之相对应的隐斜性近视.用SPSS 12.0统计软件包进行统计学分析两组间关系.结果 间歇性外斜视组患者64.29％ (36/56)主导眼表现为调节超前,平均调节反应为(-0.22±0.77)D,与之相对应的隐斜性近视漂移为(-1.22±0.27)D;正常对照组调节反应为(+0.38±0.38)D,近视漂移为(-0.42±0.27)D,间歇性外斜视组主导眼的调节反应与对照组间差异有统计学意义(t =5.89,P=0.00,P＜0.05);调节反应量与斜视度之间差异有统计学意义(r=-0.71,P=0.00,P＜0.05).间歇性外斜视组PRA平均为(-3.93±0.79)D,对照组为(-3.11±0.69)D,两组间差异有统计学意义(t =5.95,P=0.00,P＜0.05);间歇性外斜视组NRA平均为(+1.91±0.58)D,对照组为(+2.28±0.31)D,间歇性外斜视组隐斜性近视漂移为(-1.22±0.27)D,对照组近视漂移为(-0.42±0.27)D,两组间差异有统计学意义(t=-2.81,P=0.01,P＜0.05).结论 间歇性外斜视患者在注视近距离视标时表现为调节超前,调节功能与隐斜性近视漂移密切相关.
目的 研究間歇性外斜視患者的調節功能與隱斜性近視漂移的關繫.方法 臨床病例對照研究.對2007年7月至2012年7月在江山市中醫院眼科就診的年齡在21～38歲的成人間歇性外斜視組患者56例;正常對照組40例,用MEM (Monocular Estimate Method)動態檢影的方法測量註視40cm處調節視標時主導眼的調節反應、正/負相對調節(Positive Relative Accommodation,PRA/Negative relative Accommodation,NRA)及與之相對應的隱斜性近視.用SPSS 12.0統計軟件包進行統計學分析兩組間關繫.結果 間歇性外斜視組患者64.29％ (36/56)主導眼錶現為調節超前,平均調節反應為(-0.22±0.77)D,與之相對應的隱斜性近視漂移為(-1.22±0.27)D;正常對照組調節反應為(+0.38±0.38)D,近視漂移為(-0.42±0.27)D,間歇性外斜視組主導眼的調節反應與對照組間差異有統計學意義(t =5.89,P=0.00,P＜0.05);調節反應量與斜視度之間差異有統計學意義(r=-0.71,P=0.00,P＜0.05).間歇性外斜視組PRA平均為(-3.93±0.79)D,對照組為(-3.11±0.69)D,兩組間差異有統計學意義(t =5.95,P=0.00,P＜0.05);間歇性外斜視組NRA平均為(+1.91±0.58)D,對照組為(+2.28±0.31)D,間歇性外斜視組隱斜性近視漂移為(-1.22±0.27)D,對照組近視漂移為(-0.42±0.27)D,兩組間差異有統計學意義(t=-2.81,P=0.01,P＜0.05).結論 間歇性外斜視患者在註視近距離視標時錶現為調節超前,調節功能與隱斜性近視漂移密切相關.
목적 연구간헐성외사시환자적조절공능여은사성근시표이적관계.방법 림상병례대조연구.대2007년7월지2012년7월재강산시중의원안과취진적년령재21～38세적성인간헐성외사시조환자56례;정상대조조40례,용MEM (Monocular Estimate Method)동태검영적방법측량주시40cm처조절시표시주도안적조절반응、정/부상대조절(Positive Relative Accommodation,PRA/Negative relative Accommodation,NRA)급여지상대응적은사성근시.용SPSS 12.0통계연건포진행통계학분석량조간관계.결과 간헐성외사시조환자64.29％ (36/56)주도안표현위조절초전,평균조절반응위(-0.22±0.77)D,여지상대응적은사성근시표이위(-1.22±0.27)D;정상대조조조절반응위(+0.38±0.38)D,근시표이위(-0.42±0.27)D,간헐성외사시조주도안적조절반응여대조조간차이유통계학의의(t =5.89,P=0.00,P＜0.05);조절반응량여사시도지간차이유통계학의의(r=-0.71,P=0.00,P＜0.05).간헐성외사시조PRA평균위(-3.93±0.79)D,대조조위(-3.11±0.69)D,량조간차이유통계학의의(t =5.95,P=0.00,P＜0.05);간헐성외사시조NRA평균위(+1.91±0.58)D,대조조위(+2.28±0.31)D,간헐성외사시조은사성근시표이위(-1.22±0.27)D,대조조근시표이위(-0.42±0.27)D,량조간차이유통계학의의(t=-2.81,P=0.01,P＜0.05).결론 간헐성외사시환자재주시근거리시표시표현위조절초전,조절공능여은사성근시표이밀절상관.
Objective To study the relationship between the accommodative function and phoria myopia in patients with intermittent exotropia.Methods A total of 756 patients at age 20 to 38 years old with intermittent exotropia and 50 normal controls were recruited.Accommodative response in dominant eye was examined using MEM (Monocular Estimate Method) dynamic retinoscopy,Positive Relative Accommodation/Negative Relative Accommodation (PRA /NRA) to 40cm target with binocular viewing,deviation.The data were analyzed using SPSS12.0 system.Results 64.29％ dominant eyes showed an accommodative lead.The mean accommodative response was in patients and normal control dominant eye was (-0.22±0.77)D and (+0.38±0.38)D.The phoria myopia was (-1.22± 0.27)D and (-0.42±0.27)D.There was significant difference between dominant eye in patients and in normal controls (t =5.89,P =0.00) in accommodative response and (t =-2.81,P =0.01) in phoria myopia.Accommodative response in dominant eye was significantly correlated with the angle of exotropia (r =-0.71,P =0.00).The mean PRA was (+1.91±0.58)D in patients and (-3.11±0.69)D in normal controls (t =5.95,P =0.00).The mean NRA was (+1.91±0.58)D in patients and (+2.28±0.31)D in normal controls (t =-2.82,P ＜0.01).Conclusions Accommodative response in patients with intermittent exotropia is lead.The accommodative response is related with the phoria myopia.
