国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2013年
11期
2296-2298
,共3页
吴兴香%吴广强%魏宁%王禹曈%童梅玲
吳興香%吳廣彊%魏寧%王禹曈%童梅玲
오흥향%오엄강%위저%왕우동%동매령
屈光%婴幼儿%早期干预%Suresight自动验光仪%弱视
屈光%嬰幼兒%早期榦預%Suresight自動驗光儀%弱視
굴광%영유인%조기간예%Suresight자동험광의%약시
refraction%infant%early intervention%Suresight autorefractor%amblyopia
目的:探索婴幼儿屈光状态发育规律,以确立弱视高危人群及早期干预时机。方法:利用Suresight手持式自动验光仪在儿童保健门诊收集6月龄~3岁婴幼儿共2447例4894眼的屈光值,分成7个年龄段分析其屈光分布特点和发育规律。结果:婴幼儿4894眼的眼屈光主要分布在远视和散光状态;获得各年龄组的球镜、柱镜的均数和标准差,P25~P75和P5~P95参考值范围;6月龄~3岁,7个年龄段的球镜、柱镜屈光值有不断下降趋势,但在1.5岁后变化无统计学意义。结论:以球镜偏离出P25~P75、柱镜高出P75范围为弱视可疑人群,以球镜偏离出P5~P95、柱镜高出P95范围为弱视高危人群,对异常人群密切随访;高度屈光不正的最早干预年龄可以从1.5岁开始。
目的:探索嬰幼兒屈光狀態髮育規律,以確立弱視高危人群及早期榦預時機。方法:利用Suresight手持式自動驗光儀在兒童保健門診收集6月齡~3歲嬰幼兒共2447例4894眼的屈光值,分成7箇年齡段分析其屈光分佈特點和髮育規律。結果:嬰幼兒4894眼的眼屈光主要分佈在遠視和散光狀態;穫得各年齡組的毬鏡、柱鏡的均數和標準差,P25~P75和P5~P95參攷值範圍;6月齡~3歲,7箇年齡段的毬鏡、柱鏡屈光值有不斷下降趨勢,但在1.5歲後變化無統計學意義。結論:以毬鏡偏離齣P25~P75、柱鏡高齣P75範圍為弱視可疑人群,以毬鏡偏離齣P5~P95、柱鏡高齣P95範圍為弱視高危人群,對異常人群密切隨訪;高度屈光不正的最早榦預年齡可以從1.5歲開始。
목적:탐색영유인굴광상태발육규률,이학립약시고위인군급조기간예시궤。방법:이용Suresight수지식자동험광의재인동보건문진수집6월령~3세영유인공2447례4894안적굴광치,분성7개년령단분석기굴광분포특점화발육규률。결과:영유인4894안적안굴광주요분포재원시화산광상태;획득각년령조적구경、주경적균수화표준차,P25~P75화P5~P95삼고치범위;6월령~3세,7개년령단적구경、주경굴광치유불단하강추세,단재1.5세후변화무통계학의의。결론:이구경편리출P25~P75、주경고출P75범위위약시가의인군,이구경편리출P5~P95、주경고출P95범위위약시고위인군,대이상인군밀절수방;고도굴광불정적최조간예년령가이종1.5세개시。
AIM: To analyze the refractive development in infants, to screen for the high risk group for infant refractive error and to explore the best timing for early intervention of the condition. METHODS:Noncycloplegic refraction data in 7 stages of age (6, 9, 12, 18, 24, 30, and 36 months) were collected with Suresight autorefractor from 2 447 healthy infants ( 4 894 eyes ) . The development and distribution of refraction were analyzed. RESULTS:Most of the 4 894 eyes were found to be hyperopic and astigmatic. The mean and standard deviation of sphere, cylinder, and spherical equivalent for seven age groups from 1.5 years as well as reference ranges ( P25 ~P75 and P5 ~ P95 ) were obtained. Hypermetropic and astigmatic refractive error reduced rapidly with age until the age of 1.5 years old, after which they did not change significantly. CONCLUSION:In infants, spherical lens deviating from P25 ~P75 ( D ) and cylindrical lens exceeding P75 ( D ) amblyopia are the suspected signs of amblyopia, and spherical lens deviating from P5 ~P95 ( D ) and cylindrical lens exceeding P95 ( D ) indicate high risk of amblyopia. Intervention of refractive error may start at the age of 1.5 years.