中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
11期
829-832
,共4页
单眼视(monovision)%高度近视%屈光参差%视力
單眼視(monovision)%高度近視%屈光參差%視力
단안시(monovision)%고도근시%굴광삼차%시력
Monovision%High myopia%Anisometropia%Vision
目的 研究单眼视(monovision,MV)原理在高度近视白内障患者中应用的效果.方法 高度近视伴白内障54例,行白内障超声乳化并单焦点人工晶状体植入术,应用单眼视原理,使术后主导眼(优势眼)形成正视,非主导眼保留-1.0D以上的近视,按屈光参差的程度分为3组,检查术后3个月双眼裸眼远视力、近视力、立体视及对比敏感度,并进行人为加镜形成双眼平衡全矫状态加以对照.最后进行视功能损害眼病患者生存质量量表问卷及满意率调查.结果 远视力及立体视3组比较差异无统计学意义(P＞0.05),近视力比较3组单眼视矫正患者均明显优于完全矫正,差异有统计学意义(P＜0.05).在100％对比度明视白背景下,第3组患者(屈光参差≥2.75D)单眼视矫正视力低于完全矫正,差异有统计学意义(P＜0.05).明暗视时,红蓝背景下敏感度检查比较差异无统计学意义(P＞0.05).术后问卷及满意率调查,3组患者间差异无统计学意义(P＞0.05).结论 单眼视原理应用于高度近视伴白内障患者的屈光矫正,可有效提高患者远、近视力,非主导眼宜保留-1.5D以上的近视,具体情况还需根据患者个体差异而定.屈光参差≥2.75D的患者术后需注意夜间眩光现象.
目的 研究單眼視(monovision,MV)原理在高度近視白內障患者中應用的效果.方法 高度近視伴白內障54例,行白內障超聲乳化併單焦點人工晶狀體植入術,應用單眼視原理,使術後主導眼(優勢眼)形成正視,非主導眼保留-1.0D以上的近視,按屈光參差的程度分為3組,檢查術後3箇月雙眼裸眼遠視力、近視力、立體視及對比敏感度,併進行人為加鏡形成雙眼平衡全矯狀態加以對照.最後進行視功能損害眼病患者生存質量量錶問捲及滿意率調查.結果 遠視力及立體視3組比較差異無統計學意義(P＞0.05),近視力比較3組單眼視矯正患者均明顯優于完全矯正,差異有統計學意義(P＜0.05).在100％對比度明視白揹景下,第3組患者(屈光參差≥2.75D)單眼視矯正視力低于完全矯正,差異有統計學意義(P＜0.05).明暗視時,紅藍揹景下敏感度檢查比較差異無統計學意義(P＞0.05).術後問捲及滿意率調查,3組患者間差異無統計學意義(P＞0.05).結論 單眼視原理應用于高度近視伴白內障患者的屈光矯正,可有效提高患者遠、近視力,非主導眼宜保留-1.5D以上的近視,具體情況還需根據患者箇體差異而定.屈光參差≥2.75D的患者術後需註意夜間眩光現象.
목적 연구단안시(monovision,MV)원리재고도근시백내장환자중응용적효과.방법 고도근시반백내장54례,행백내장초성유화병단초점인공정상체식입술,응용단안시원리,사술후주도안(우세안)형성정시,비주도안보류-1.0D이상적근시,안굴광삼차적정도분위3조,검사술후3개월쌍안라안원시력、근시력、입체시급대비민감도,병진행인위가경형성쌍안평형전교상태가이대조.최후진행시공능손해안병환자생존질량량표문권급만의솔조사.결과 원시력급입체시3조비교차이무통계학의의(P＞0.05),근시력비교3조단안시교정환자균명현우우완전교정,차이유통계학의의(P＜0.05).재100％대비도명시백배경하,제3조환자(굴광삼차≥2.75D)단안시교정시력저우완전교정,차이유통계학의의(P＜0.05).명암시시,홍람배경하민감도검사비교차이무통계학의의(P＞0.05).술후문권급만의솔조사,3조환자간차이무통계학의의(P＞0.05).결론 단안시원리응용우고도근시반백내장환자적굴광교정,가유효제고환자원、근시력,비주도안의보류-1.5D이상적근시,구체정황환수근거환자개체차이이정.굴광삼차≥2.75D적환자술후수주의야간현광현상.
Objective To evaluate the clinical effects of monovision principle in high myopia cataract patients after application of the operation.Methods 54 cases of high myopia accompanied with cataract received phacoemulsification and single focus intraocular lens implantation,applying the principle of monovision.they were designed to yield 0D for master (dominant) eyes,and-1.0D or more myopia for nondominant eyes.According to anisometropia,they were divided into three groups.The far and near vision,stereoscopic vision,contrast sensitivity were checked 3 months after operation.The patients were corrected in both of the eyes by glasses as a control group,questionnaire survey and satisfaction investigation were done for the patients.Results There were no significant difference between the 3 groups in far vision or stereoscopic vision (P ＞ 0.05).For near visual acuity compared,three groups of monovision patients were significantly better than the complete correction patients,the difference was statistically significant (P ＜ 0.05).Under 100％ contrast high brightness(250cd/m2) white background,the corrected visual acuity in the third group of monovision patients (anisometropic ≥2.75D) were less than the completely corrected group,there was a statistically significant difference (P ＜ 0.05).Under 250 cd/m2 and 25 cd/m2 brightness red and blue background,the contrast sensitivity showed no significant difference (P ＞ 0.05).In the questionnaire and the satisfaction rate survey,there was no significant difference between the three groups (P ＞ 0.05).Conclusion Application of monovision principle in refractive correction of high myopia patients with cataract,which can effectively improve far,near vision.Non-dominant eye should retain over-1.5D myopia based on individual difference.Patients with anisometropic ≥ 2.75D should pay attention to night glare phenomenon.
