中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
7期
875-878
,共4页
于淼%刘桂香%郑加庆%崔从先
于淼%劉桂香%鄭加慶%崔從先
우묘%류계향%정가경%최종선
先天性上睑下垂%屈光%上睑下垂程度
先天性上瞼下垂%屈光%上瞼下垂程度
선천성상검하수%굴광%상검하수정도
Congenital ptosis%Refraction%Ptosis degree
目的 探讨上睑下垂程度与屈光状态的关系.方法 选择2006年1月至2013年1月在青岛大学附属医院眼科确诊为先天性上睑下垂患者101例140只眼,记录屈光状态,统计近视、远视、散光所占的百分比.上睑下垂分为轻、中、重三度,分析不同程度与屈光不正各类型患病率的关系.结果 先天性上睑下垂140只眼中,患屈光不正124只眼(124/140,88.57％).其中,按上睑下垂程度分:轻度上睑下垂33只眼,中度上睑下垂54只眼,重度上睑下垂53只眼.按屈光不正类型分:近视90只眼,占64.29％ (90/140);远视34只眼,占24.29％ (34/140);同时又有105只眼伴有不同类型的散光,占75.00％(105/140).其中,在90只近视眼中,轻度上睑下垂19只眼、中度上睑下垂35只眼、重度上睑下垂36只眼,三者差异比较无统计学意义(x2=0.959,P=0.619);在34只远视眼中,轻度上睑下垂8只眼、中度上睑下垂14只眼、重度上睑下垂12只眼,三者差异比较无统计学意义(x2=0.157,P=0.925).在105只散光眼中,轻度上睑下垂20只眼、中度上睑下垂38只眼、重度上睑下垂47只眼,三者差异比较有统计学意义(x2=9.553,P =0.008).结论 先天性上睑下垂与屈光不正关系密切,主要表现为散光、近视,且上睑下垂程度越重,其散光发生率越高.
目的 探討上瞼下垂程度與屈光狀態的關繫.方法 選擇2006年1月至2013年1月在青島大學附屬醫院眼科確診為先天性上瞼下垂患者101例140隻眼,記錄屈光狀態,統計近視、遠視、散光所佔的百分比.上瞼下垂分為輕、中、重三度,分析不同程度與屈光不正各類型患病率的關繫.結果 先天性上瞼下垂140隻眼中,患屈光不正124隻眼(124/140,88.57％).其中,按上瞼下垂程度分:輕度上瞼下垂33隻眼,中度上瞼下垂54隻眼,重度上瞼下垂53隻眼.按屈光不正類型分:近視90隻眼,佔64.29％ (90/140);遠視34隻眼,佔24.29％ (34/140);同時又有105隻眼伴有不同類型的散光,佔75.00％(105/140).其中,在90隻近視眼中,輕度上瞼下垂19隻眼、中度上瞼下垂35隻眼、重度上瞼下垂36隻眼,三者差異比較無統計學意義(x2=0.959,P=0.619);在34隻遠視眼中,輕度上瞼下垂8隻眼、中度上瞼下垂14隻眼、重度上瞼下垂12隻眼,三者差異比較無統計學意義(x2=0.157,P=0.925).在105隻散光眼中,輕度上瞼下垂20隻眼、中度上瞼下垂38隻眼、重度上瞼下垂47隻眼,三者差異比較有統計學意義(x2=9.553,P =0.008).結論 先天性上瞼下垂與屈光不正關繫密切,主要錶現為散光、近視,且上瞼下垂程度越重,其散光髮生率越高.
목적 탐토상검하수정도여굴광상태적관계.방법 선택2006년1월지2013년1월재청도대학부속의원안과학진위선천성상검하수환자101례140지안,기록굴광상태,통계근시、원시、산광소점적백분비.상검하수분위경、중、중삼도,분석불동정도여굴광불정각류형환병솔적관계.결과 선천성상검하수140지안중,환굴광불정124지안(124/140,88.57％).기중,안상검하수정도분:경도상검하수33지안,중도상검하수54지안,중도상검하수53지안.안굴광불정류형분:근시90지안,점64.29％ (90/140);원시34지안,점24.29％ (34/140);동시우유105지안반유불동류형적산광,점75.00％(105/140).기중,재90지근시안중,경도상검하수19지안、중도상검하수35지안、중도상검하수36지안,삼자차이비교무통계학의의(x2=0.959,P=0.619);재34지원시안중,경도상검하수8지안、중도상검하수14지안、중도상검하수12지안,삼자차이비교무통계학의의(x2=0.157,P=0.925).재105지산광안중,경도상검하수20지안、중도상검하수38지안、중도상검하수47지안,삼자차이비교유통계학의의(x2=9.553,P =0.008).결론 선천성상검하수여굴광불정관계밀절,주요표현위산광、근시,차상검하수정도월중,기산광발생솔월고.
Objective To study the relationship between the ptosis degree and the refractive state.Methods Patients data were from clinical records of 101 patients (140 eyes) that had been diagnosed with congenital ptosis between January 2006 and January 2013 in the affiliated hospital of Qingdao University.There refractive state was recorded and the percentage of myopia,hyperopia and astigmatism were calculated.Ptosis was divided into three degrees:mild,moderate and severe.Relationship between the severity of ptosis and the percentage of different types of ametropia was analyzed.Results In 140 eyes diagnosed with congenital ptosis,124 of them were ametropia (124/140,88.57％).There were 33 mild degree ptosis eyes,54 moderate and 53 severe according to the ptosis degree.There were 90 myopia (90/140,64.29％),34 hyperopia (34/140,24.29％) and 105 eyes at the same time with different types of astigmatism (105/140,75.00％).In 90 myopia eyes,the mild degree ptosis was 19 cases,the moderate 35 cases,and the severe 36 cases.Studies showed that there was no statistical significance among these three situations (x2=0.959,P 0.619).In 34 hyperopia eyes,the mild degree ptosis was 8 cases,the moderate 14 cases,the severe 12 cases,there was no statistical significance among these three situations (x2=0.157,P =0.925).In 105 astigmatism eyes,the mild degree ptosis was 20 cases,the moderate 38 cases,the severe 47 cases,there was statistical significance among these three situations (x2=9.553,P =0.008).Conclusions There is a close relationship between congenial ptosis and ametropia,mainly for myopia and astigmatism.The more severe the degree of ptosis,the greater the degree of astigmatism is.
