中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
10期
1183-1186
,共4页
吕文汇%保金华%余新平%吕帆
呂文彙%保金華%餘新平%呂帆
려문회%보금화%여신평%려범
调节反应%近附加%外隐斜%近视儿童
調節反應%近附加%外隱斜%近視兒童
조절반응%근부가%외은사%근시인동
Accommodative response%Near addition lens%Exophoria%Myopic children
目的 研究在平衡双眼调节与集合的基础上,最适合近距外隐斜近视儿童的近附加度数.方法 临床病例系列研究.对2013年6～9月在温州医科大学眼视光医院纳入30例近距外隐斜近视儿童,采用Grand Seiko红外电脑验光仪测量受试者右眼在不同近附加下的近距调节反应;采用VonGraefe法测量受试者不同近附加下的近距外隐斜量;通过综合验光仪测量受试者不同近附加下的BO值(正融像性聚散).结果 随着近附加度数的增加,调节反应量及外隐斜量逐渐增加,二者在不同近附加下差异均有统计学意义(P＜0.01),BO值无明显变化.不同近附加下的调节反应量与近附加度数存在差异有统计学意义(r=0.715,P＜0.01),不同近附加下的近隐斜量与近附加度数存在差异有统计学意义(r=-0.936,P＜0.01);在最适近附加(即个体调节反应与调节刺激相等时的近附加度数)与初始调节反应量之间,未能建立有统计学意义的回归方程(P＞0.05).结论 调节反应和近距隐斜量存在较大的个体差异,近距外隐斜近视儿童验配渐变镜时,更需要在尽量减少患者调节滞后的基础上,保持良好地双眼视觉及聚散平衡.
目的 研究在平衡雙眼調節與集閤的基礎上,最適閤近距外隱斜近視兒童的近附加度數.方法 臨床病例繫列研究.對2013年6～9月在溫州醫科大學眼視光醫院納入30例近距外隱斜近視兒童,採用Grand Seiko紅外電腦驗光儀測量受試者右眼在不同近附加下的近距調節反應;採用VonGraefe法測量受試者不同近附加下的近距外隱斜量;通過綜閤驗光儀測量受試者不同近附加下的BO值(正融像性聚散).結果 隨著近附加度數的增加,調節反應量及外隱斜量逐漸增加,二者在不同近附加下差異均有統計學意義(P＜0.01),BO值無明顯變化.不同近附加下的調節反應量與近附加度數存在差異有統計學意義(r=0.715,P＜0.01),不同近附加下的近隱斜量與近附加度數存在差異有統計學意義(r=-0.936,P＜0.01);在最適近附加(即箇體調節反應與調節刺激相等時的近附加度數)與初始調節反應量之間,未能建立有統計學意義的迴歸方程(P＞0.05).結論 調節反應和近距隱斜量存在較大的箇體差異,近距外隱斜近視兒童驗配漸變鏡時,更需要在儘量減少患者調節滯後的基礎上,保持良好地雙眼視覺及聚散平衡.
목적 연구재평형쌍안조절여집합적기출상,최괄합근거외은사근시인동적근부가도수.방법 림상병례계렬연구.대2013년6～9월재온주의과대학안시광의원납입30례근거외은사근시인동,채용Grand Seiko홍외전뇌험광의측량수시자우안재불동근부가하적근거조절반응;채용VonGraefe법측량수시자불동근부가하적근거외은사량;통과종합험광의측량수시자불동근부가하적BO치(정융상성취산).결과 수착근부가도수적증가,조절반응량급외은사량축점증가,이자재불동근부가하차이균유통계학의의(P＜0.01),BO치무명현변화.불동근부가하적조절반응량여근부가도수존재차이유통계학의의(r=0.715,P＜0.01),불동근부가하적근은사량여근부가도수존재차이유통계학의의(r=-0.936,P＜0.01);재최괄근부가(즉개체조절반응여조절자격상등시적근부가도수)여초시조절반응량지간,미능건립유통계학의의적회귀방정(P＞0.05).결론 조절반응화근거은사량존재교대적개체차이,근거외은사근시인동험배점변경시,경수요재진량감소환자조절체후적기출상,보지량호지쌍안시각급취산평형.
Objective To investigate the optimal adds for exophoric myopic children on the basis of combine with accommodation and convergence.Methods A total of 30 exophoric myopic children participated in this study.Accommodative response was measured by Grand Seiko auto-refractor in 33 cm with different near adds,the near exophoria was measured by the Von Graefe method in 33 cm with different near adds,and the base-out fusional range was measured by the Phoropter.Results While increasing the near adds,accommodative response and near exophoria increase gradually,both accommodative response and near exophoria showed statistically significant difference among the different near adds,and there was no significant change of base-out fusional range.There was linear correlation between the different near adds and the accommodative response(r =0.715,P ＜ 0.001) and between the different near adds and the near exophoria(r =-0.936,P ＜0.001),it was failed to find out the statistically linear correlation between the optimal adds(which would make the accommodative response was equal to the accommodative stimulation)and initial accommodative response (P ＞0.05).Conclusions There is a big individual difference for accommodative response and near phoria.When fitting the progressive addition lenses for exophoric myopic children,it is important to maintain a good balance between binocular vision and vergence on the basis of the least accommodative lag.
