国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
10期
1833-1836
,共4页
吴西西%孟宪实%黎海平%陈珏
吳西西%孟憲實%黎海平%陳玨
오서서%맹헌실%려해평%진각
近视%调节%眼动参数
近視%調節%眼動參數
근시%조절%안동삼수
myopia%accommodation%eye movement parameters
目的：观察近视学龄儿童给予合理矫治后眼动参数的变化,试图调查近视发生的机制并找到矫治青少年近视的最合理方法。<br> 方法：争取家长同意后,选取50例7~12岁未合理矫治的近视学龄儿童为研究对象,视力<0.8,未合理矫治包括未给予规范的散瞳验光、过矫或欠矫、眼镜相关参数不合理。并给予未合理矫治儿童进行合理矫治,包括给予规范的散瞳验光；给予消旋山莨菪碱滴眼液滴眼,每次1~2滴,每日3次；调整眼镜在合适的范围。矫治6 mo后使用综合验光仪测量正负相对调节、调节幅度、调节灵敏度。<br> 结果：不合理矫治组矫治前后的正相对调节力、调节幅度、调节灵敏度进行统计分析,差异均有统计学意义(P<0.01)。两组的负相对调节力差异无统计学意义( P>0.01)。<br> 结论：合理矫治能够保存更多的调节储备,进而缓解近视的进一步加深。
目的：觀察近視學齡兒童給予閤理矯治後眼動參數的變化,試圖調查近視髮生的機製併找到矯治青少年近視的最閤理方法。<br> 方法：爭取傢長同意後,選取50例7~12歲未閤理矯治的近視學齡兒童為研究對象,視力<0.8,未閤理矯治包括未給予規範的散瞳驗光、過矯或欠矯、眼鏡相關參數不閤理。併給予未閤理矯治兒童進行閤理矯治,包括給予規範的散瞳驗光；給予消鏇山莨菪堿滴眼液滴眼,每次1~2滴,每日3次；調整眼鏡在閤適的範圍。矯治6 mo後使用綜閤驗光儀測量正負相對調節、調節幅度、調節靈敏度。<br> 結果：不閤理矯治組矯治前後的正相對調節力、調節幅度、調節靈敏度進行統計分析,差異均有統計學意義(P<0.01)。兩組的負相對調節力差異無統計學意義( P>0.01)。<br> 結論：閤理矯治能夠保存更多的調節儲備,進而緩解近視的進一步加深。
목적：관찰근시학령인동급여합리교치후안동삼수적변화,시도조사근시발생적궤제병조도교치청소년근시적최합리방법。<br> 방법：쟁취가장동의후,선취50례7~12세미합리교치적근시학령인동위연구대상,시력<0.8,미합리교치포괄미급여규범적산동험광、과교혹흠교、안경상관삼수불합리。병급여미합리교치인동진행합리교치,포괄급여규범적산동험광；급여소선산랑탕감적안액적안,매차1~2적,매일3차；조정안경재합괄적범위。교치6 mo후사용종합험광의측량정부상대조절、조절폭도、조절령민도。<br> 결과：불합리교치조교치전후적정상대조절력、조절폭도、조절령민도진행통계분석,차이균유통계학의의(P<0.01)。량조적부상대조절력차이무통계학의의( P>0.01)。<br> 결론：합리교치능구보존경다적조절저비,진이완해근시적진일보가심。
AIM: To observe the changes of eye movement parameters before and after appropriate treatment for school-age myopic children, try to investigate possible mechanism and obtain the most appropriate protocol for juvenile myopia. <br> METHODS: After getting the parents consent, 50 school-age children ( age 7 ~12 years old ) with visual acuity < 0. 8 were enrolled. All the subjects existed inappropriate treatment including measuring refraction under non - cycloplegia, wearing over - or under -corrected spectacle or inappropriate spectacle parameters ect. All the subjects were treated with appropriate treatment including measuring refraction under cyclopedia, dropping raceanisodamine eye drops 1 ~ 2 drops three times per day, adjusting spectacle parameters to appropriate range, etc. Before and 6mo after appropriate treatment, eye movement parameters including positive and negative relative accommodation, amplitude of accommodation and sensitivity of accommodation were measured with the comprehensive refractometer. <br> RESULTS: There are statistical significance in the amplitude of accommodation, the positive relative accommodation and the sensitivity of accommodation ( P<0. 01) while no statistical significance in negative relative accommodation before and after appropriate treatment (P>0. 01). <br> CONCLUSION: Appropriate treatment can save more accommodative amplitude and will benefit myopia progression.
