CAJ | 학술논문

目的：探讨青少年近视与屈光要素值的关系。方法：5～15岁，有近视表现的青少年308例（616眼），经0.5%托吡卡胺睫状肌放松后检影验光，测量其眼轴长度（AL）、前房深度（ACD）、晶体厚度（LENS）、玻璃体长度（UITR）、角膜曲率半径及角膜屈光力[CR/K（H）、CR/K（V）、CR(H.V均值)]，计算眼轴长度与角膜曲率半径的比值AL/CR，对屈光要素检测值进行统计分析，研究青少年近视与眼屈光要素相关性。结果：①近视屈光度与AL呈负相关（r＝-0.649，P＜0.01）；②近视屈光度与UITR呈负相关(r＝-0.496, P＜0.01)；③近视儿童的AL/CR均值为3.11±0.14，近视屈光度与AL/CR比值呈负相关（r＝-0.701, P＜0.01）。④近视屈光度与LENS呈正相关（r＝0.104，P=0.010）⑤近视屈光度与ACD、CR（H V均值）无明显线性关系。结论：理想的屈光状态取决于屈光各要素间屈光力的协调平衡。青少年眼的屈光状态取决于各屈光要素的生长发育以及它们之间形成的相互关系。屈光度与AL、UITR、AL/CR之间具有相关性，屈光度与眼轴长度的相关性最为显著，为负相关，而眼轴长度与玻璃体腔深度呈显著正相关。
목적：탐토청소년근시여굴광요소치적관계。방법：5～15세，유근시표현적청소년308례（616안），경0.5%탁필잡알첩상기방송후검영험광，측량기안축장도（AL）、전방심도（ACD）、정체후도（LENS）、파리체장도（UITR）、각막곡솔반경급각막굴광력[CR/K（H）、CR/K（V）、CR(H.V균치)]，계산안축장도여각막곡솔반경적비치AL/CR，대굴광요소검측치진행통계분석，연구청소년근시여안굴광요소상관성。결과：①근시굴광도여AL정부상관（r＝-0.649，P＜0.01）；②근시굴광도여UITR정부상관(r＝-0.496, P＜0.01)；③근시인동적AL/CR균치위3.11±0.14，근시굴광도여AL/CR비치정부상관（r＝-0.701, P＜0.01）。④근시굴광도여LENS정정상관（r＝0.104，P=0.010）⑤근시굴광도여ACD、CR（H V균치）무명현선성관계。결론：이상적굴광상태취결우굴광각요소간굴광력적협조평형。청소년안적굴광상태취결우각굴광요소적생장발육이급타문지간형성적상호관계。굴광도여AL、UITR、AL/CR지간구유상관성，굴광도여안축장도적상관성최위현저，위부상관，이안축장도여파리체강심도정현저정상관。
objective: to explore the value of teen-agers myopia and refraction elements. Methods: 5-15 years old, and have myopia performance of teenagers 308 (graudation eyes), "by 0.5% Derby card amine cycloplegic relax after inspection, measuring its eye shadow online axial length (AL), the anterior chamber depth (ACD), crystal thickness (LENS), vitreous length (UITR), corneal curvature radius and corneal QuGuangLi [CR/K (H), CR/K (V), CR (average)], H.V ocular axial length calculation with corneal curvature radius of AL/CR, ratio of assessment of refraction elements of statistical analysis, research and refraction elements teen-agers myopia. Results: (1) the myopia negatively correlated with AL dioptre (r = -0.649, P < 0.01), 2 UITR dioptre myopia negatively correlated with (r = - 0.496, P < 0.01), 3 children myopia AL/CR mean ± 0.14 for 3.11, myopia dioptre and AL/CR ratio (r = negatively correlated 0.701 -, P < 0.01). 4 was positively correlated with the LENS photorefractive myopia (r = 0.104, P = 5) with 0.010 dioptre myopia, CR (H ACD) no obvious linear mean V. Conclusion: the ideal refractive status depends on the elements of the refractive QuGuangLi coordination and balance. Teenagers eye refractive status of each refractive elements and their growth and development of the relationship between formation. AL and UITR, provocative, AL/CR correlated with ocular axial length provocative, most significantly, the correlation is negatively related to the eyes, but with the depth of the length of glass has a significant positive correlation.