摘要
目的:观察18~25岁成人近视患者验光中屈光状态的变化。方法:将100例(200眼)成人近视患者进行4分医学验光,分析比较验光后结果与患者年龄、戴镜史、优势眼等因素之间的关系。结果:①散瞳前后及复验时患者平均等效球镜度(AESLD)分别为-(4.11±1.73)D,-(3.77±1.67)D和-(3.90±1.67)D,较散瞳前差异有统计学意义(P=0.024,P=0.039);②各年龄组(18~20)岁、(20~25)岁散瞳前AESLD分别是-(4.07±1.75)D、-(4.18±1.71)D,散瞳后为-(3.78±1.73)D、-(3.66±1.62)D,复查时为-(3.91±1.72)D、-(3.87±1.60)D。每组散瞳前后(P=0.025,P=0.045)及复查时(P=0.042,P=0.049)差异均有统计学意义;③有配镜史者散瞳前后AESLD分别为-(4.89±1.52)D和-(4.53±1.48)D(P=0.039),无配镜史者为-(2.63±0.99)D和-(2.38±0.97)D(P=0.045)。两组散瞳前后AESLD差异均有统计性意义;④优势眼多见于右眼。优势眼与近视度数有一定的相关性,且对度数的改变较为敏感。结论:对18~25岁的近视患者仍需进行医学验光,尤其对优势眼的精确验配会使患者更为舒适。
Objective To observe the diopter changes in the adults aged 18~25 years with myopia.Method For 100 cases(200 eyes) were divided into 4 groups for medical optometry,then analyzed and compared the relationships between the optometry results,ages,history of spectacles and dominant eyes.Results ①The average equivalent spherical lenses diopter(AESLD) of the patients were-(4.11±1.73) D,-(3.77±1.67) D,-(3.90±1.67) D,respectively before mydriasis;after mydriasis and reinspection,which was showing significant difference when compared with that before mydriasis(P= 0.024,P= 0.039);②The AESLD of each age group,18~20 years,20~25 years were-(4.07±1.75) D,-(4.18 ±1.71) D before mydriasis,-(3.78 ±1.73) D,-(3.66±1.62) D after mydriasis,-(3.91±1.72) D,-(3.87±1.60) D during reinspection respectively,which was showing significant difference when compared with that before and after mydriasis(P=0.025,P=0.045) as well as reinspection(P=0.042,P=0.049);③The AESLD of the patients with a history of glasses were-(4.89±1.52) D and-(4.53±1.48) D,respectively before and after mydriasis(P=0.039),which was showing statistically significant difference when compared with those without history of glasses-(2.63±0.99) D and-(2.38±0.97)D(P=0.045);④Oculus dominans were more common in the right eye which was correlated with the degree of myopia.Furthermore,it was more sensitive to the changes of degree.Conclusion The myopia aged 18~25 years still need medical optometry,particularly they will feel more comfortable if through accurate optometry on dominant eye.
出处
《吉林医学》
CAS
2010年第19期3015-3017,共3页
Jilin Medical Journal
关键词
成人近视
医学验光
优势眼
Adults with myopia
Medical optometry
Dominant eye