摘要
目的评价无症状高度近视眼眼底病变的特征和影响因素。方法 387例无症状高度近视眼(≤-6.00D)(387眼)纳入本研究。所有患者均经睫状肌麻痹验光和散瞳检查眼底。比较有眼底病变组和无眼底病变组之间年龄及屈光度的差异。结果 387例患者中,男105例,占27.1%;女282例,占72.9%。平均年龄37.9岁,平均屈光度-10.15D。52眼检测到后极部有眼底病变,占13.44%,与无病变组比较,年龄及屈光度差异均有统计学意义(t=3.341,5.183;P<0.05)。239眼检测到周边部有视网膜病变,占61.76%,与无病变组比较,屈光度差异有统计学意义(t=3.860,P<0.05),年龄差异无统计学意义(t=1.283;P>0.05)。结论无症状高度近视眼后极部及周边部病变发生率均较高,高度近视眼患者即使无症状,也应定期检查眼底。
Objective To evaluate the characteristics and influencing factor in asymptomatic high myopia. Methods Three hundred and eighty seven eyes of 387 asymptomatic cases with high myopia of refractive error ≤-6.00D were included in the study. All cases underwent cycloplegic refraction and fundus examination after pupil dilation. The age and diopter be- tween lesions group and normal group were compared with independent sample t-tests. Results There were 105 males （27.1%） and 282 females （72.9%） in this study. The mean age of 387 cases was 37.9 years and the mean refractive error was -10.15D. Posterior pole retinal lesions were found in 52 eyes （13.44%）. There were significant difference of age and diopter between lesions and normal group （t = 3.341, 5.183; P 〈 0.05）. Peripheral retinal lesions were found in239 eyes （61.76%）. The difference of diopter between lesions and normal group was statistically significant （t = 3.860; P 〈 0.05）, while there was no significant difference of age between two groups （t = 1.283; P 〉 0.05）. Conclusion The incidence of posterior pole and peripheral retinal lesions in asymptomatic high myopia is higher. They should be performed fundus ex- aminations at regular intervals.
出处
《中国现代医生》
2012年第21期159-160,共2页
China Modern Doctor
关键词
高度近视
周边部视网膜变性
后极部
High myopia
Peripheral retinal degeneration
Posterior pole
