摘要
目的探讨不同进展程度及不同年龄的近视患者选择小瞳验光、复方托吡卡胺散瞳后验光及阿托品散瞳后验光的时机。方法将年龄7～18岁的304例近视患者按复诊的戴镜视力或初诊的裸眼视力分为3组:0.1～0.3组、0.4～0.6组、0.7～0.9组。所有患者根据不同年龄段(7～9岁、10～12岁、13～15岁、16～18岁)分别进行小瞳验光、复方托吡卡胺散瞳后验光及阿托品散瞳后验光,记录各组患者屈光度。结果视力下降至0.1～0.3时,不同年龄段患者三种验光方式所得屈光度比较,差异无统计学意义(P>0.05)。结果显示各年龄段近视患者采用小瞳验光、复方托吡卡胺散瞳后验光、阿托品散瞳后验光的屈光度变化不明显。视力下降至0.4～0.6时,7～12岁近视患者复方托吡卡胺散瞳后验光、阿托品散瞳后验光都比小瞳验光所得屈光度低,而阿托品散瞳后验光所得屈光度降低更显著;13～18岁近视患者复方托吡卡胺散瞳后验光、阿托品散瞳后验光所得屈光度均低于小瞳验光所得屈光度,但其降低的差异随着年龄增长更加不明显。视力下降至0.7～0.9时,各年龄段近视患者小瞳验光、复方托吡卡胺散瞳后验光、阿托品散瞳后验光所得屈光度差异均有统计学意义(均为P<0.05)。各年龄段近视患者小瞳验光、复方托吡卡胺散瞳后验光、阿托品散瞳后验光所得屈光度之间两两比较,差异均有统计学意义(均为P<0.05)。结果显示与小瞳验光所得结果相比,复方托吡卡胺散瞳后验光和阿托品散瞳后验光所得屈光度均降低,而阿托品散瞳后验光结果降低更显著。结论视力下降至0.1～0.3的不同年龄患者可采用小瞳验光。视力下降至0.4～0.6的12岁以上近视患者可采用复方托吡卡胺散瞳后验光。视力下降至0.4～0.6的12岁以下近视患者和视力下降至0.7～0.9的各年龄段患者均需采用阿托品散瞳后验光。
Objective To explore the timing of small pupil,compound tropicamide mydriasis and atropine mydriasis optometry in myopia patients with different progresses and different ages.Methods Totally 304 myopic patients aged 7-18 years were divided into 3 groups according to the corrected visual acuity or first diagnosed naked eye vision,and they were 0.1-0.3 group,0.4-0.6 group,and 0.7-0.9 group.All the patients with the age of 7-9,10-12,13-15,16-18 years were accordingly received optometry with small pupil,compound tropicamide mydriasis and atropine mydriasis.The diopters of the patients in each group were recorded.Results When the visual acuity dropped to 0.1-0.3,there was no significant difference in refraction between three optometry methods in different age groups(all P>0.05).The results showed that the diopter change was not obvious between small pupil,compound tropicamide mydriasis and atropine mydriasis optometry in myopia patients with different ages.When visual acuity decreased 0.4-0.6,the diopters of compound tropicamide mydriasis and atropine mydriasis optometry were lower than those of small pupil optometry in 7-12 year old myopia,and the diopter of atropine mydriasis optometry was more significant;the diopters of compound tropicamide mydriasis and atropine mydriasis optometry were lower than those of small pupil optometry in 13-18 year old myopia,but the difference was not obvious with age.When visual acuity decreased 0.7-0.9,the diopters of small pupil,compound topyroamine mydriasis,atropine mydriasis optometry of all ages were statistically significant(all P<0.05).The pairwise comparison between small pupil,compound topyroamine mydriasis,atropine mydriasis optometry of all ages was statistically significant(all P<0.05).The results showed that compared with the results of small pupil optometry,the diopters of compound topyroamine mydriasis and atropine mydriasis optometry were reduced,and the atropine mydriasis optometry was reduced more significantly.Conclusion Small pupil optometry can be used in different ages of patients with decreased vision to 0.1-0.3.Myopia patients over 12 years of age who have decreased vision to 0.4-0.6 can receive optometry with compound tropicamide mydriasis.Atropine mydriasis is required for all myopic patients under 12 years old with visual acuity descending to 0.4-0.6 and for patients of all ages with a decrease of visual acuity to 0.7-0.9.
作者
钟瑞英
王燕
李坤梦
张曼曼
ZHONG Rui-Ying;WANG Yan;LI Kun-Meng;ZHANG Man-Man(the Department of Ophthalmology,the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,Guangdong Province,China)
出处
《眼科新进展》
CAS
北大核心
2018年第7期660-663,共4页
Recent Advances in Ophthalmology
基金
广东省高等学校科技创新重点项目(编号:KFD110122K09)
广东省科技厅计划项目(编号:2017ZC0146)~~
