山东大学耳鼻喉眼学报 ›› 2021, Vol. 35 ›› Issue (4): 76-80.doi: 10.6040/j.issn.1673-3770.0.2020.432
岳鹏程1,2,杜秋萱1,2,孔玲1,2,乔镇涛1,2
YUE Pengcheng1,2, DU Qiuxuan1,2, KONG Ling1,2, QIAO Zhentao1,2
摘要: 目的 研究近视性屈光参差对双眼调节相关参数的影响。 方法 收集63例从未有屈光矫正史的近视性屈光参差患者作为屈光参差组,两眼间屈光参数无明显差异的患者作为对照组,使用综合验光仪测量患者的单双眼负相对调节、调节反应、正相对调节、调节灵活度、调节幅度并散瞳验光,分析两组间调节相关参数的差异。 结果 屈光参差组患者共34例,高度数眼PRA值为-2.10±0.88,低度数眼为-2.46±0.70,差异有统计学意义(t=2.96,P<0.05);屈光参差组高度数眼调节反应值为+0.51±0.42,低度数眼为+0.35±0.35,差异有统计学意义(Z=-2.45,P<0.05);屈光参差组高度数眼调节灵活度值为4.47±2.38,低度数眼为5.53±3.03,差异有统计学意义(t=-2.42,P<0.05);屈光参差组高度数眼NRA值为+2.21±0.28,低度数眼为+2.21±0.40,差异无统计学意义(Z=-0.43,P>0.05)。对照组患者共29例,双眼间NRA、BCC、PRA、调节灵活度值均无统计学差异(NRA:Z=-0.42,P>0.05)、(BCC:Z=-0.95,P>0.05)、(PRA:Z=-1.37,P>0.05)、(调节灵活度:Z=-0.04,P>0.05)。屈光参差组双眼NRA值+2.39±1.58高于对照组+2.24±0.31(Z=-2.54,P<0.01),双眼PRA值-2.00±0.81高于对照组-2.49±0.72(Z=-2.31,P<0.05);屈光参差组调节反应值+0.38±0.30与对照组+0.41±0.30无统计学差异(Z=-0.58,P>0.05),双眼调节灵活度值4.57±2.50与对照组4.59±2.18差异无统计学意义(Z=-0.04,P>0.05)。 结论 近视性屈光参差会引起患者双眼间调节参数异常。
中图分类号:
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