山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (3): 72-74.

• 论文 • 上一篇    下一篇

实验近视性屈光参差对双眼视功能的影响

李瑞凤1,刘桂香2,万鲁芹3   

  1. 1.漳州卫生职业学院眼视光教研室, 福建 漳州 363000;  2.青岛大学医学院附属医院眼科, 山东 青岛266003;
    3.山东省眼科研究所青岛眼科医院, 山东 青岛 266003
  • 收稿日期:2011-12-21 出版日期:2012-06-16 发布日期:2012-06-16
  • 通讯作者: 刘桂香,博士,教授,硕士生导师。Email:liugx7@126.com
  • 作者简介:李瑞凤,硕士,讲师。Email:lrf062@163.com

Influence of experimental myopic anisometropia on binocular visual function

LI Rui-feng1, LIU Gui-xiang2, WAN Lu-qin3   

  1. 1. Department of Optometry, Zhangzhou Health Vocational College, Zhangzhou 363000, Fujian, China; 2. Department of Ophthalmology, The Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, Shandong, China; 3. Qingdao Eye Hospital,Shandong Ophthalmologic Research Institute, Qingdao 266003, Shandong, China
  • Received:2011-12-21 Online:2012-06-16 Published:2012-06-16

摘要:

目的   研究诱导近视性屈光参差对双眼视功能的影响。方法   选择漳州卫生职业学院等3所学校40岁以上教师64人,在眼前放置正球镜诱导单纯近视性屈光参差,观察屈光参差大小对双眼视功能的影响。结果   水平隐斜视的均值在屈光参差超过1.50D时增大(P<0.05),小于1.50D时没有明显变化(P>0.05);屈光参差超过1.50D时,同时视、融合、立体视的阳性人数均随着屈光参差度数的增加而减少(P<0.05)。结论   近视性屈光参差可引起双眼视功能异常,当屈光参差≥1.50D时可引起双眼视功能急剧下降。按照单眼视设计白内障术后植入的人工晶体屈光度时,可留有<1.50D近视性屈光参差,兼顾视远和视近,以免影响高级视功能。

关键词: 屈光参差;单眼视;视功能;白内障;人工晶体

Abstract:

Objective   To investigate the change of binocular visual function after induction of myopic anisometropia. Methods   Pure myopic anisometropia was induced by putting spectacles on the right eyes of 64 teachers who were more than 40 years old from Zhangzhou Health Vocational College and another two colleges, and the effects of myopic anisometropia on the binocular visual function were observed. Results   The mean level of heterophoria was increased when anisometropia exceeded 1.50D (P<0.05 ), and there was no significant change when it was less than 1.50D (P>0.05 ). When anisometropia exceeded 1.50D, the positive numbers of simultaneous vision, fusion and stereopsis were decreased with the increase of anisometropia degree (P<0.05 ). Conclusion   Myopic anisometropia can cause abnormality of binocular visual function, and when anisometropia exceeds or is equal to 1.50D(≥1.50D) it may cause a sharp decline of the binocular visual function. So when we design cataract surgery according to the monocular vision, the implantation of intraocular lens diopter should have a <1.50D myopic anisometropia to get a satisfactory effect in both hyperopia and myopia without influencing the senior visual function.

 

Key words: Anisometropia; Monocular vision; Visual function; Cataract; Artificial lens

中图分类号: 

  • R778.1
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