未矫正近视性屈光参差患者双眼间调节力对照研究

doi:10.6040/j.issn.1673-3770.0.2020.432

摘要/Abstract

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。

关键词: 屈光参差, 近视, 调节, 视功能, 未矫正

Abstract: Objective To study the effect of myopic anisometropia on binocular accommodative parameters. Methods The study involved 63 patients with different refractive parameters in their two eyes but no history of refractive correction for anisometropia. They were divided into anisometropia group and control group according to the difference in refractive status. Their cycloplegic refraction were measured using a comprehensive refractometer. The monocular and binocular negative relative accommodation, accommodative responses, positive relative accommodation, accommodative facilities, amplitudes of accommodation, and the differences in adjustment parameters of the two groups were analyzed. Results There were 34 patients in the anisometropia group. The monocular PRA in the eyes with higher degree was -2.10±0.88, and that of the eyes with lower degree was -2.46±0.70; the difference was statistically significant(t=2.96, P<0.05). The monocular accommodative response value of the eyes in the in the eyes with higher degree was +0.51±0.42, and that of the eyes in eyes with lower degree was +0.35±0.35, the difference was statistically significant(Z=-2.45, P<0.05). The monocular accommodative facility of the eyes in the eyes with higher degree was 4.47±2.38, and that of the eyes with lower degree was 5.53±3.03; the difference was statistically significant(t=-2.42, P<0.05). The monocular NRA in the eyes with higher degree was +2.21±0.28, and that of the eyes with lower degree was +2.21±0.40; the difference was not statistically significant(Z=-0.43, P>0.05). There were 29 patients in the control group, they were no statistically significant differences between the NRA, accommodation responses, PRA, and accommodative facilities of the two eyes in the control group(NRA: Z=-0.42, P>0.05; accommodative response: Z=-0.95, P>0.05; PRA: Z=-1.37, P>0.05; accommodative facility: Z=-0.04, P> 0.05). The binocular NRA of the anisometropia group was +2.39±1.58, whereas that of the control group was +2.24±0.31; the difference was statistically significant(Z=-2.54, P<0.01). The binocular PRA was -2.00±0.81 in the anisometropia group and -2.49±0.81 in the control group; the difference was statistically significant(Z=-2.31, P<0.05). The binocular accommodative response was +0.38±0.30 in the anisometropia group and +0.41±0.30 in the control group; the difference was not statistically significant(Z=-0.58, P>0.05). The binocular flexibility was 4.57±2.50 in the anisometropia group and 4.59±2.18 in the control group, and the difference was not statistically significant(Z=-0.04, P>0.05). Conclusion Myopic anisometropia may cause abnormal interbinocular accommodative parameters.

Key words: Myopia, Anisometropia, Accommodation, Vision function parameters, Uncorrected

中图分类号:

R778.1

岳鹏程,杜秋萱,孔玲,乔镇涛. 未矫正近视性屈光参差患者双眼间调节力对照研究[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 76-80.

YUE Pengcheng, DU Qiuxuan, KONG Ling, QIAO Zhentao. A controlled Study of the accommodative parameters of eyes with uncorrected myopic anisometropia[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 76-80.

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