电脑验光与视网膜检影对青少年近视的比较研究  

Effect of computer optometry and retino- scopy on adolescent myopia

作　　者：樊曦[1] 周柳红[1] 周四红[1] 

机构地区：[1]中国湖北省黄梅县眼科医院,435500

出　　处：《国际眼科杂志》2006年第3期688-689,共2页International Eye Science

摘　　要：目的:对近视性青少年应用电脑验光及视网膜检影后,了解验光结果与复验结果的符合情况。方法:对2003/2005年就诊的186名(372眼)青少年性近视患者,全部进行远、近视力、外眼和眼底检查,均无眼前节炎症、白内障、眼底病和其他眼疾。使用日本生产的NIDEKAR—800型自动验光仪先作电脑验光,再用复方托品酰胺散瞳检影验光,次日瞳孔恢复正常后,再次复验,基于检影验光的结果进行主观验光,以确定配镜处方度数。比较电脑验光及散障检影验光的结果与配镜处方结果的差异。结果:正常瞳孔下电脑验光和散瞳下检影验光得到的屈光度和散光轴向相同或极其相似,统计学处理无显著性差异(P>0.05);但是,正常情况下电脑验光、散瞳后电脑验光的球镜值与配镜处方之间比较有显著性差异(P<0.05),柱镜值及轴向结果相同或极其相似,结果无显著性差异(P>0.05)。结论:无论是电脑验光还是视网膜检影,对青少年性近视患者,均需要结合主观验光,综合考虑而得出最佳矫治数据。AIM： To examine the effects of retinoscopy and computer optometry on adolescent mypia and to compare these effects with those of final glass prescription. METHODS： A total of 186 adolescent patients with myopia （372 eyes） served as the subjects of this study. All patients undertook the examination of far vision, near vision, outer eye and ocular fondus, and no anterior inflammation, cataract or ocular fundus diseases were found. They were firstly tested by computer optometry with NIDEK AR-800 unit, and then were treated with compound tropicamide to disperse pupil for retinoscopy. The definitive glass prescription was achieved by subjective optometry based on retinoscopy result when the pupil reverted on the next day. RESULTS： The results of diopter and astigmatic axis by retinoscopy and computer optometry were same or similar, with no significant difference（P〉0.05）. However,the average spherical lens value resulting from retinoscopy and computer optometry was significant higher than that from final glass prescription （P〈0.05）. pillar lens value and axial direction in the three results were same or similar, with no significant difference（P〉0.05）. CONCLUSION： Either retinoscopy or computer optometry should combine the subjective optometry to prescribe the glass for adolescent myopia patients.

关 键 词：检影验光 电脑验光 青少年 近视 

分 类 号：R778.11[医药卫生—眼科] R778.2[医药卫生—临床医学]