复方托品酰胺和阿托品对远视儿童散瞳验光的比较分析  

The Comparative Analysis of the Refraction under Compound Tropicamide and Atropin for Children's Hyperopia

作　　者：祝伟[1] 李之忠[1] 

机构地区：[1]天津大港油田总医院眼科,天津300280

出　　处：《海南医学》2008年第4期34-35,共2页Hainan Medical Journal

摘　　要：目的对比复方托品酰胺与阿托品对儿童远视散瞳验光的结果。方法用复方托品酰胺与阿托品眼水对95例190眼儿童远视进行散瞳验光。结果190眼远视球镜度数两次验光结果相同和相差≤0.50D者123眼、相差0.50D以上者67眼、远视球镜度数符合率为64.7%,102眼复性远视柱镜度数2次验光结果相同和相差≤0.50D者为92眼、相差0.50D以上者10眼、复性远视柱镜度数符合率为90.2%,散光轴向符合率为82.1%。结论儿童远视患者应用托吡卡胺散瞳验光仍可存留部分调节的隐性远视的屈光度数。对儿童远视仍以阿托品眼水散瞳验光为宜。Objective To compare the value of compound tropicamide and atropine ophthalmic solution in mydriatic refractometry of children＇s hyperopia. Methods A total of 95 children with hyperopia （190 eyes） were subjected to refraction after compound tropicamide and atropine mydriasis. Results Among the 190 eyes,123 eyes presented identical refractive results or less than 0.50D （diopter） difference while 50 eyes had more than 0.50D difference after the instillation of the two agents.with 64.7% in agreement with the degree of spherical lens. There were 102 eyes with compound hyperopia,of which 92 eyes displayed identical refractive results or less than 0.50D difference while 10 eyes had more than 0.50D difference,with 90.2% and 82.1% in agreement with the degree and the axis of cylindrical lens respectively. Conclusions Children with hyperopia tend to retain certain magnitude of residual accommodation after application of tropicamide,Therefore atropine is a more effective cycloplegic agent for children’s hyperopia.

关 键 词：儿童 复方托品酰胺 阿托品 远视 验光 

分 类 号：R778.12[医药卫生—眼科]