58例高度近视眼的视功能检测  

58 Cases of High Myopia of Visual Function Testing

作　　者：赵晓军 夏群[2] 

机构地区：[1]北京市石景山中医院,北京100043 [2]卫生部北京医院眼科

出　　处：《中国伤残医学》2009年第4期26-28,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:检测并探讨双眼高度近视眼患者的视功能,比较不同年龄组的视功能。方法:常规检查患者的视力、眼前节、眼压和散瞳眼底;辅助眼底荧光血管造影(FFA)和光相干断层扫描(OCT)、眼部A/B型超声测量眼轴。视功能检查包括主觉验光获得最佳矫正视力;采用美国FACT对比敏感度测量卡分别检测两眼低、中、高各频区的对比度值;采用Amsler卡检查患者的中心视野;采用《色觉检查图》检查患眼的辨色情况;采用InamiL-2510型同视机检查患者的周边融合和中心融合功能;采用Titmus立体视觉检查图检查患者的近立体视功能。结果:58例患者116只眼的平均最佳矫正视力为0.63±0.34,其中60岁以上老年人平均视力较其他年龄组显著低下;本组患者的平均对比敏感度值低于正常范围,且老年组患者的对比度值较其他年龄组下降有显著性;Amsler卡检查发现24只眼(20.69%)有中心暗点和视物变形;18只眼(15.52%)色觉异常;双眼视功能检查本组患者分别有12例(20.69%)和10例(15.52%)患者中心融合功能和周边融合功能缺失,各年龄组间差异无显著性;19例患者立体视异常或缺失,其中老年组的比率显著高于其他年龄组。结论:高度近视眼不仅可以损害视力、色觉、对比敏感度等单眼视功能,还可损害双眼视功能。并且随年龄增长视功能损害的比率和程度均逐渐增加。Objective：To detect and study in patients with high myopia eyes of visual function, comparing different age groups of visual function. Method： Routine examination of patients with vision, the current festival, intraocular pressure and mydriasis eyes, supporting fundus fluorescein angiography （FFA） and optical coherence tomography （OCT）, Eye A / B--ultrasound measurement axis. As the main function tests, including optometry feel the best vision correction, using the U. S. FACT contrast sensitivity measurement cards were detected two low, middle and high--frequency areas of the contrast value; Amsler card checks by the central vision of applying ＂color vision inspection Map ＂inspection of the eye in Bianse; InamiL--2510 using the same type as check--in patients with peripheral integration and functional integration center, using three--dimensional visual inspection Titmus examination of the nearly three--dimensional visual function. Results： 58 patients with an average of 116 eyes of the best--corrected visual acuity to 0. 63 ± 0. 34, of which 60 elderly people over the age of the average visual acuity than those in other age group was significantly lower, this group of patients with lower than average value of contrast sensitivity, and the elderly The contrast of patients than other age groups have declined significantly; Amsler card check found that 24 eyes （20. 69 percent）, and as dark centre of deformation; 18 eyes （15. 52 percent） color anornaly inspection of binocular vision in this group Patients were 12 cases （20. 69 percent） and 10 （15.52%） patients with central and peripheral functions of integration integration deficits, each age group there was no significant difference; 19 cases of patients with abnormal or missing as three--dimensional, including old age group the rate significantly Higher than other age groups. Conclusion： A high degree of myopia can not only damage to eyesight, color, contrast sensitivity, such as monocular visual function, but also damage binocu

关 键 词：高度近视眼 视功能 

分 类 号：R778.11[医药卫生—眼科]