聚散灵敏度与融像性聚散的相关性研究  

The research of correlation between the vergence facility and the disparity vergence

作　　者：高飞[1] 高祥璐[1] 石浩淼[1] 

机构地区：[1]天津医科大学眼科中心,天津300070

出　　处：《中国实用眼科杂志》2013年第9期1109-1111,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨聚散灵敏度与融像性聚散的相关性，为临床聚散系统异常的诊断提供更直接、更有意义的指标。方法临床病例自身对照研究。对2012年10～12月在天津医科大学眼科中心志愿随机抽取50名20—28周岁在校近视大学生，应用电脑验光仪和综合验光仪行规范验光后，在屈光不正全矫的基础上分别进行聚散灵敏度检测和融像性聚散检测，并利用Flashed Von Graefe法测量视近隐斜，利用SPSS13．0统计软件对相关数据进行分析，确定聚散灵敏度与融像性聚散的相关性。结果（1）视近隐斜偏高组（〉6EXO）和视近隐斜正常组（0-6EXO）的聚散灵敏度差异显著有统计学意义（P〈0．05），而融合性聚散（BI）恢复点数值差异无统计学意义（P〉0．05）。（2）BI模糊点和破裂点与聚散灵敏度无相关性，而其恢复点与聚散灵敏度有相关性。结论可以通过被检者的恢复点数值推测患者的聚散灵敏度是否异常，可使聚散检测中恢复点数据得到充分的使用，从而减少了专项的聚散灵敏度检查，使双眼视异常的诊断更为简便。Objective To investigate the correlation between the vergence facility and the dispari-y vergence, to find a more convenient and significant index in differentiating patients with vergence system deficient. Methods Fifty college students with myopia were randomly selected in this study. For each subject, automatic refractor and phoropter were used to check the binocular vision, then ver-gence facility test, disparity vergence test and near disassociated phoria by Flashed Von Graefe meth-od were measured. The data was analyzed by the t test and Spearman rank correlation analysis us-ing SPSS 13. Results Fifty subjects were divided into two groups that depended on the value of near disassociated phoria： group A （〉6EXO） and group B （0-6EXO）. The amplitude of vergence facil-ity of group A was significantly different than group B （P 〈0.05）. There was a significant correla- tion between the amplitude of recovery point and the amplitude of vergence facility. Conclusions The subject＇s amplitude of recovery point can be used to infer whether he/she has a vergence defi-cient, the clinical significance is to bring lots of convenience in daily clinical diagnosis.

关 键 词：聚散灵敏度 融像性聚散度 融像性聚散系统 

分 类 号：R776.1[医药卫生—眼科]