主导眼测试其优势对近视发展影响研究  

The dominant eye examination and its influences on the myopia progression

作　　者：金涵[1] 王文娟[1] 田军[1] 谢晖[1] 舒秀梅[1] 肖凡[1] 徐瑜玲[1] 周兆安[1] 徐洁[1] 

机构地区：[1]江西省人民医院眼科中心,南昌330006

出　　处：《中国实用眼科杂志》2013年第11期1410-1412,共3页Chinese Journal of Practical Ophthalmology

基　　金：江西省卫生厅科研基金（20083014）

摘　　要：目的探索一种简便易行且准确率高的测量主导眼的方法；研究屈光矫正时强调主导眼优势对近视加深的影响。方法临床病例对照研究。对2009年1月至2010年12月在江西省人民医院眼科做屈光检查的466例近视患儿用三种不同方法：手指法、卡洞法、Worth四点法分别检查每位患儿的主导眼；筛查出78例双眼等效球镜度为中低度近视且屈光参差〈-1．00D，矫正视力≥1．0，且均为右眼为主导眼的近视患儿随机分成两组：一组双眼矫正视力均达1．0并让主导眼更清晰：另一组只考虑矫正视力达1．0。随访一年后，观察两组病例近视加深情况。结果三种主导眼检查法，手指法与卡洞法一致性好，符合率高（96．35％）；Worth四点法与手指法、卡洞法一致性差，符合率低（58．6％，55．6％）。两组近视患儿一年后，主导眼清晰组近视加深较慢，两组比较有统计学意义（t=2．348，P〈0．01）。结论主导眼测试应采用手指法或卡洞法简便易行且符合率高，Worth四点法作为感觉融像检查法不适合主导眼检查。屈光矫正中主导眼更清晰不仅能改变配镜舒适度，且可能在一定程度上延缓近视的发展。Objective To explore a feasible and high-accurate way to examine the dominant eye and to study the impact of over-emphasize the privilege of the dominant eye on myopia progression. Methods A total of 466 myopic kids were examined through three different methods： figure meth- od, hole-in-the-card test, and Worth 4 dot test on their dominant eyes. They were screened and divid- ed 78 cases with dominant right eyes, whose spherical equivalent refraction were low myopia, and anisomtropia 〈-1.00D, corrected visual acuity ≥1.0, into two random groups. One group had correct- ed visual acuity =1.0 on the dominant eye, the other group had a precise corrected visual acuity 1.0. The groups were revisited one year later to observe their myopia progression. Results Among the three dominant eye control methods, the consistency and coincident rate （96.35%） of the figure method and hole-in-the-card test was good, while the consistency and coincident rate （58.6%, 55.6%） of Worth 4 dot test and the other two methods were worse. In our observation one year later, the group with clearer dominant eye grew slower in myopia progression. There was statistical signifi- cance between the two groups （t =2.348, P 〈0.01）. Conclusions The figure method and hole-in-the-card test are more feasible and have higher coincident rate when examining the dominant eye. The Worth 4 dot test is not a suitable way for dominant eye examination. Making the domi- nant eye clearer than the other one in diopter correction can improve the glass comfort and slow myopia progression.

关 键 词：主导眼 测量法 近视发展 

分 类 号：R778.11[医药卫生—眼科]