先天性白内障近视发生的危险因素分析  

Analysis on risk factors of myopic occurrence in congenital cataract

作　　者：任力濛[1] 杨景存[2] 王介平[1] 张郑民[1] 

机构地区：[1]河南省眼科研究所,郑州450003 [2]河南医科大学第一附属医院眼科

出　　处：《眼科研究》2001年第1期72-74,共3页Chinese Ophthalmic Research

基　　金：河南省科委资助攻关项目!(编号:961200415)

摘　　要：目的探讨先天性白内障近视发生的危险因素，提供预防近视的科学依据。方法对８３例１０９只先天性白内障眼球的各屈光因子进行生物学测量，确定其屈光状态，并用Ｌｏｇｉｓｔｉｃ回归的方法进行单因素和多因素分析。结果 先天性白内障的近视发生率是 ６１． ２７％，眼轴长度为近视发生的主要危险因素，ＯＲ＝ １３８． ６９９。结论尽早去除先天性白内障所造成的形觉剥夺，保持或恢复视觉发育敏感期正常的视觉环境，有利于预防近视的发生。Objective To explore the risk factors of myopic occurrence in congenital cataract and to provide scientific basis of preventing myopia. Methods The comeal diopter, anterior chamber depth, thickness of lens, axial length of 109 eyes in 83 cases with congenital cataract were measured biologically and their refractive state was also determined. Logistic regression of single factor or multiple factors were used for statistical analysis. Results Myopic incident rate was 61. 38% among congenital cataract. The axial length was a chief myopic risk factor. The axial length increased lmm, the OR increased 138. 699. Conclusion it is beneficial to eliminating form deprivation from congenital cataract earlier, keeping or restoring normal visual environment and the prevention of myopia in critical periods of visual development.

关 键 词：先天性白内障 形觉剥夺 近视 危险因素 

分 类 号：R776.1[医药卫生—眼科]