阿托品和双星明散瞳前後电脑验光临床分析  

Clinical analysis of results obtained by autorefractometry around atropine and tropicamide mydriasis

作　　者：李裕钦[1] 喻咏[1] 王珂[1] 徐善卿[1] 

机构地区：[1]中国陕西省人民医院眼科,710065

出　　处：《美中国际眼科杂志》2002年第1期81-82,共2页

摘　　要：目的 探讨阿托品和双星明在青少年散瞳验光中的应用价值。方法 对82例青少年屈光不正患者,按年龄分为5岁～12岁及12岁～18岁两组,均行阿托品和双星明双重散瞳前後电脑验光,对其进行对比分析。结果(1)球镜值:散瞳前後电脑验光,两种药物、两组病人之间均有显著差别;阿托品与双星明之间又有显著差别,P值均小于0.05。(2)柱镜值:散瞳前後电脑验光,两种药物、两组病人之间,阿托品与双星明之间均无显著差别,P>0.1。(3)柱镜轴:散瞳前後或使用不同药物,散光值<1.50D的患者,电脑验光检测,柱镜轴均有较大差别;散光值≥1.50D的患者,电脑检测其轴位则较准确。结论对于患有远视或近视的青少年,仍以阿托品散瞳验光较为准确。对于单纯散光患者,则无需散瞳。Objective To study the value of atropine and tropicamide in mydriatic refraetometry of the young patients. Methods Eight-two patients with ametropia were divided into 2 groups by age (one from 5 to 12 years old, the other from 12 to 18 years old). All of them were examined by autorefractometry before and after atropine and tropieamide mydriasis. Results There was a significant difference in the degree of spherical lens obtained in the 2 groups and with the 2 drugs (P<0.05). However, there was no significant difference in the degree of cyclindrical lens obtained in the 2 groups and with the 2 drugs (P>0.1). There was a significant difference in the axis of cylindrical lens obtained before and after mydriasis or with different drugs in patients with the astigmatic degree <1.50D while the axis of cylindrical lens obtained by autorefractometry was exact in patients with the degree >1.50D. Conclusion Atropine mydriasis is necessary for the young patients with myopia and hyperopia, but not necessary for patients with simple astigmatism.

关 键 词：散瞳验光 屈光不正 阿托品 双星明 电脑验光 

分 类 号：R778.2[医药卫生—眼科]