儿童眼睫状体厚度与屈光不正关系及其在调节中变化的研究  

The study of relationship between children＇s ocular ciliary body thickness and ametropia

作　　者：刘伟[1] 陶远[1] 苏庆[1] 傅特[1] 

机构地区：[1]济南市第二人民医院眼科,山东250001

出　　处：《中国实用眼科杂志》2015年第10期1092-1096,共5页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨儿童眼睫状体不同部位厚度与近视关系及其在调节中的变化。方法采用前瞻性队列研究。选择2011年12月至2013年12月在济南眼科医院就诊的正视及近视儿童共120只眼，行验光、前节OCT观察调节前后睫状体及临近区域厚度及位置变化，记录巩膜突后1、2、3mm（CMT1、2、3）垂直于巩膜内表面的睫状体厚度及睫状体最大厚度，比较调节松弛状态下不同屈光度眼睫状体厚度，以及调节痉挛状态睫状体厚度改变。结果CMT2、CMT3在正视组、低中度近视组、高度近视组依次增大，分别为（545．08±78．62）、（567．26±89．71）、（597．1±75．57）um和（293．83±68．79）、（321．26±79．36）、（337．37±66．57）um（P〈0．05），CMT1、CMTMAX高度近视组和低中度近视组高于正视组，分别为（817．43±80．04）、（811．86±75．68）、（777．45±78．87）um和（837．27±84．76）、（831．5±74．28）、（795．58±81．11）um，差异有统计学意义（P〈0．05），但低度近视组与高度近视组之间差异无统计学意义（P〉0．05），调节状态与非调节状态相比，各组CMT1与CMTMAX增加，CMT3减少，差异有统计学意义（P〈0．05），CMT2变化无统计学意义（P〉0．05）。结论近视患儿的睫状体厚度增加，但是高度组与中低度组睫状体厚度增加的形态不同，提示睫状体厚度与近视形成有密切关系。Objective To explore the relationship between different parts of the ciliary body thickness and refractive errors and the changes in the regulation of children. Methods A prospective cohort study, choose 120 children suffered ametropic, optometry and the shape of ciliary body and adjacent areas by anterior segment OCT before and after regulate were observed, recorded vertical thickness in the ciliary body after scleral 1mm, 2mm, 3ram and the maximum thickness of the sclera ciliary body, comparing the non-adjusted state at different diopter eye ciliary body thickness, the change of thickness of the ciliary body from non-adjusted to adjust status. Results CMT2, CMT3 increasing from emmtropia group to high myopia group, the thickness are 545.08±78.62 m, 567.26±89.71 m, 597.1±75.57 m and 293.83±68.79 m, 321.26 ± 79.36 m, 337.37±66.57 m （P 〈 0.05）, CMT1, CMTMAX in myopia group was significantly higher than emmtropia group, the thickness were 817.43±80.04 m, 811.86± 75.68 m, 777.45±78.87 m and 837.27±84.76 m, 831.54±74.28 m, 795.58±81.11 m （P 〈0.05）, but there was no significant difference between the low myopia group and high myopia group. Compared with non-state regulation regulating state, CMTI and CMTMAX increased, CMT3 decreased （P 〈0.05）, CMT2 obvious no change. Conclusions Ciliary body thickness in- creases in children with myopia, but at different structure in the low myopia group and high myopia group, suggesting that the myopia formation is closely related to the ciliary body thickness.

关 键 词：近视 睫状体 前节OCT 

分 类 号：R775.05[医药卫生—眼科]