先天性上睑下垂的屈光状态及弱视情况  

Refractive error and amblyopia in congenital ptosis

作　　者：胡蓉[1] 李冬梅[1] 侯志嘉[1] 陈涛[1] 丁静文[1] 

机构地区：[1]首都医科大学附属北京同仁医院眼科中心北京市眼科研究所北京市眼科学与视觉科学重点研究室,100730

出　　处：《中华眼视光学与视觉科学杂志》2016年第5期302-305,共4页Chinese Journal Of Optometry Ophthalmology And Visual Science

基　　金：基金项目：北京市科学技术委员会专项课题（Z131107002213002）

摘　　要：目的 了解先天性上睑下垂患者的屈光状态、弱视等情况,分析其与屈光不正及弱视的关系.方法 回顾性病例研究.对北京同仁医院眼科门诊确诊为先天性上睑下垂的患者187例（242眼）进行详尽的病史收集及眼科检查.筛选患者初诊年龄为（7.4±2.2）岁.根据上睑下垂的程度分为轻度、中度及重度.利用x2检验及t检验分析患者的屈光不正及弱视状况,并比较不同程度上睑下垂患者之间的屈光状态和弱视差异.结果 242只上睑下垂眼中,近视、远视及散光的所占比例分别为16.9％、62.8％和31.1％.弱视的所占比例为29.8％,其中,重度先天性上睑下垂眼弱视的所占比例要高于轻中度者（57.8％ vs.41.2％,x2=4.046,P＜0.05）.结论 先天性上睑下垂患者的屈光不正及弱视发生率均高于无上睑下垂人群的发生率.重度上睑下垂患者有较高的弱视发生率.Objective To investigate refractive error and amblyopia in a large group of patients with congenital ptosis presented to a specialist at the ophthalmology center.Methods This was a hospital-based retrospective analysis conducted at Beijing Tongren Eye Center from May 2010 to December 2012.We evaluated the frequency of ametropia and amblyopia in 242 eyes of 187 patients between 3 and 12 years of age with congenital ptosis.The patients were classified according to the degree of ptosis：mild,moderate or severe ptosis.Statistical analysis was performed using a chi-square and t-test.Results In 242 ptotic eyes,the frequency of myopia,hyperopia and astigmatism was 16.9%,62.8% and 31.1%,respectively.The overall incidence of amblyopia in ptotic eyes was 29.8%.The incidence of amblyopia was higher in severe ptotic eyes than in mild or moderate ptotic eyes （57.8% vs.41.2%,x2=4.046,P〈0.05）.Conclusion The incidence of ametropia and amblyopia was high in congenital ptosis.Furthermore,amblyopia was more frequent in severe ptotic eyes.

关 键 词：眼睑下垂 屈光不正 弱视 

分 类 号：R777.44[医药卫生—眼科]