青少年高度近视患眼眼底特征与屈光度、最佳矫正视力的相关性  

Correlation between ocular fundus characteristics, diopter and best corrected visual acuity in young patients with high myopia

作　　者：邓晓[1] 余兆敏[1] 

机构地区：[1]广东省梅州市人民医院眼科,514031

出　　处：《中国实用医刊》2017年第23期62-63,共2页Chinese Journal of Practical Medicine

摘　　要：目的分析青少年高度近视患眼眼底特征与屈光度、最佳矫正视力（BCVA）的相关性。方法选取101例（195眼）青少年高度近视患者，年龄≤18岁，且屈光度均〉-6D，对其临床资料进行回顾性分析，分析患眼眼底特征与屈光度、13CVA的相关性。结果屈光度与后极部视网膜脉络膜萎缩灶、豹纹状眼底、视盘旁β区萎缩弧、倾斜视盘均呈正相关（r=0．886、0．533、0．544、0．691，P=0．000、0．030、0．028、0．009）。BCVA与后极部视网膜脉络膜萎缩灶、豹纹状眼底、视盘旁β区萎缩弧、倾斜视盘均呈正相关（r=0．816、0．483、0．537、0．711，P：0．000、0．041、0．030、0．002）。结论豹纹状眼底、后极部视网膜脉络萎缩、视盘旁β区萎缩弧及倾斜视盘均与近视患者屈光度、最佳矫正视力相关，其中后极部病变会严重影响患者视力水平。Objective To analyze the correlation between ocular fundus characteristics, diopter and best corrected visual acuity （BCVA） in adolescents with high myopia. Methods The clinical data of 101 adolescent patients （195 eyes） with high myopia who was less than or equal to 18 years old and had diopter greater than -6 D were retrospectively analyzed. The correlation between ocular fundus char- acteristicss, diopter and BCVA was analyzed. Results There was a positive correlation of diopter with the posterior pole retinal atrophy, tigroid fundus, the paripapillary atrophy β zone, the tilted optic disc （r =0. 886, 0. 533, 0. 544, 0. 691 ; P =0. 000, 0. 030, 0. 028, 0. 009）. There was a positive correla- tion of BCVA with the posterior pole retinal atrophy, tigroid fundus, the paripapillary atrophy β zone, the tilted optic disc （ r = 0. 816, 0. 041,0. 537, 0. 711 ; P = 0. 000, 0. 483, 0. 030）. Conclusions Tigroid fundus, posterior pole retinal choroid atrophy, the paripapillary atrophy β zone, tilted optic disc are re- lated to BCVA and diopter in patients with myopia, of which the posterior polar lesion will seriously affect the level of visual acuity in patients.

关 键 词：青少年高度近视 眼底特征 屈光度 最佳矫正视力 

分 类 号：R778.11[医药卫生—眼科]