儿童散光眼配镜矫正临床分析  

Clinical analysis of correction for children with astigmatism

作　　者：黄静[1] 项道满[1] 

机构地区：[1]广州市儿童医院(广州市妇女儿童医疗中心)眼科,510623

出　　处：《中国斜视与小儿眼科杂志》2019年第1期29-31,共3页Chinese Journal of Strabismus & Pediatric Ophthalmology

基　　金：广东省科技公益研究与能力建设项目(项目编号2014B020212019)

摘　　要：目的探讨儿童散光眼达到最佳矫正视力的配镜原则与方法。方法对179例3～14岁屈光不正患儿给予充分散瞳后验光配镜,对达到最佳矫正视力的配镜处方进行统计分析。结果配镜处方中,规则散光共318眼,其中复性散光113眼,占35.53%;单纯性散光162眼,占50.94%;混合散光43眼占13. 52%。顺规性散光310眼,占97.48%;逆规性散光4眼,斜轴散光4眼,各占1.26%。轻度散光(≤1.00D)93眼,占29.25%;中度散光(1. 00D<DC≤2.00D)90眼,占28.30%;重度散光(2.00D<DC≤3.00)82眼,占25.79%;度散光(≥3.00D) 53眼,占16.67%。结论由于儿童眼的生理特点,其配镜原则与成人不同,随着年龄增长,近视性散光逐渐增多,正确的配镜以达到最佳矫正视力,对儿童视功能的发育尤为重要。Objective To analyze astigmatism and spectacle prescription in children aged 3 - 14. Methods Sample including 179 cases aged 3 ~ 14 of out-patient with refractive error were chosen, 1% atropine ointment or compound tropicamide eye drops was applied before examination. The results of optometry and spectacle prescription were analyzed statistically. Results The spectacle prescription including 318 regular astigmatism eyes with 113 compound astigmatism eyes (35. 53%), 162 simple astigmatism eyes (50. 94%) and 43 mixed astigmatism eyes (13. 52%). Astigmatism with rule 310 eyes (97. 48%), 4 against rule astigmatism eyes and 4 oblique astigmatism eyes (1. 26% separately). Astigmatism less than 1. 00D account for 29. 25%, astigmatism 1. 25D to 2. 00D was 2& 30%, astigmatism 2. 25D to 3. 00D was 25. 79%, astigmatism more than 3. 00D was 16. 67%. Conclusions Due to the physiological characteristics of children, the principle of glasses correction is different from adults. With the increase of age, the myopic astigmatism increases gradually. It is especially important for visual development with correct glasses.

关 键 词：儿童 散光 配镜 

分 类 号：R778.2[医药卫生—眼科]