聋哑儿童视力评估系统的改良  

Improvement of the visual acuity assessment system in deaf-mute children

作　　者：Jonnazarov Eldor I. Avetisov Sergey E. Cervatiuc Maria I. Jonnazarov Eldor I.;Avetisov Sergey E.;Cervatiuc Maria I.(Sechenov First Moscow State Medical University(Sechenov University),Moscow,119991,Russia;Research Institute of Eye Diseases,Moscow,119991,Russia;Khatlon State Medical University,Dangara,735320,Tajikistan;Avicenna Tajik State Medical University,Dushanbe,734003,Tajikistan)

机构地区：[1]莫斯科国立谢切诺夫第一医科大学(谢切诺夫大学),俄罗斯莫斯科119991 [2]眼病研究所,俄罗斯莫斯科119991 [3]哈特隆国立医科大学,塔吉克斯坦丹加拉735320 [4]阿维森纳塔吉克国立医科大学,塔吉克斯坦杜尚别734003

出　　处：《中华实验眼科杂志》2022年第11期1062-1070,共9页Chinese Journal Of Experimental Ophthalmology

摘　　要：目的运用独创的、全新的视力表对聋哑儿童的视力评估系统进行改良。方法本研究纳入2~11岁的聋哑儿童31名62眼,均未诊断过眼部病变。采用标准的Golovin-Sivtsev视力表(俄语:ТаблицаГоловина-Сивцева)、全新的原创技术——Just Evident Images/Jonnazarov Eldor Ikhtiyorovich(缩写为JEI/JEI视力表)和集合卡进行视力检查。JEI/JEI视力表由13个不同大小的彩色视标组成,每行视标的宽度和高度相等,这些视标均为儿童甚至幼儿可以识别的物体。结果Golovin-Sivtsev视力表和JEI/JEI视力表测量右眼和左眼视力结果在16人和13人中一致,分别占51.6%和41.9%,在15和18人中存在差异,分别占48.4%和58.1%。在视力为0.1~0.4的儿童及视力为0.2~0.4的2~5岁儿童中,采用JEI/JEI视力表测得的视力较Golovin-Sivtsev视力表高。结论JEI/JEI视力表在聋哑儿童视力测量中具有临床实践前景。JEI/JEI视力表应用特殊卡片重复视标,可简化视力测量并提高有效性。Objective To improve the visual acuity assessment system in deaf-mute children based on an original and fundamentally new chart for visometry.Methods The study included 31 deaf-mute children(62 eyes)without previously diagnosed ocular pathology at the age of 2-11 years.Visometry was performed using standard Golovin-Sivtsev table(Russian:ТаблицаГоловина-Сивцева)and a fundamentally new original technique Just Evident Images/Jonnazarov Eldor Ikhtiyorovich(abbreviated as JEI/JEI),including cards duplicating optotypes.The set of optotypes in the JEI/JEI chart consists of 13 color and black optotypes of various sizes,equal in width and height,which reflect well-known and easily recognized objects by children even at an early age.Results When the results of visometry according to the Golovin chart and using the original technique coincided,which occurred in 16(51.6%)and 13(41.9%)cases,respectively,when determining the visual acuity of the right and left eyes,respectively,the effectiveness of both methods was evaluated as identical.In 15(48.4%)and 18(58.1%)cases,when examining the right eye and the left eye,respectively,the visometry data differed with a homogeneous trend:the indicator obtained using the JEI/JEI charts exceeded the same indicator when using the Golovin charts in the range of 0.1-0.4;and in the group of children aged 2-5 years-0.2-0.4.Conclusions The results obtained indicate the prospects of using the JEI/JEI chart for visometry in deaf-mute children in clinical practice.The developed technique of duplicating optotypes with the help of special cards simplifies and enhances the effectiveness of visometry.

关 键 词：视力 聋哑儿童的视力测量 视力表 视标 

分 类 号：R770.4[医药卫生—眼科]