Spot视力筛查仪与睫状肌麻痹检影验光屈光检查结果的比较  

Comparative Study on the Results of Spot Vision Screening Instrument and Ciliary Muscle Paralysis Optometry

作　　者：李江 娄志武 唐剑波 Jiang Li;Zhiwu Lou;Jianbo Tang(Department of Ophthalmology,Huzhou Maternal and Child Health Hospital,Huzhou 313000,China)

机构地区：[1]湖州市妇幼保健院眼科,湖州313000

出　　处：《中华眼视光学与视觉科学杂志》2023年第8期607-611,共5页Chinese Journal Of Optometry Ophthalmology And Visual Science

基　　金：湖州市科学技术局项目(2020GY29)。

摘　　要：目的:比较Spot双目视力筛查仪屈光筛查结果与睫状肌麻痹检影验光结果的相关性、一致性及差异性。方法:回顾性研究。连续纳入2021年1月至2022年8月眼保健体检发现可疑屈光异常就诊于湖州市妇幼保健院且符合条件的1~5岁儿童267例(534眼)。先使用Spot双目视力筛查仪在自然状态下进行屈光检查,然后使用阿托品眼用凝胶睫状肌麻痹后检影验光检查。分别采用配对t检验、Spearman检验和Bland-Altman检验比较2种方法的差异性、相关性和一致性。结果:最终纳入264例(264眼)受检儿童。使用Spot视力筛查仪验光,球镜度为(2.14±2.39)D,柱镜度为(1.57±1.20)D;使用阿托品睫状肌麻痹检影验光球镜度为(3.54±2.77)D,柱镜度为(1.29±1.28)D。Spot验光结果与睫状肌麻痹验光结果的球镜度和等效球镜度分别具有高度相关性(r=0.93、0.93,均P<0.001)和一致性。柱镜矢量J_(0)和J_(45),仅J_(45)在2岁年龄组中差异有统计学意义(t=2.71,P<0.001),Spearman相关分析发现2种方法的J_(0)和J_(45)相关性不高(P>0.05)。但Bland-Altman分析显示2种方法的J_(0)和J_(45)均具有较好的一致性。结论:在学龄前儿童屈光检查中,Spot双目视力筛查仪检查与睫状肌麻痹检影验光具有高度相关性和一致性,有助于评估学龄前儿童屈光状态及尽早发现屈光异常,适用于学龄前儿童屈光状态的筛查。Objective:To compare the correlation,consistency,and differences between the refractive screening results of Spot binocular vision screening device and the results of ciliary muscle paralysis retinoscopy.Methods:In this retrospective study,267 children(534 eyes)aged 1 to 5 years who were found to have suspected refractive abnormalities during eye health examinations from January 2021 to August 2022 in Huzhou Maternal and Child Health Hospital and met the criteria were included.Firstly,Spot binocular vision screening instrument was used to perform refractive examination in the natural state,and then used atropine eye gel to perform optometry after cycloplegia paralysis.The paired t-test was used to compare the differences between the two methods,the Spearman test was used to compared the correlation between the two methods,and the Bland-Altman test was used to compare the consistency of the two methods.Results:A total of 264 children(264 eyes)were ultimately included in the study.Using the Spot vision screening instrument,the spherical and cylinder diopters were 2.14±2.39 D and 1.57±1.20 D,respectively.Using atropine cycloplegia,the spherical and cylinder diopters were 3.54±2.77 D and 1.29±1.28 D.There was a high correlation(r=0.93,0.93,P<0.001)and consistency between Spot optometry results and ciliary muscle paralysis optometry results in terms of spherical diopters and spherical equivalent,respectively.Only the cylinder vectors J_(45)showed statistically significant differences in the 2-year-old age group(t=2.71,P<0.001).Spearman correlation analysis found low correlation between J_(0)and J_(45)for both methods(P>0.05).However,Bland-Altman analysis showed that both methods had good consistency between J_(0)and J_(45).Conclusions:In the refractive examination of preschool children,the Spot binocular vision screening instrument has a high correlation and consistency with the ciliary muscle paralysis optometry,which helps to evaluate the refractive status and early detection of refractive abnormalities in presc

关 键 词：屈光检查 视力筛查仪 睫状肌麻痹检影 学龄前儿童 

分 类 号：R778.2[医药卫生—眼科]