青少年近视性屈光参差双眼视功能障碍的临床研究  

Analysis of binocular visual dysfunction in adolescents with myopic anisometropia

作　　者：刘梦 曾春琴 周厚利 方晏红 吕小东 Meng Liu;Chunqin Zeng;Houli Zhou;Yanhong Fang;Xiaodong Lyn(Department of Ophthalmology,Chongqing University Jiangjin Hospital,Chongqing 402260,China;Department of Emergency,Chongqing University Jiangjin Hospital,Chongqing 402260,China)

机构地区：[1]重庆大学附属江津医院眼科,402260 [2]重庆大学附属江津医院急诊科,402260

出　　处：《中华眼科医学杂志（电子版）》2024年第1期20-25,共6页Chinese Journal of Ophthalmologic Medicine(Electronic Edition)

基　　金：2023年重庆市公共卫生重点专科(学科)建设项目(渝卫办发〔2023〕81号)。

摘　　要：目的观察近视性屈光参差青少年患者双眼视功能障碍的情况。方法横断面研究。选取2022年12月至2023年11月于重庆大学附属江津医院眼科就诊的近视性屈光参差患者142例(284只眼)。其中,男性70例(140只眼),女性72例(144只眼);年龄10~18岁,平均年龄(14.9±2.2)岁。根据双眼等效球镜差值将其分为低度屈光参差组和高度屈光参差组;根据近视程度将其分为低度近视眼组、中度近视眼组及高度近视眼组。检测全部患者的屈光度、调节幅度、集合近点、远距眼位、近距眼位、远距融像性聚散功能、近距融像性聚散功能及立体视功能。屈光度、调节幅度、集合近点、远距眼位、近距眼位、远距融像性聚散功能、近距融像性聚散功能及立体视功能等计量资料经Kolmogorov-Smirnov正态性检验,均为非正态分布,使用中位数和四分位间距[M(IQR)]进行描述,屈光参差与双眼视功能的相关性采用Spearman秩相关分析。双眼视功能障碍类型和患病率采用例数和百分比描述,组间比较采用卡方检验。双眼视功能障碍的影响因素采用Logistic回归分析。结果本研究全部患者平均屈光参差屈光度、立体视、集合近点、调节幅度、调节灵敏度、远距隐斜角度及近距隐斜角度分别为-1.50(0.85)D、40(48.75)"、5.25(2.22)cm、11.10(2.85)D、12(7)cmp、0(2)△及0(3)△。远距基底朝内破裂点及恢复点分别为6(2)△及4(2)△;远距基底朝外模糊点、破裂点及恢复点分别为6(4)△、18(8)△及14(8)△;近距基底朝内模糊点、破裂点及恢复点分别为8(4)△、14(5.5)△及12(6)△;近距基底朝外模糊点、破裂点及恢复点分别为14(8)△、25(10)△及20(9)△。全部患者142例(284只眼)中,低度屈光参差和高度屈光参差患者分别有117例(234只眼)和25例(50只眼),分别占82.39%和17.61%。双眼视功能障碍共计70例(140只眼),占49.29%。其中,调节功能异常、集合功能异常�Objective The aim of this study is to observe the binocular visual dysfunction in myopic anisometropia adolescents.Methods This was a cross-sectional study.A total of 142 patients(284 eyes)with myopic anisometropia who were seen in the Ophthalmology Department of Chongqing University Jiangjin Hospital from December 2022 to November 2023 were selected.Among them,70 cases(140 eyes)were male,72 cases(144 eyes)were female,with a mean age of(14.9±2.2)years(ranging from 10 to 18 years).Anisometropia was divided into low anisometropia and high anisometropia groups based on the change of spherical equivalent between two eyes values.According to the degree of myopia,they were divided into low myopia group,moderate myopia group,and high myopia group.The refractive power,adjustment amplitude,convergence near point,far and near distance eye positions,far and near distance fusion and dispersion function,and stereoscopic vision function between individuals with binocular visual impairment and normal individuals with myopic anisometropia were compared.Quantitative data such as refractive power,adjustment amplitude,convergence near point,far and near distance eye position,far and near distance fusion and dispersion function,and stereoscopic function after Kolmogorov-Smirnov normality testing conformed non normal distributions and were described by the median and interquartile range[M(IQR)].The correlation between binocular visual function and anisometropia was used by Spearman rank correlation analysis.The types and prevalence of binocular visual impairment were described using case numbers and percentages,and compared by chi-square tests.The influencing factors of binocular vision function was performed by multiple logistic regression analysis.Results The average refractive error,stereoscopic vision,convergence of near points,amplitude of adjustment,sensitivity of adjustment,distance and near distance deviation in adolescents with myopic anisometropia were-1.50(0.85)D,40(48.75)",5.25(2.22)cm,11.10(2.85)D,12(7)cmp,0(2)△,and 0

关 键 词：屈光参差 近视性屈光参差 视功能 视功能障碍 

分 类 号：R777.44[医药卫生—眼科]