自然瞳孔下V100视力筛查仪与睫状肌麻痹后电脑验光屈光检查结果的对比研究  

Comparative study on the results of V100 vision screener under natural pupil conditions and autorefractor after cycloplegia

作　　者：刘雨佳 尚建慜 瞿小妹 LIU Yujia;SHANG Jianmin;QU Xiaomei(Department of Ophthalmology,Eye&ENT Hospital,Fudan University,Shanghai 200031,China;NHC Key laboratory of Myopia and Related Eye Diseases,Shanghai 200031,China;Shanghai Research Center of Ophthalmology and Optometry,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科,上海200031 [2]国家卫生健康委员会近视眼及相关重点实验室,上海200031 [3]上海市眼视光学研究中心,上海200031

出　　处：《中国眼耳鼻喉科杂志》2025年第2期123-129,共7页Chinese Journal of Ophthalmology and Otorhinolaryngology

基　　金：国家自然科学基金(82171093)。

摘　　要：目的比较V100双目视力筛查仪屈光筛查结果与睫状肌麻痹后NIDEX电脑验光仪验光结果的相关性、一致性及差异性。方法连续纳入2022年10月—2023年6月在复旦大学附属眼耳鼻喉科医院就诊且符合条件的3~12岁儿童。先使用V100视力筛查仪在自然瞳孔下进行屈光检查,完成睫状肌麻痹后再使用NIDEX电脑验光仪进行检查。将其根据睫状肌麻痹后等效球镜度(SE)分为远视组、正视组、近视组;根据年龄分为低龄组(3~6岁)、中龄组(7~9岁)、高龄组(10~12岁)。采用Pearson相关分析、Bland-Altman一致性检验及配对t检验比较2种检查方法,并进行简单线性回归分析。结果2种方法测量的SE呈正线性相关,在不同年龄分组和近视组中均有高度相关性(r=0.91~0.94,均P<0.001),在中高年龄组、近视及正视组中一致性较好,各组内两者差异均有统计学意义。球镜度的比较分析结果与之类似,在远视组、低龄组中两者差值较大。柱镜矢量J_(0)、J_(45)在不同屈光度和年龄分组中均具有中度相关性(r=0.56~0.82,P<0.001),但总体一致性较好,J_(0)的95%一致性界限(LoA)的95%置信区间(CI)为-0.63~0.63 D,J_(45)的95%LoA的95%CI为-0.54~0.47 D。结论V100双目视力筛查仪检查和睫状肌麻痹后电脑验光测量的屈光度虽有差异,但有很好的正相关性和一致性,可以较为方便可靠地评估儿童是否患有近视、散光,尤其在学龄期儿童中具有很好的屈光筛查应用价值。Objective To compare the correlation,consistency,and differences between the refractive results obtained using the V100 binocular vision screener and the NIDEX computerized refractometer following cycloplegia due to ciliary muscle paralysis.Methods Children aged from 3 to 12 years,who met the inclusion criteria,were consecutively enrolled from the Eye&ENT Hospital of Fudan University from October 2022 to June 2023.Initial refractive measurements were performed using the V100 vision screener under natural pupil conditions,followed by cycloplegia and subsequent assessments using the NIDEX autorefractor.Participants were categorized into refractive groups based on their cycloplegic Spherical Equivalent(SE)values(hyperopic,emmetropic,or myopic)and stratified into three age groups(3-6 years,7-9 years,and 10-12 years).Pearson correlation analysis,Bland-Altman consistency testing,and paired t-tests were utilized to compare the two methods,and simple linear regression analysis was performed.Results There was a positive linear correlation between SE measurements obtained using both methods,with high correlation coefficients in different age groups and myopic participants(r=0.91-0.94,all P<0.001).Good consistency was observed in the school-aged groups and among myopic and emmetropic participants,with statistically significant differences within each group.Similar results were found for spherical power,with larger differences observed in hyperopic and younger age groups.The cylinder vector components J_(0)and J_(45)exhibited moderate correlations across different refractive and age groups(r=0.56-0.82,P<0.001),with overall good consistency.The 95%confidence intervals(CI)for the limits of agreement(LoA)were-0.63 to 0.63 D for J_(0)and-0.54 to 0.47 D for J_(45).Conclusions While differences in refractive values exist between the V100 binocular vision screener and autorefractor following cycloplegia,the two methods exhibit a strong positive correlation and good consistency.Therefore,the V100 can be conveniently and reliably emp

关 键 词：屈光筛查 视力筛查仪 睫状肌麻痹 儿童 

分 类 号：R778.2[医药卫生—眼科]