5～12歲高度近視患兒5a近視進(jìn)展情況分析
發(fā)布時(shí)間：2019-05-18 12:58
【摘要】：目的探討5~12歲高度近視患兒5 a的近視進(jìn)展情況和視力預(yù)后。方法對(duì)我院就診的5~12歲高度近視患兒每6個(gè)月~1 a隨訪一次,每例入選患兒在初次檢查及每次隨訪中均行詳細(xì)的眼科檢查,包括最佳矯正視力(best corrected visual acuity,BCVA)和睫狀肌麻痹驗(yàn)光檢查、眼底檢查及眼軸測(cè)量等。結(jié)果 52例患兒每年近視進(jìn)展(-0.66±0.43)D,其中雙眼近視進(jìn)展者32例(61.5%),單眼近視進(jìn)展者4例(7.7%),雙眼近視平穩(wěn)者16例(30.8%)。初始近視度數(shù)-6.0~-9.0 D組、-9.0~-12.0D組和-12.0 D組患兒近視進(jìn)展比例分別為86.4%、68.8%和42.9%,三者差異有統(tǒng)計(jì)學(xué)意義(P0.05);有高度近視家族史組和無(wú)高度近視家族史組近視進(jìn)展比例分別為88.2%和60.0%,兩者差異有統(tǒng)計(jì)學(xué)意義(P0.05)。不同年齡組和性別組間近視進(jìn)展比例差異均無(wú)統(tǒng)計(jì)學(xué)意義(均為P0.05)。41例(78.8%)患兒隨訪終末雙眼BCVA≥0.5,34例(65.4%)≥0.8。初始近視度數(shù)-6.0~-9.0 D組、-9.0~-12.0 D組和-12.0 D組患兒隨訪終末雙眼BCVA≥0.5的比例分別為95.5%、75.0%和57.1%,三者差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 5~12歲高度近視患兒每年有較快的度數(shù)增長(zhǎng),初始近視度數(shù)和高度近視家族史是其危險(xiǎn)因素,多數(shù)高度近視患兒能保持較理想的BCVA。
[Abstract]:Objective to investigate the progress and visual prognosis of 5 years old children with high myopia. Methods the children with high myopia aged 5 years and 12 years were followed up every 6 months to 1 year. Each selected child was examined for the first time and during each follow-up, including the best corrected visual acuity (best corrected visual acuity,). BCVA) and ciliary muscle paralysis optometry, fundus examination and axial measurement. Results the annual myopia progress of 52 children was (- 0.66 鹵0.43) D, including 32 cases (61.5%) of binocular myopia, 4 cases (7.7%) of monocular myopia and 16 cases (30.8%) of binocular myopia. The proportion of myopia progression in group-9.0 D, group-9.0 + 12.0D and group-12.0D was 86.4%, 68.8% and 42.9%, respectively. there was significant difference among the three groups (P 0.05), and the proportion of myopic progress in group-9.0 and group-12.0D was 86.4%, 68.8% and 42.9%, respectively. The proportion of myopic progress in high myopia family history group and no high myopia family history group was 88.2% and 60.0% respectively, and there was significant difference between the two groups (P 0.05). There was no significant difference in the proportion of myopia between different age groups and gender groups (P 0.05). 41 cases (78.8%) were followed up with BCVA 鈮，
本文編號(hào)：2480028
[Abstract]:Objective to investigate the progress and visual prognosis of 5 years old children with high myopia. Methods the children with high myopia aged 5 years and 12 years were followed up every 6 months to 1 year. Each selected child was examined for the first time and during each follow-up, including the best corrected visual acuity (best corrected visual acuity,). BCVA) and ciliary muscle paralysis optometry, fundus examination and axial measurement. Results the annual myopia progress of 52 children was (- 0.66 鹵0.43) D, including 32 cases (61.5%) of binocular myopia, 4 cases (7.7%) of monocular myopia and 16 cases (30.8%) of binocular myopia. The proportion of myopia progression in group-9.0 D, group-9.0 + 12.0D and group-12.0D was 86.4%, 68.8% and 42.9%, respectively. there was significant difference among the three groups (P 0.05), and the proportion of myopic progress in group-9.0 and group-12.0D was 86.4%, 68.8% and 42.9%, respectively. The proportion of myopic progress in high myopia family history group and no high myopia family history group was 88.2% and 60.0% respectively, and there was significant difference between the two groups (P 0.05). There was no significant difference in the proportion of myopia between different age groups and gender groups (P 0.05). 41 cases (78.8%) were followed up with BCVA 鈮，
本文編號(hào)：2480028
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