本文選題：屈光演變 + 共同性外斜視�。� 參考：《中國婦幼保健》2014年11期

【摘要】：目的:探討共同性外斜視兒童戴鏡后屈光狀態(tài)隨年齡的變化規(guī)律,為臨床提供隨訪時間及配鏡依據(jù)。方法:回顧麗水市中心醫(yī)院33例(66眼)斜視弱視兒童連續(xù)多年屈光數(shù)據(jù),進(jìn)行屈光度與觀察期的直線回歸分析。結(jié)果:屈光度與月齡存在直線回歸關(guān)系(P0.01)。主導(dǎo)眼和非主導(dǎo)眼等效球鏡月平均分別減少0.014D和0.015D。共同性外斜視屈光狀態(tài)初診時主導(dǎo)眼多為混合散光(36.36%),非主導(dǎo)眼多為遠(yuǎn)視(48.48%);末次檢查時雙眼多為近視(主導(dǎo)眼占54.54%,非主導(dǎo)眼占60.60%)。初診時屈光參差僅占15.15%,末次檢查時占12.12%。散光度數(shù)基本不變(P0.05)。雙眼等效球鏡改變均為遠(yuǎn)視先增加后減少,而后有逐漸向近視方向發(fā)展的趨勢;轉(zhuǎn)變年齡分別為5.02歲和4.45歲。結(jié)論:共同性外斜視屈光狀態(tài)初診時主導(dǎo)眼多為混合散光,非主導(dǎo)眼多為遠(yuǎn)視。隨著年齡的增長,遠(yuǎn)視先增加后減少,而后又逐漸發(fā)展為近視,但年均改變速度0.25D。
[Abstract]:Objective: to investigate the changes of refractive state with age in concomitant exotropia children. Methods: the refraction data of 33 cases (66 eyes) of strabismus amblyopia in Lishui Central Hospital for many years were reviewed, and the linear regression analysis between diopter and observation period was carried out. Results: there was a linear regression relationship between diopter and age (P 0.01). The mean monthly decrease of equivalent spherical lens in dominant eye and non-dominant eye was 0.014 D and 0.015 D, respectively. In the first diagnosis of concomitant exotropia, most of the leading eyes were mixed astigmatism 36.36, the non-dominant eyes were hyperopia 48.48, and the last examination were myopia (54.54 dominant eyes, 60.60% non-dominant eyes). Anisometropia was only 15.15 at the first visit and 12.12 at the last examination. The degree of astigmatism is almost unchanged (P0.05). The change of bicular-equivalent ball endoscopy was that hyperopia increased first then decreased and then developed towards myopia and the transition ages were 5.02 years and 4.45 years respectively. Conclusion: the dominant eye is mixed astigmatism and the non-dominant eye is hyperopia in the first diagnosis of concomitant exotropia. With the increase of age, hyperopia first increases and then decreases, then develops into myopia, but the average annual rate of change is 0.25 D.
【作者單位】： 浙江省麗水市中心醫(yī)院;溫州醫(yī)科大學(xué)附屬眼視光醫(yī)院;
【分類號】：R777.41

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本文編號：2022256