青少年近視眼與隱斜視及近距離眼動參數(shù)的相關性分析
發(fā)布時間：2018-09-10 19:11
【摘要】：目的了解青少年不同屈光狀態(tài)隱斜視分布情況,并分析近視眼與隱斜視及各近距離眼動參數(shù)之間可能存在的關系,探討隱斜視及近距離眼動參數(shù)在近視發(fā)生發(fā)展中的可能作用。方法選取經(jīng)遮蓋試驗篩選的隱斜視青少年73人146只眼,進行屈光度、近距離水平隱斜度及AC/A、調(diào)節(jié)滯后量等眼動參數(shù)的測量。依屈光狀態(tài)分為遠視、正視、近視組,統(tǒng)計各組隱斜視分布情況。再將近視組按-0.25D--2.00D、-2.00D--4.00D、-4.00D--6.00D分為A、B、C三組,分別對這三組中內(nèi)、外隱斜視的各眼動參數(shù)進行比較。然后對近視眼組的屈光度及隱斜度與各眼動參數(shù)進行相關性分析。結果146只眼中,遠視11只眼,正視21只眼,近視117只眼,遠視眼中內(nèi)隱斜占36.36%,外隱斜占63.64%；正視眼中內(nèi)隱斜占9.52%,外隱斜占90.48%；近視眼中內(nèi)隱斜占25.44%,外隱斜占74.56%。在近視眼A組,內(nèi)隱斜的AC/A、調(diào)節(jié)滯后量分別為(5.00±0.89)△/1D、(-0.54±0.29)D,外隱斜的AC/A、調(diào)節(jié)滯后量分別為(3.45±1.78)△/1D、(-0.20±0.54)D,兩者之間AC/A及調(diào)節(jié)滯后量比較差異有統(tǒng)計學意義(P0.05)；B組中,內(nèi)隱斜的AC/A、調(diào)節(jié)滯后量分別為(4.67±2.25)△/1D、(-0.67±0.26)D,外隱斜的AC/A、調(diào)節(jié)滯后量分別為(3.28±1.26)△/1D、-0.27±0.65)D,兩者之間AC/A及調(diào)節(jié)滯后量比較差異有統(tǒng)計學意義(P0.05)；C組中,內(nèi)隱斜的AC/A、調(diào)節(jié)滯后量分別為(4.00±0.00)△/1D、(-0.60±0.14)D,外隱斜的AC/A、調(diào)節(jié)滯后量分別為(2.63±1.11)△/1D、(-0.13±0.47)D,兩者之間AC/A及調(diào)節(jié)滯后量比較差異有統(tǒng)計學意義(P0.05)。近視屈光度與AC/A及調(diào)節(jié)滯后量呈正相關(r=0.420,p0.05；r=0.384,p0.05)。近視眼中,內(nèi)隱斜度與AC/A呈正相關(r=0.778,p0.05),與調(diào)節(jié)滯后量呈正相關(r=-0.453,p0.05)；外隱斜度與AC/A呈負相關(r=0.233,p0.05),與調(diào)節(jié)滯后量呈正相關(r=0.241,p0.05)。結論在近視眼患者中,內(nèi)隱斜的AC/A、調(diào)節(jié)滯后量均大于外隱斜。AC/A、調(diào)節(jié)滯后量與近視度數(shù)及內(nèi)隱斜度呈正相關。推測內(nèi)隱斜可能比外隱斜更易加快近視發(fā)展,且內(nèi)隱斜度越大,近視發(fā)展越快。外隱斜度與AC/A呈負相關,與調(diào)節(jié)滯后量呈正相關,較大度數(shù)的外隱斜因伴隨較大的調(diào)節(jié)滯后量對近視發(fā)展起重要作用。我們可以嘗試通過優(yōu)化組合矯正隱斜視和屈光不正或通過訓練甚至手術早期矯正斜視達到個性化優(yōu)化眼動參數(shù)減緩近視發(fā)展的目的。
[Abstract]:Objective to investigate the distribution of implicit strabismus in different refractive states of adolescents, and to analyze the possible relationship between myopia, esotropia and close-range eye movement parameters, and to explore the possible role of oculomorphism and close-range oculomotor parameters in the occurrence and development of myopia. Methods one hundred and forty-six eyes of 73 adolescents with esotropia who were selected by shading test were selected to measure the eye movement parameters such as diopter, close-range level steepness and AC/A, adjustment lag. They were divided into hyperopia, emmetropia and myopia groups according to their refractive state. The myopia group was divided into three groups according to -0.25D- 2.00D-2.00D-4.00D-4.00D- 6.00D, and the parameters of eye movement in these three groups were compared. Then, the correlation between diopter and implicit slope of myopia group and eye movement parameters was analyzed. Results in 146 eyes, 11 eyes, 21 eyes, 117 eyes, 36.36%, 63.64%, 9.52%, 90.48%, 25.44% and 74.56%, respectively. In myopia group A, the AC/A, regulatory lag was (5.00 鹵0.89) / 1 D, (-0.54 鹵0.29) D, and the AC/A, regulatory lag was (3.45 鹵1.78) / (-0.20 鹵0.54) D, respectively. There was a significant difference in AC/A and regulatory lag between the two groups (P0.05). The lag of AC/A, regulation was (4.67 鹵2.25) / 1D, (-0.67 鹵0.26) Drespectively, and that of occult AC/A, was (3.28 鹵1.26) / -0.27 鹵0.65 Drespectively. There was a significant difference in AC/A and regulatory lag between the two groups (P0.05). The regulatory lag of AC/A, was (4.00 鹵0.00) / 1D, (-0.60 鹵0.14) D, and that of AC/A, was (2.63 鹵1.11) / 1D, (-0.13 鹵0.47) D, respectively. There was significant difference between the two groups (P0.05). There was a positive correlation between myopic diopter and AC/A and the amount of regulatory lag (r = 0.420 / 0. 05 / 0. 384p / 0.05). In myopia, the implicit slope was positively correlated with AC/A (r = 0.778 / p0.05), and with the amount of regulatory lag (r = 0.453p / 0.05), and was negatively correlated with AC/A (r = 0.233p / 0.05) and with the amount of regulatory lag (r = 0.241p0.05). Conclusion in myopia patients, the AC/A, regulatory lag of implicit oblique is higher than that of extroversion. Ac / A, the regulatory lag is positively correlated with myopia degree and implicit inclination. It is suggested that the development of myopia may be more accelerated by the implicit oblique than that by the external oblique, and the greater the implicit slope is, the faster the myopia develops. There was a negative correlation between implicit slope and AC/A and a positive correlation with the amount of adjustment lag. The larger degree of oblique factor accompanied by a larger amount of regulatory lag played an important role in the development of myopia. We can try to optimize the parameters of eye movement to slow the development of myopia by optimizing the combination of correction of esotropia and ametropia or by training and even early surgery to correct strabismus.
【學位授予單位】：福建醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R778.11
本文編號：2235358
[Abstract]:Objective to investigate the distribution of implicit strabismus in different refractive states of adolescents, and to analyze the possible relationship between myopia, esotropia and close-range eye movement parameters, and to explore the possible role of oculomorphism and close-range oculomotor parameters in the occurrence and development of myopia. Methods one hundred and forty-six eyes of 73 adolescents with esotropia who were selected by shading test were selected to measure the eye movement parameters such as diopter, close-range level steepness and AC/A, adjustment lag. They were divided into hyperopia, emmetropia and myopia groups according to their refractive state. The myopia group was divided into three groups according to -0.25D- 2.00D-2.00D-4.00D-4.00D- 6.00D, and the parameters of eye movement in these three groups were compared. Then, the correlation between diopter and implicit slope of myopia group and eye movement parameters was analyzed. Results in 146 eyes, 11 eyes, 21 eyes, 117 eyes, 36.36%, 63.64%, 9.52%, 90.48%, 25.44% and 74.56%, respectively. In myopia group A, the AC/A, regulatory lag was (5.00 鹵0.89) / 1 D, (-0.54 鹵0.29) D, and the AC/A, regulatory lag was (3.45 鹵1.78) / (-0.20 鹵0.54) D, respectively. There was a significant difference in AC/A and regulatory lag between the two groups (P0.05). The lag of AC/A, regulation was (4.67 鹵2.25) / 1D, (-0.67 鹵0.26) Drespectively, and that of occult AC/A, was (3.28 鹵1.26) / -0.27 鹵0.65 Drespectively. There was a significant difference in AC/A and regulatory lag between the two groups (P0.05). The regulatory lag of AC/A, was (4.00 鹵0.00) / 1D, (-0.60 鹵0.14) D, and that of AC/A, was (2.63 鹵1.11) / 1D, (-0.13 鹵0.47) D, respectively. There was significant difference between the two groups (P0.05). There was a positive correlation between myopic diopter and AC/A and the amount of regulatory lag (r = 0.420 / 0. 05 / 0. 384p / 0.05). In myopia, the implicit slope was positively correlated with AC/A (r = 0.778 / p0.05), and with the amount of regulatory lag (r = 0.453p / 0.05), and was negatively correlated with AC/A (r = 0.233p / 0.05) and with the amount of regulatory lag (r = 0.241p0.05). Conclusion in myopia patients, the AC/A, regulatory lag of implicit oblique is higher than that of extroversion. Ac / A, the regulatory lag is positively correlated with myopia degree and implicit inclination. It is suggested that the development of myopia may be more accelerated by the implicit oblique than that by the external oblique, and the greater the implicit slope is, the faster the myopia develops. There was a negative correlation between implicit slope and AC/A and a positive correlation with the amount of adjustment lag. The larger degree of oblique factor accompanied by a larger amount of regulatory lag played an important role in the development of myopia. We can try to optimize the parameters of eye movement to slow the development of myopia by optimizing the combination of correction of esotropia and ametropia or by training and even early surgery to correct strabismus.
【學位授予單位】：福建醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2011
【分類號】：R778.11
【參考文獻】
相關期刊論文 前10條
1 黃建忠 ,劉偉民,藍方方,莫梓堅,李琪瑤;準分子激光原位角膜磨鑲術治療近視眼療效分析[J];廣西醫(yī)學;2003年07期
2 陳連萍;俞慧燕;;視覺刺激儀、凸透鏡和三棱鏡綜合訓練對兒童近視眼AC/A的影響[J];眼科新進展;2006年01期
3 金一鳴;Von Graefe法與馬氏桿法測量隱斜的比較研究(下)[J];中國眼鏡科技雜志;2005年11期
4 楊素紅;甘曉玲;任華明;田桂芬;;間歇性外斜視與兒童少年近視發(fā)展[J];中國斜視與小兒眼科雜志;2008年01期
5 馬小力,劉漢強,馬長榮,張慧,靳瑛;近視眼LASIK術后早期單眼調(diào)節(jié)幅度的變化[J];眼視光學雜志;2002年03期
6 林智,高前應,黃娟,王頌科,陳翔;眼調(diào)節(jié)各因素與眼屈光不正的相關性[J];眼視光學雜志;2003年04期
7 張霞飛;施明光;;調(diào)節(jié)滯后與青少年近視的關系[J];眼視光學雜志;2005年04期
8 馬可;劉隴黔;;青年人近視眼與各調(diào)節(jié)因素的關系[J];眼視光學雜志;2006年02期
9 譚星平;李鳳云;楊昌全;周明敏;;間歇性外斜視兒童AC/A比率142例分析[J];眼視光學雜志;2006年04期
10 謝芳;陳躍國;;近視發(fā)生機制的研究進展[J];眼視光學雜志;2007年06期
，本文編號：2235358
本文鏈接：http://sikaile.net/yixuelunwen/yank/2235358.html
最近更新
教材專著
