儿童屈光不正与各屈光参数关系
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Relationship between refractive error and influencing factors in Children
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    摘要:

    目的:研究眼轴、角膜屈光力、晶状体屈光力与儿童屈光不正的关系。

    方法:通过睫状肌麻痹检影验光及光学生物测量仪(IOL-Master)获得44例88眼的屈光不正度数、眼轴、角膜屈光力、前房深度等参数,经计算得到晶状体度数。按屈光不正度数分为远视组、正视组、近视组,直线相关与回归比较年龄和屈光不正与各屈光参数之间的关系。

    结果:受试者44例88眼,平均年龄9.04±2.39岁,等效球镜(SE)-3.50~+8.75D; 远视组眼轴比近视正视组短(P<0.05),远视组晶状体屈光力明显低于近视正视组(P<0.05),三组间角膜屈光力和前房深度无明显差别。本研究发现年龄与等效球镜(SE)之间成负相关; 眼轴与年龄成正相关; 年龄与晶状体屈光力成正相关; SE与眼轴成负相关; SE与晶状体屈光力有负相关关系。

    结论:儿童随年龄增长,SE向近视发展,眼轴变长,晶状体屈光力增强; SE越偏远视,眼轴越短、晶状体屈光力越弱。

    Abstract:

    AIM: To evaluate the relationship between axial length(AL), corneal and lens refractive power, and the refractive error in children.

    METHODS:Totally 44 children 88 eyes with refractive error who underwent retinoscopy with cycloplegia, to be measured spherical equivalent refractive error. Axial length was measured by a noncontact optical biometry(ZEISS IOL-Master), and corneal K and anterior chamber depth(ACD)were also measured by the same machine. The refractive power of the lens was calculated by using the SRK formula. The patients were divided into 3 groups, myopia(SE<0), hyperopia(SE>+0.50D)and emmetropia(0 to +0.50D). Linear Correlation and Regression were used to evaluate the correlation among the optical parameters.

    RESULTS:Totally 44 subjects, 88 eyes, average 9.04±2.39 years, spherical equivalent(SE)-3.50D to +8.75D. Hyperopic AL was shorter than the other two groups(P<0.05), same trend in lens power. No significant differences among the 3 groups in corneal K and ACD. There was a negative correlation between age and SE, SE and AL, SE and lens refractive power, and there was a positive correlation between age and AL, age and lens power.

    CONCLUSION:As the children's growing up, SE trends to myopia, and AL becomes longer, and lens power is stronger.

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石海军,胡安丽,竺泓.儿童屈光不正与各屈光参数关系.国际眼科杂志, 2014,14(8):1473-1475.

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  • 收稿日期:2014-04-14
  • 最后修改日期:2014-07-11
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  • 在线发布日期: 2014-07-22
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