学龄前早产儿近视的屈光参数研究
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湖南省卫生健康委科研计划课题项目(No.C2017052)


Optical components of myopia in preschool premature children
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Hunan Provincial Health Commission of Scientific Research Project(No.C2017052)

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    摘要:

    目的:研究1~6岁早产儿近视患者屈光参数的变化,探讨早产儿近视发生发展与屈光参数的关系。

    方法:收集2016-01/2018-12在湖南省儿童医院眼科门诊随诊的1~6岁早产儿近视者158例316眼作为早产儿近视组,选取同期随诊的早产儿非近视者164例328眼作为早产儿非近视组。检测并分析两组受检者角膜曲率(CR)、前房深度(ACD)、玻璃体腔深度(VITR)、眼轴长度(AL)、晶状体厚度(LT)等屈光参数。

    结果:1~3岁受检者中,早产儿近视组较早产儿非近视组CR陡(44.47±1.14D vs 43.38±1.22D),AL延长(21.89±0.71mm vs 21.24±0.56mm)(均P<0.05),而ACD、VITR及LT值无明显差异(均P>0.05); 4~6岁受检者中,早产儿近视组较早产儿非近视组AL延长(22.49±1.32mm vs 21.43±0.72mm,P<0.05),而CR、ACD、VITR及AT值无明显差异(均P>0.05)。1~3岁早产儿高度近视患者较低、中度近视患者CR陡、AL长,4~6岁早产儿高度近视患者较低、中度近视患者VITR深、AL长。

    结论:屈光参数发育不匹配可能是早产儿近视发生的原因之一,其中眼轴长度变化起主要作用,而角膜曲率陡是低龄(≤3岁)早产儿近视发展的重要因素之一。

    Abstract:

    AIM: To study the changes of myopic components in premature children aged 1-6 years, and to explore the relationship between the development of myopia and components.

    METHODS: Totally 158 cases of 316 eyes of preterm infants with myopia were collected from the eye clinic of Hunan Children's Hospital from January 2016 to December 2018. As a non-myopia group of preterm infants. Corneal curvature(CR), anterior chamber depth(ACD), vitreous cavity depth(VITR), axial length(AL), lens thickness(LT)and other refractive parameters were detected and analyzed in two groups of subjects.

    RESULTS: To 1-3 years old premature children,there was the steeper CR and the longer AL in myopia group than non-myopia group, but only longer AL in 4-6 years old premature children. To 1-3 years old premature children, there were significant differences in CR and AL between myopia group and non-myopia group, but VITR and AL in 4-6 years old.

    CONCLUSION: The mismatch of optical components development may be one of causes in premature children myopia. The axis length played a major role in the occurrence of myopia, the steep corneal curvature in young premature children.

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罗俊,王曦琅,唐晓荣,等.学龄前早产儿近视的屈光参数研究.国际眼科杂志, 2020,20(2):321-324.

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  • 收稿日期:2019-06-13
  • 最后修改日期:2020-01-04
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  • 在线发布日期: 2020-01-19
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