眼位正常、外隐斜及间歇性外斜视儿童的近视患病率比较

发布时间：2018-04-25 12:39

本文选题：间歇性外斜视 + 近视　；参考：《眼科新进展》2017年05期

【摘要】：目的通过观察眼位正常、外隐斜视及间歇性外斜视儿童的近视患病率和等效球镜屈光度,探讨三组儿童的近视患病率及程度的差异。方法临床回顾性研究。收集6~14岁眼位正常儿童151人、外隐斜视儿童180例及间歇性外斜视儿童168例的验光结果,均使用睫状肌麻痹剂(托吡卡胺滴眼液)使睫状肌充分麻痹放松调节后客观验光3次,取平均值为客观验光结果。并将间歇性外斜视组分为基本型、集合不足型和分开过强型,观察三种类型间歇性外斜视患者等效球镜屈光度的差异。结果不同年龄的间歇性外斜视组近视患病率均显著高于眼位正常组和外隐斜视组,差异均有统计学意义(均为P0.05)。不同年龄的眼位正常组近视患病率和外隐斜视组差异均无统计学意义(均为P0.05)。间歇性外斜视组总体近视患病率与眼位正常组和外隐斜视组差异均有统计学意义(均为P=0.000);眼位正常组总体近视患病率与外隐斜视组差异有统计学意义(P=0.034)。眼位正常组、外隐斜视组、间歇性外斜视组等效球镜屈光度分别为(0.08±0.99)D、(-0.16±1.16)D、(-1.23±1.57)D,三组间差异有统计学意义(P=0.000)。眼位正常组与外隐斜视组(P=0.015)、眼位正常组与间歇性外斜视组(P=0.000)及外隐斜视组与间歇性外斜视组(P=0.000)的等效球镜屈光度差异均有统计学意义。间歇性外斜视组中,集合不足型等效球镜屈光度(-1.68±1.61)D、基本型(-1.14±1.44)D、分开过强型(-0.85±1.50)D,三种类型组间差异有统计学意义(P=0.000)。集合不足型等效球镜屈光度明显低于基本型(P=0.000)和分开过强型(P=0.041)。结论间歇性外斜视儿童近视患病率及近视程度均高于眼位正常组及外隐斜视组儿童。
[Abstract]:Objective to observe the prevalence of myopia and equivalent spherical diopter in children with normal eye position, esotropia and intermittent exotropia, and to explore the difference of myopia prevalence and degree among the three groups. Methods Clinical retrospective study. The optometry results of 151 normal children aged 6 to 14 years old, 180 children with exotropia and 168 children with intermittent exotropia were collected. The objective optometry after full relaxation of ciliary muscle paralysis was induced by tropicamide eye drops. The average value was taken as objective optometry. The components of intermittent exotropia were divided into basic type, insufficient set type and over-strong type. The difference of equivalent spherical diopter among the three types of intermittent exotropia was observed. Results the prevalence rate of myopia in intermittent exotropia group at different ages was significantly higher than that in normal eye position group and occult strabismus group (P 0.05). There was no significant difference in the prevalence of myopia and esotropia in normal eyes of different ages (P 0.05). The prevalence rate of myopia in intermittent exotropia group was significantly higher than that in normal eye position group and occult strabismus group (all P = 0.000), and there was significant difference between the total myopia prevalence rate of normal eye position group and that of occult strabismus group (P 0.034). The equivalent spherical diopter of normal eye position group, occult strabismus group and intermittent exotropia group were 0.08 卤0.99 ~ 0.99 ~ 0.16 卤1.16 卤1.16 卤1.23 卤1.57 D, respectively. The difference among the three groups was statistically significant (P < 0.01). There were significant differences in the equivalent spherical diopter between normal eye position group and occult strabismus group, eye position normal group and intermittent exotropia group (P0. 000) and between occult strabismus group and intermittent exotropia group (P0. 000). In the intermittent exotropia group, the equivalent spherical diopter of insufficient aggregation type was -1.68 卤1.61D, the basic type was 1.14 卤1.44D, and the over-strong type was -0.85 卤1.50d.The difference among the three groups was statistically significant. The equivalent spherical mirror diopter of insufficient aggregate type is obviously lower than that of the basic type P0. 000) and the separation of the overstrong type P0. 041. Conclusion the prevalence and degree of myopia in children with intermittent exotropia are higher than those in normal eyes and occult strabismus.
【作者单位】：天津医科大学眼科临床学院天津市眼科医院天津市眼科研究所天津市眼科学与视觉科学重点实验室;
【分类号】：R777.41

【相似文献】