5～12岁高度近视患儿5a近视进展情况分析
发布时间：2019-05-18 12:58
【摘要】：目的探讨5~12岁高度近视患儿5 a的近视进展情况和视力预后。方法对我院就诊的5~12岁高度近视患儿每6个月~1 a随访一次,每例入选患儿在初次检查及每次随访中均行详细的眼科检查,包括最佳矫正视力(best corrected visual acuity,BCVA)和睫状肌麻痹验光检查、眼底检查及眼轴测量等。结果 52例患儿每年近视进展(-0.66±0.43)D,其中双眼近视进展者32例(61.5%),单眼近视进展者4例(7.7%),双眼近视平稳者16例(30.8%)。初始近视度数-6.0~-9.0 D组、-9.0~-12.0D组和-12.0 D组患儿近视进展比例分别为86.4%、68.8%和42.9%,三者差异有统计学意义(P0.05);有高度近视家族史组和无高度近视家族史组近视进展比例分别为88.2%和60.0%,两者差异有统计学意义(P0.05)。不同年龄组和性别组间近视进展比例差异均无统计学意义(均为P0.05)。41例(78.8%)患儿随访终末双眼BCVA≥0.5,34例(65.4%)≥0.8。初始近视度数-6.0~-9.0 D组、-9.0~-12.0 D组和-12.0 D组患儿随访终末双眼BCVA≥0.5的比例分别为95.5%、75.0%和57.1%,三者差异有统计学意义(P0.05)。结论 5~12岁高度近视患儿每年有较快的度数增长,初始近视度数和高度近视家族史是其危险因素,多数高度近视患儿能保持较理想的BCVA。
[Abstract]:Objective to investigate the progress and visual prognosis of 5 years old children with high myopia. Methods the children with high myopia aged 5 years and 12 years were followed up every 6 months to 1 year. Each selected child was examined for the first time and during each follow-up, including the best corrected visual acuity (best corrected visual acuity,). BCVA) and ciliary muscle paralysis optometry, fundus examination and axial measurement. Results the annual myopia progress of 52 children was (- 0.66 卤0.43) D, including 32 cases (61.5%) of binocular myopia, 4 cases (7.7%) of monocular myopia and 16 cases (30.8%) of binocular myopia. The proportion of myopia progression in group-9.0 D, group-9.0 + 12.0D and group-12.0D was 86.4%, 68.8% and 42.9%, respectively. there was significant difference among the three groups (P 0.05), and the proportion of myopic progress in group-9.0 and group-12.0D was 86.4%, 68.8% and 42.9%, respectively. The proportion of myopic progress in high myopia family history group and no high myopia family history group was 88.2% and 60.0% respectively, and there was significant difference between the two groups (P 0.05). There was no significant difference in the proportion of myopia between different age groups and gender groups (P 0.05). 41 cases (78.8%) were followed up with BCVA 鈮，
本文编号：2480028
[Abstract]:Objective to investigate the progress and visual prognosis of 5 years old children with high myopia. Methods the children with high myopia aged 5 years and 12 years were followed up every 6 months to 1 year. Each selected child was examined for the first time and during each follow-up, including the best corrected visual acuity (best corrected visual acuity,). BCVA) and ciliary muscle paralysis optometry, fundus examination and axial measurement. Results the annual myopia progress of 52 children was (- 0.66 卤0.43) D, including 32 cases (61.5%) of binocular myopia, 4 cases (7.7%) of monocular myopia and 16 cases (30.8%) of binocular myopia. The proportion of myopia progression in group-9.0 D, group-9.0 + 12.0D and group-12.0D was 86.4%, 68.8% and 42.9%, respectively. there was significant difference among the three groups (P 0.05), and the proportion of myopic progress in group-9.0 and group-12.0D was 86.4%, 68.8% and 42.9%, respectively. The proportion of myopic progress in high myopia family history group and no high myopia family history group was 88.2% and 60.0% respectively, and there was significant difference between the two groups (P 0.05). There was no significant difference in the proportion of myopia between different age groups and gender groups (P 0.05). 41 cases (78.8%) were followed up with BCVA 鈮，
本文编号：2480028
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