青少年近视眼与隐斜视及近距离眼动参数的相关性分析
发布时间：2018-09-10 19:11
【摘要】：目的了解青少年不同屈光状态隐斜视分布情况,并分析近视眼与隐斜视及各近距离眼动参数之间可能存在的关系,探讨隐斜视及近距离眼动参数在近视发生发展中的可能作用。方法选取经遮盖试验筛选的隐斜视青少年73人146只眼,进行屈光度、近距离水平隐斜度及AC/A、调节滞后量等眼动参数的测量。依屈光状态分为远视、正视、近视组,统计各组隐斜视分布情况。再将近视组按-0.25D--2.00D、-2.00D--4.00D、-4.00D--6.00D分为A、B、C三组,分别对这三组中内、外隐斜视的各眼动参数进行比较。然后对近视眼组的屈光度及隐斜度与各眼动参数进行相关性分析。结果146只眼中,远视11只眼,正视21只眼,近视117只眼,远视眼中内隐斜占36.36%,外隐斜占63.64%；正视眼中内隐斜占9.52%,外隐斜占90.48%；近视眼中内隐斜占25.44%,外隐斜占74.56%。在近视眼A组,内隐斜的AC/A、调节滞后量分别为(5.00±0.89)△/1D、(-0.54±0.29)D,外隐斜的AC/A、调节滞后量分别为(3.45±1.78)△/1D、(-0.20±0.54)D,两者之间AC/A及调节滞后量比较差异有统计学意义(P0.05)；B组中,内隐斜的AC/A、调节滞后量分别为(4.67±2.25)△/1D、(-0.67±0.26)D,外隐斜的AC/A、调节滞后量分别为(3.28±1.26)△/1D、-0.27±0.65)D,两者之间AC/A及调节滞后量比较差异有统计学意义(P0.05)；C组中,内隐斜的AC/A、调节滞后量分别为(4.00±0.00)△/1D、(-0.60±0.14)D,外隐斜的AC/A、调节滞后量分别为(2.63±1.11)△/1D、(-0.13±0.47)D,两者之间AC/A及调节滞后量比较差异有统计学意义(P0.05)。近视屈光度与AC/A及调节滞后量呈正相关(r=0.420,p0.05；r=0.384,p0.05)。近视眼中,内隐斜度与AC/A呈正相关(r=0.778,p0.05),与调节滞后量呈正相关(r=-0.453,p0.05)；外隐斜度与AC/A呈负相关(r=0.233,p0.05),与调节滞后量呈正相关(r=0.241,p0.05)。结论在近视眼患者中,内隐斜的AC/A、调节滞后量均大于外隐斜。AC/A、调节滞后量与近视度数及内隐斜度呈正相关。推测内隐斜可能比外隐斜更易加快近视发展,且内隐斜度越大,近视发展越快。外隐斜度与AC/A呈负相关,与调节滞后量呈正相关,较大度数的外隐斜因伴随较大的调节滞后量对近视发展起重要作用。我们可以尝试通过优化组合矫正隐斜视和屈光不正或通过训练甚至手术早期矫正斜视达到个性化优化眼动参数减缓近视发展的目的。
[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 卤0.89) / 1 D, (-0.54 卤0.29) D, and the AC/A, regulatory lag was (3.45 卤1.78) / (-0.20 卤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 卤2.25) / 1D, (-0.67 卤0.26) Drespectively, and that of occult AC/A, was (3.28 卤1.26) / -0.27 卤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 卤0.00) / 1D, (-0.60 卤0.14) D, and that of AC/A, was (2.63 卤1.11) / 1D, (-0.13 卤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.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R778.11
本文编号：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 卤0.89) / 1 D, (-0.54 卤0.29) D, and the AC/A, regulatory lag was (3.45 卤1.78) / (-0.20 卤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 卤2.25) / 1D, (-0.67 卤0.26) Drespectively, and that of occult AC/A, was (3.28 卤1.26) / -0.27 卤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 卤0.00) / 1D, (-0.60 卤0.14) D, and that of AC/A, was (2.63 卤1.11) / 1D, (-0.13 卤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.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R778.11
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