摘要
目的探讨青少年近视进展与双眼视功能缺损的关系方法。方法选择在沧州眼科医院小儿眼科门诊2016年4月至2017年6月就诊的8~14岁的青少年近视患者共104例,比较患者初诊时和1年后复诊时的屈光度和眼轴变化,根据变化幅度分为:A组(近视进展慢组,屈光度增加≤0.5~0.75 D;眼轴增长<0.3 mm/年)和B组(近视进展快组,屈光度增加≥1.0 D;眼轴增长0.3 mm/年)。然后对104例近视眼儿童进行视感知觉功能的检查(包括知觉眼位检查,立体视功能检查)。结果 104例,A组(屈光度增加≤0.5~0.75 D;眼轴增长<0.3mm/年)51例,占49.04%;B组(屈光度增加≥1.0 D;眼轴增长0.3 mm/年)53例,占50.96%。A组近距离知觉眼位水平偏移度平均值为57.62像素,B组近距离眼位水平偏移度平均值为100.52像素,采用SPSS person相关性分析得出两组变量的P值为0.043(P<0.05),A组的51例患者中有12例患者存在随机点动态立体视缺损,百分比为23。5%。而B组的53例患者中有36个患者存在随机点动态立体视缺损,百分比为67.9%。二者差异有统计学意义。结论近视眼度数的发展与认知感觉功能有着密切关联。用修复认知感觉功能缺损能改善近视眼儿童近视的发展。
Objective To investigate the relationship between myopia progression and binocular visual function defect Methods Total 104 juvenile myopia patients(age between 8-14 years)presented to Cangzhou Eye hospital pediatric clinic between April 2016 and June 2017 were enrolled.Initial diopter and axial length were to the Results obtained after 1-year follow-up.According to the changes in diopter and axial length,patients were divided into group A(slow progression,diopter increase≤0.5~0.75 D,and axial growth<0.3 mm per year)or group B(fast progression,diopter increase>1.0 D and axial growth>0.3 mm per year).Visual perception examinations were performed in these children.Results 51 patients(49.04%)showed slow progression(group A)and 53 patients(50.96%)showed fast progression(group B)of myopia.Horizontal deviation for near vision was 57.62 pixels in group A and 100.52 pixels in group B.SPSS Pearson analysis showed p value of the correlation was 0.043.Random point dynamic 3D deficit was found in 12/51 patients(23.5%)in group A and in 36/53 patients(67.9%)in group B and the difference was significant.Conclusions Development of myopia is closely associated with the cognitive dysfunction.Improvement of cognitive functions can delay the development of myopia in children.
作者
孙国荣
陈忠飞
石秋梅
刘珍珍
褚航
张阳
Sun Guorong;Chen Zhongfei;Shi Qiumei;Liu Zhenzhen;Chu Hang;Zhang Yang(Cangzhou Medical College,Hebei 061001;Cangzhou Eye Hospital,Hebei 061001;National Healthcare Appliance Engineering Technology Center,Guangdong 510000,China)
出处
《临床眼科杂志》
2018年第3期259-261,共3页
Journal of Clinical Ophthalmology
基金
河北省科技重点研发计划项目(项目编号:162777276)
