四川地区近视儿童眼球生物学参数及特性的分析
摘要
目的研究四川地区8～12岁的-1.50 D以内近视者的眼球生物学参数及其特征。方法选择2015年8月至2017年8月在我院就诊的四川地区儿童170人(男性和女性各85人,各170眼),平均年龄(10.09±1.39)岁,平均近视屈光度(-1.06±0.45) D,平均全眼散光(-0.64±0.23) D。试验眼均接受以下检查:裂隙灯、眼底镜、角膜地形图、相干光生物测量仪(IOL Master)。比较不同性别及不同年龄段受试者眼球生物学参数的差异,并讨论各参数之间的相关性。结果 170例儿童(340只眼)的平均水平可见虹膜直径为(11.80±0.56) mm,与平均角膜曲率无相关性;平均眼轴为(24.09±0.68) mm,与平坦角膜曲率(P=0.000)、陡峭角膜曲率(P=0.000)及平均角膜曲率(P=0.000)分别呈负相关;平均角膜曲率为(42.66±1.38) D(角膜地形图)及(42.92±1.87) D(IOL Master);平均角膜厚度为(550.46±29.89)μm;女性的平坦角膜曲率(角膜地形图测量值P=0.000、IOL Master测量值P=0.000)、陡峭角膜曲率(角膜地形图测量值P=0.000、IOL Master测量值P=0.000)及平均角膜曲率(角膜地形图测量值P=0.000、IOL Master测量值P=0.016)均高于男性;水平可见虹膜直径、眼轴、角膜曲率、角膜厚度与年龄无关。结论四川地区近视儿童中,眼轴和角膜曲率呈负相关;女性的平坦角膜曲率、陡峭角膜曲率及平均角膜曲率均高于男性。
引文
[1] HOLDEN BA,FRICKE TR,WILSON DA,et al.Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050.Ophthalmology,2016,123(5):1036-1042.
[2] NOWROOZZADEH MH.School-based myopia prevention effort.JAMA,2016,315(8):819-820.
[3] 李嘉,王军.4～16岁儿童眼轴和角膜曲率的分布及相关因素研究.眼科,2017,26(5):307-312.
[4] HE X,ZOU H,LU L,et al.Axial length/corneal radius ratio:association with refractive state and role on myopia detection combined with visual acuity in Chinese school children.PLoS One,2015,10(2):e111766[2018-10-14].https://doi.org/10.1371/journal.pone.0111766.
[5] GWIAZDA J,MARSH-TOOTLE WL,HYMAN L,et al.Baseline refractive an ocular component measures of children enrolled in the correction of myopia evaluation trial (COMET).Invest Ophthalmol Vis Sci,2002,43(2):314-321.
[6] ZADNIK K,MANNY RE,YU JA,et al.Ocular component data in school children as a function of age and gender.Optom Vis Sci,2003,80(3):226-236.
[7] 胡俊,李学喜,林巧雅,等.不同仪器测量角膜直径和角膜曲率的一致性评价.眼科新进展,2012,32(4):372-375.
[8] SEITZ B,LANGENBUCHER A,ZAGRADA D,et al.Corneal dimensions in patients with various types of corneal dystrophies and their effect on penetrating keratoplasty.Klin Monbl Augenheilkd,2000,217(3):152-158.
[9] 李翔,庞辰久,彭海鹰,等.Orbscan-Ⅱ、IOL Master和Atlas角膜地形图测量角膜直径的比较.眼科新进展,2012,32(11):1061-1063.
[10] 李斌,陈世豪,王勤美.近视眼患者角膜直径和角膜曲率的研究.眼科新进展,2006,26(12):938-939.
[11] 杜之渝,白晋,陈公洁,等.正视眼与近视眼角膜曲率的研究.眼科研究,1997,15(2):110-112.
[12] 王万鹏,周然,张婧,等.兰州市5～12岁学龄儿童屈光状态与屈光参数相关性研究.国际眼科杂志,2013,13(11):2299-2302.
[13] TWELKER JD,MITCHELL GL,MESSER DH,et al.Children’s ocular components and age,gender,and ethnicity.Optom Vis Sci,2009,86(8):918-935.
[14] GOSS DA,VANVEEN HG,RAINEY BB,et al.Ocular components measured by keratometry,phakometry,and ultrasonography in emmetropic and myopic optometry students.Opto Vis Sci,1997,74(7):489-495
[15] 李凤鸣.眼科全书.北京:人民卫生出版社,1999:2546-2565.
[16] BLANCO FG,FERNANDEZ JCS,SANZ MAM.Axial length,corneal radius,and age of myopia onset.Opto Vis Sci,2008,85(2):89-96.
[2] NOWROOZZADEH MH.School-based myopia prevention effort.JAMA,2016,315(8):819-820.
[3] 李嘉,王军.4～16岁儿童眼轴和角膜曲率的分布及相关因素研究.眼科,2017,26(5):307-312.
[4] HE X,ZOU H,LU L,et al.Axial length/corneal radius ratio:association with refractive state and role on myopia detection combined with visual acuity in Chinese school children.PLoS One,2015,10(2):e111766[2018-10-14].https://doi.org/10.1371/journal.pone.0111766.
[5] GWIAZDA J,MARSH-TOOTLE WL,HYMAN L,et al.Baseline refractive an ocular component measures of children enrolled in the correction of myopia evaluation trial (COMET).Invest Ophthalmol Vis Sci,2002,43(2):314-321.
[6] ZADNIK K,MANNY RE,YU JA,et al.Ocular component data in school children as a function of age and gender.Optom Vis Sci,2003,80(3):226-236.
[7] 胡俊,李学喜,林巧雅,等.不同仪器测量角膜直径和角膜曲率的一致性评价.眼科新进展,2012,32(4):372-375.
[8] SEITZ B,LANGENBUCHER A,ZAGRADA D,et al.Corneal dimensions in patients with various types of corneal dystrophies and their effect on penetrating keratoplasty.Klin Monbl Augenheilkd,2000,217(3):152-158.
[9] 李翔,庞辰久,彭海鹰,等.Orbscan-Ⅱ、IOL Master和Atlas角膜地形图测量角膜直径的比较.眼科新进展,2012,32(11):1061-1063.
[10] 李斌,陈世豪,王勤美.近视眼患者角膜直径和角膜曲率的研究.眼科新进展,2006,26(12):938-939.
[11] 杜之渝,白晋,陈公洁,等.正视眼与近视眼角膜曲率的研究.眼科研究,1997,15(2):110-112.
[12] 王万鹏,周然,张婧,等.兰州市5～12岁学龄儿童屈光状态与屈光参数相关性研究.国际眼科杂志,2013,13(11):2299-2302.
[13] TWELKER JD,MITCHELL GL,MESSER DH,et al.Children’s ocular components and age,gender,and ethnicity.Optom Vis Sci,2009,86(8):918-935.
[14] GOSS DA,VANVEEN HG,RAINEY BB,et al.Ocular components measured by keratometry,phakometry,and ultrasonography in emmetropic and myopic optometry students.Opto Vis Sci,1997,74(7):489-495
[15] 李凤鸣.眼科全书.北京:人民卫生出版社,1999:2546-2565.
[16] BLANCO FG,FERNANDEZ JCS,SANZ MAM.Axial length,corneal radius,and age of myopia onset.Opto Vis Sci,2008,85(2):89-96.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |