摘要
目的:比较提高优势眼视力和非优势眼视力对年龄相关性白内障患者术后3mo平衡功能的影响。方法:纳入单眼手术的年龄相关性白内障患者106例106眼,根据术眼是否为优势眼分为优势眼组(50例)和非优势眼(56例),记录术前1d和术后3mo时的平衡功能(Berg平衡量表分值和"站起-走"计时)。结果:两组患者术前和术后Berg平衡量表分值及其改变量:优势眼组50.08±4.92、51.60±4.96、1.52±1.14分,非优势眼组50.73±3.08、51.67±2.65、0.94±1.35分,两组改变量有差异(P=0.021)。两组患者术前和术后"站起-走"计时及其改变量:优势眼组11.91±4.08、10.96±3.66、0.95±1.54s,非优势眼组11.80±3.87、10.69±3.16、1.11±1.75s(均P>0.05)。结论:提高优势眼和非优势眼视力对年龄相关性白内障患者术后3mo平衡功能没有影响。
·AIM: To compare the effects of improving the dominant and non-dominant eye vision on the balance function of age-related cataract patients with a 3 mo follow-up.·METHODS: Totally 106 patients with age-related cataract underwent monocular surgery were recruited. According to whether the surgical eyes were dominant, cases were divided into two groups: the dominant eye group(50 cases) and the non-dominant eyes(56 cases). Balance function(Berg balance scale, timed "up and go") were tested 1 d before surgery and 3 mo after surgery.·RESULTS: The preoperative and postoperative Berg balance scale score changes were as followes: 50.08±4.92, 51.60±4.96, 1.52±1.14, in dominant eye group and 50.73±3.08, 51.67±2.65, 0.94±1.35 in the non-dominant eye group, there were no statistically differences in the first two items, and the amount of changes were statistically different(P=0.02). The preoperative and postoperative timed "up and go"were changed as these, 11.91±4.08 s, 10.96±3.66 s, 0.95±1.54 s in dominant eye group, and 11.80±3.87 s, 10.69±3.16 s and 1.11±1.75 s in non-dominant eye group, there were no statistically differences in the above three items(all P>0.05).·CONCLUSION: There was no effect on the balance function between the improvement of the visual acuity on dominant and the non-dominant eye in the age-related cataract with a 3 mo follow-up.
引文
1 Koo BS, Cho YA. The relationship of dominant eye,dominant hand, and deviated eye in strabismus. J Korean Ophthalmol Soc 1996;37(8):1277-1282
2 Holder CM, Sabo A, Hazelett S, et al. The Sensitivity and Specificity of the Six Item Screener (c) in Identifying Patients at Risk for Delirium on an Acute Care for Elders Unit. Meeting of the American-Geriatrics-Society 2010:62
3 Umphred DA. Neurological rehabilitation. St Louis:Mosby 2001:616-660
4 Raad J, Moore J, Hamby J,et al. A Brief Review of the Activities-Specific Balance Confidence Scale in Older Adults. Arch Phys Med Rehab 2013;94(7):1426-1427
5 Isotalo E, Kapoula Z, Feret PH,et al. Monocular versus binocular vision in postural control. Auris Nasus Larynx 2004;31(1):11-17
6 Park RY, Kee HS, Kang JH, et al. Effect of Dominant Versus Non-dominant Vision in Postural Control. Ann Rehabil Med 2011;35(3):427-431
7黄美娜,陈浙一.年龄相关性白内障患者的综合性视觉功能指数与跌倒影响因素之间的关系. 国际眼科杂志2016;16(1):87-90
8 Lord SR. Visual risk factors for falls in older people. Age Ageing 2006;35(Suppl 2):42-45
9 Berg KO, Wood-Dauphinee SL, Williams JI,et al. Measuring balancein the elderly:validation of an instrument. Can J Public Health 1992;83(Suppl 2):S7-S11
10 Podsiadlo D, Richardson S. The timed "up and go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39(2):142-148
11李格,沈渔邨,陈昌惠,等. 简易精神状态检查表在不同人群中的试测研究.中国心理卫生杂志 1989;3(4):148-151,147,191
12康丹. 简版老年抑郁量表(GDS-15)在中国老年人中的使用. 中国临床心理学杂志2013;21(3):402-405
13 Brabyn J, Schneck M, Haegerstrom-Portnoy G. The smith-kettlewell institute (SKI) longitudinal study of vision function and its impact among the elderly: an overview. Optom Vis Sci 2001;78(5):264-269
14 Macedo BGD, Pereira LSM, Rocha FL,et al. Association between funcional vision, balance and fear of falling in older adults with cataracts. Revista Brasileira De Geriatria E Gerontologia 2012;15(2):265-274
15 Wennie HWN, Perera S, VanSwearingen J, et al. Performance measures predict onset of activity of daily living difficulty in community-dwelling older adults. J Am Geriatr Soc 2010;58(5):844-852
16 Muir SW, Berg K, Chesworth B, et al. Use of the Berg Balance Scale for predicting multiple falls in community-dwelling elderly people: a prospective study. Phys Ther 2008;88(4):449-459
17段文黎,杨燕燕,王丽.优势眼在近视及散光人群的分布与关系研究.国际眼科杂志 2015;15(11):1974-1976
18 Mapp AP, Ono H, Barbeito R. What does the dominant eye dominate? A brief and somewhat contentious review. Percept Psychophys 2003;65(2):310
19 Ishida M, Saitoh J, Wada M,et al. Effects of anticipatory anxiety and visual input on postural sway in an aversive situation. Neurosci Lett 2010;474(1):1-4
20邢潇英,祝雪宁,喻芳,等. 年龄相关性白内障及手术对老年人优势眼的影响. 中华实验眼科杂志 2014;32(6):531-535
