摘要
目的探讨儿童散光眼达到最佳矫正视力的配镜原则与方法。方法对179例3~14岁屈光不正患儿给予充分散瞳后验光配镜,对达到最佳矫正视力的配镜处方进行统计分析。结果配镜处方中,规则散光共318眼,其中复性散光113眼,占35.53%;单纯性散光162眼,占50.94%;混合散光43眼占13. 52%。顺规性散光310眼,占97.48%;逆规性散光4眼,斜轴散光4眼,各占1.26%。轻度散光(≤1.00D)93眼,占29.25%;中度散光(1. 00D Objective To analyze astigmatism and spectacle prescription in children aged 3 ~ 14. Methods Sample including 179 cases aged 3~ 14 of out-patient with refractive error were chosen, 1% atropine ointment or compound tropicamide eye drops was applied before examination. The results of optometry and spectacle prescription were analyzed statistically. Results The spectacle prescription including 318 regular astigmatism eyes with 113 compound astigmatism eyes(35.53%), 162 simple astigmatism eyes(50.94%) and 43 mixed astigmatism eyes(13.52%). Astigmatism with rule310 eyes(97. 48%), 4 against rule astigmatism eyes and 4 oblique astigmatism eyes(1. 26% separately). Astigmatism less than 1.00 D account for 29.25%, astigmatism 1.25 D to 2. 00 D was 28.30%, astigmatism 2. 25 D to 3. 00 D was25. 79%, astigmatism more than 3. 00 D was 16.67%. Conclusions Due to the physiological characteristics of children,the principle of glasses correction is different from adults. With the increase of age, the myopic astigmatism increases gradually. It is especially important for visual development with correct glasses.
引文
[1]曹宜.视力低常儿童的屈光状态与弱视分析[J].中国斜视与小儿眼科杂志,2011,19(1):26-29.
[2]中华医学会眼科学会斜视与小儿眼科学组.弱视诊断专家共识[J].中华眼科杂志,2011,8(47):768.
[3]汪芳润,尹忠贵,杨晨皓.儿童视力与屈光特点及相关问题讨论[J].中国眼耳鼻喉科杂志,2006,11(6):341-342.
[4]林柳燕,郝小波,唐忠鲁,等.新生儿与学龄儿童屈光状态观察[J].中国斜视与小儿眼科杂志,2007,15(4):160-162.
[5] Fan DS,Rao SK,Cheung EY. Astigmatism in Chinese preschool children:prevalence, change,andeffectonrefractivedevelopment[J]. Br J Ophthalmol, 2004,88(7):938-941.