900眼汉族大学生屈光结构的生物学测量结果分析
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摘要
目的:探索眼轴长度A(Axis)、晶体厚度Lens(Lens thickness)、玻璃体腔深度V(Vitreous depth)、角膜屈折力CD(Cornea Diopter)、角膜前表面曲率半径CS(Anterior corneal surface semidiameter)的生物测量值与不同屈光状态的关系。方法:选取新疆医科大学在校18～24岁汉族大学生464人,用托品酰胺眼液连续散瞳后检影验光测得屈光度,用A型超声及角膜曲率计测得眼轴长度A、晶体厚度Lens、玻璃体腔深度V、角膜屈折力CD、角膜前表面曲率半径CS的生物测量值。经SPSS软件分析得出屈光度与相关屈光要素的关系。结果:成人正视眼的眼轴长度、玻璃体腔深度、角膜屈折力无性别及眼别差异,近视眼的眼轴长于正视眼的眼轴,正视眼的眼轴长于远视眼的眼轴,眼轴长度及玻璃体腔深度均与近视程度呈正相关,在不同屈光度之间,眼轴长度随屈光度增加而增长。结论:屈光要素的不同匹配决定不同的屈光状态,眼轴长度是影响近视程度的主要屈光要素。
Objective: To measure and analyze the relation between the result of length axis,lens thickness,vitreous depth,cornea diopter ,anterior corneal surface semidiameter and the different refration status. Methods: 474Hanzu college students was collected from the Xinjiang Medical University,Tropicamide was applied to 900 eyes of 474 college students at the age of 18-24 for three times successively, Then optometry for diopter,A-ultrasonic biometry for length axis,lens thickness,vitreous depth,cornea diopter ,anterior corneal surface semidiameter .The data was analyzed with SPSS and conclued the relationship between the diopter and refractive factors. Results: Among 474 cases measured and analyzed, There were no significant distinguish between male and female in emmetropia about length axis, vitreous depth , cornea diopter in the adult years of life. The axial length of emmetropia is longer than the axial length of hyperopia , The axial length of myopia is longer than the axial length of emmetropia ,the level of myopia has apositive correlation with len gth axis , vitreous depth . The axial length of eyeball was gradually increased accompanying with the increases of diopter. Conclusions: The different refractive status depend on the mate of the different refractive factors. The axial length of eyeball was the chief factor influencing the level of myopia.
Objective: To measure and analyze the relation between the result of length axis,lens thickness,vitreous depth,cornea diopter ,anterior corneal surface semidiameter and the different refration status. Methods: 474Hanzu college students was collected from the Xinjiang Medical University,Tropicamide was applied to 900 eyes of 474 college students at the age of 18-24 for three times successively, Then optometry for diopter,A-ultrasonic biometry for length axis,lens thickness,vitreous depth,cornea diopter ,anterior corneal surface semidiameter .The data was analyzed with SPSS and conclued the relationship between the diopter and refractive factors. Results: Among 474 cases measured and analyzed, There were no significant distinguish between male and female in emmetropia about length axis, vitreous depth , cornea diopter in the adult years of life. The axial length of emmetropia is longer than the axial length of hyperopia , The axial length of myopia is longer than the axial length of emmetropia ,the level of myopia has apositive correlation with len gth axis , vitreous depth . The axial length of eyeball was gradually increased accompanying with the increases of diopter. Conclusions: The different refractive status depend on the mate of the different refractive factors. The axial length of eyeball was the chief factor influencing the level of myopia.
引文
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铩颷1]Elder S ed.System of Ophthalmology vol 5 StLouis:Morsby,1970 221-237
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[28]Mutti I＞O,Bullimore MA.Myopia:an epideanic of possibilities? OptomVis Sci,1999,76:257-258
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[56]Grosvenor T.Reduction inaxial length with age an emmetropizingmechanism for the adult eye[J].AnJoptom Physiol Opt1987,64:657-663
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[2]李凤鸣.中华眼科学.北京:人民卫生出版社 2003 1761
[3]张艳玲等.成人眼屈光面光学特性的演变与正视的探讨.眼科研究,2005,23(4):421
[4]OoiCa,Grosrenor T.Mechanisms of emmetropization in the aging eye[J].Optom Vis Sci 1995,72:60-66
[5]Grosvenor T.Reduction inaxial length with age an emmetropizingmechanism for the adult eye[J].AnJoptom PhysiolOpt 1987,64:657-663
[6]Francois J Goes F.Oculomtry in emmetropia and ametropia In Book JOssoining K,eds Ultrasomic Medica[M].Verlay der weaner Med Akad,1971,473-515
[7]Leighton DA,Tom linson A.Change in axial length and other dimensionsof the eyeball with increasing age[J]Acta Opthalmol(Kbh),1972,50:815-826
[8]吉红云,汪芳润.关于正视眼问题的讨论.中国实用眼科杂志,1997,15(6)325-329
[9]汤萍.1761眼屈光结构的生物学测量.中国实用眼科杂志,1995,13(5):289
[10]于伟泓,陈晓隆.4-13岁儿童眼屈光不正与屈光要素关系分析.中国实用眼科杂志,2003,21(4):288
[11]于伟泓,陈晓隆.4-13岁屈光不正儿童眼球生物测量结果分析.眼科研究,2004,22(5):544
[12]Dubbelman M,Vander Heijde GI.The shape of the aging human lenscurvature,equivalent refractive index and the lens paradox[J].VisRes,2001,41(14):1867-1877
[13]Pierscionek BK.What we know and understand about persbyopia[J].Clin Exp Optom,1993,76:83-90
[14]Lee JH,Stark LR,Cohen S,etal Accommodation to Static Chromaticsimulations of blurred retinal images[J].Ophthalmic Physiol Pt,2003,19(3):223-235
铩颷15]Seidemann A,Scheffel F.Effects of Longitudinal chromaticaberration on accommodation and etropization[J].VisRes,2002,42(21):2409-2417
[16]殷晓棠等.青少年近视眼屈光结构各要素的测定分析.眼科 1999,8(2):74-79
[17]Sherwin J,Doron Nrumannn,Pauline YY,etal.Growth of the internaland external eye in term and preterm infants.Ophthalmology 1995,102:827-830
[18]霍豫星.近视眼眼轴长度、前房深度及晶体厚度的测量分析。眼科新进展2006,26(9)
[19]Sato T.The cause and prevention of school myopia[M].Amsterdan:Excerpta Medica,1993,114-129
[20]汪芳润.近视眼研究的现状与存在问题.中华眼科杂志,2003,39(6):381
铩颷1]Elder S ed.System of Ophthalmology vol 5 StLouis:Morsby,1970 221-237
[2]Hopkisson B.Eye 2002 6:609
[3]唐忠鲁.571例新生儿屈光状态分析.中国实用眼科杂志.1994,12(11):668
[4]王卫群.婴幼儿和学龄前儿童正常眼超声测量.中国斜视与小儿眼科杂志,1994.2(3):97
[5]汤萍.1761眼屈光结构的生物学测量.中国实用眼科杂志,1995,13(5):289
[6]汪芳润.学龄前儿童眼屈光度生理值测定.中华眼科杂志,1986,22:179
[7]Ingram T,Barr A.Changes in refraction between theages of 1-and 3.5years.Br J Ophthalmol,2005,63:339
[8]Abrahamsson M,Fabian G,Sjostrand J.Changes inastigmatism betweenthe ages of Ⅰ and 4 years:aloneitudinal study.Br J Onhthalmol,1988.72:145
[9]OoiCa,Grosrenor T.Mechanisms of emmetropization in the aging eye[J].Optom Vis Sci 1995,72:60-66
[10]Francois J Goes F.Oculomtry in emmetropia and ametropia In Book JOssoining K,eds Ultrasomic Medica[M].Verlay der weiner Med Akad,1971,473-515
[11]Rierscionek BK.What we know and understand about persbyopia[J].ClinExp Optom,2005,76:83-90
[12]汪芳润.学龄前儿童眼屈光度生理值测定.中华眼科杂志,1986,22:179
[13]王利华.2-6岁儿童眼屈光度生理值测定.中国斜视与小儿眼科杂志,1994,2:67
[14]李丽红.7岁前儿童眼散光状态分析.临床眼科杂志,2003,8(1):76
铩颷15]陈丽萍.3-15岁儿童散光分布特征.中国实用眼科杂志,2006,24(9):900
[16]Duke-Elder S(ed).System of ophthalmology.Vol 5 Refraction LondonKimptom.1970 22?-248
[17]Cordain L,Eaton SB,Miller JB,et al.An evolutionary analysis of theAetiology and aetlnlgenesis of juvenilr-onset myopia.Acta OpthahnolStand,2002,80:1
[18]王利华.3-7岁儿童1215眼散光状态分析.中国斜视与小儿眼科杂志,1997,5(1):13 421
[19]OoiCa,Grosrenor T.Mechanisms of emmetropization in the aging eye[J].Optom Vis Sci 2005,72:60-66
[20]Dunne MCM,Edward MEA DA.A study of the axis of orient of residualastigmatism.Acta Ophthalmal,1994,72:483
[21]Kinge B,Midelfu't A,JacolbsenG,et al.The influence of nearwork ondevelopment of myopia among university students.A tlnree-yearlongitudial study among engineering students in Solway.ActaOphthahnol Stand,2002,78:26-29
[22]Sato T.The cause and prevention of school myopia[M~].Amsterdan:Excerpta Medica,1993,114-129
[23]张艳玲.近视性屈光不正儿童角膜前表面的光学特征.眼科研究,2004,22(4):409
[24]Cordain L,Eaton SB,Miller JB,et al.An evolutionary analysis of theaetiology and aetlnlgenesis of juvenilr-onset myopia.Acta OpthahnolStand,2002,80:1
[251 Duke-Elder S.Abram SD.Practice of refraction.9th[M].New York:Churohill Livingstone,1978.67
[26]汪芳润.视力与屈光的关系.中国实用眼科杂志,2000,18(10):579-581
[27]Leighton DA,Tom linson A.Change in axial length and other dimensionsof the eyeball with increasing age[J]Acta Opthalmol(Kbh),1972,50:815-826
[28]Mutti I＞O,Bullimore MA.Myopia:an epideanic of possibilities? OptomVis Sci,1999,76:257-258
[29]Sherwin J,Doron Nrumannn,Pauline YY,etal.Growth of the internaland external eye in term and preterm infants.Ophthalmology2005,102:827-830
铩颷30]Zadnik K.Myopia development in childlnrod.Optom Vis Sci,1997,74:603-608
[31]Mobinson BE.Factors associted with the prevalence of myopia inEryearolds.Optom Vis Sci,2003,76:266-271
[32]Goldschmidt E.Epideaniology of myopia:Scandinavian and Hong Kongexperiences.Tokyo:SpringerVerlag,1998.3-12
[33]Rajan T,Saw SM.Prevalence of myopia in sclnrolchildren and riskfactors for its progression.In:Tokoro T,exl.Myopia updates,Tokyo:SprmgerVerlag,2005.69-80
[34]吕帆,陈洁,姜君.学生近视的调查和比较研究.眼视光学杂志,1999,1:69-71
[35]Fledelius HC.Myopia profile in Copenhagen mexlical students1996-1998.refractive stability over a century is suggestexl.ActaOphthahnol Stand,2002,78:501-505
[36]Lee JH,Stark LR,Cohen S,etal Accommodation to Static Chromaticsimulations of blurred retinal images[J].Ophthalmic Physiol Pt,2003,19(3):223-235
[37]Mavracanas TA,Mandalos A,PeiosD,et al.Prevalence of myopia inasample of Greek students.Acta Opthalmol Stand,2000,78:656-659
[38]Dinge B,Midelfu't J,JacolbsenG,et al.The influence of nearwork ondevelopment of myopia among university students.A tlnree-yearlongitudial study among engineering students in Solway.ActaOphthahnol Stand,2006,78:26-29
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