| 初发近视儿童调节反应与近视屈光度的关系 |
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| 引用本文： | 唐萍,冯祎,孟梦.初发近视儿童调节反应与近视屈光度的关系[J].眼科,2014,23(5):319-322. |
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| 作者姓名： | 唐萍 冯祎 孟梦 |
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| 作者单位： | 100730.首都医科大学附属北京同仁医院验光配镜中心 |
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| 摘 要： | 目的 探讨初发近视儿童调节反应与近视屈光度的关系。设计 回顾性病例系列。研究对象 北京同仁验光配镜中心视力下降在6个月内的8～10岁儿童96例，复方托吡卡胺散瞳测双眼近视低于-1.00 D。方法 散瞳前采用综合验光仪进行调节反应、调节灵活度以及正、负相对调节检查。选取双眼中较低度数眼的参数进行统计学分析。主要指标 屈光度、调节反应、调节灵活度、正负相对调节。结果 受试者屈光度为（-0.66±0.25）D，调节反应为（0.25±0.36）D；调节灵活度为（6.31±2.54）cpm；负相对调节为（2.20±0.40）D；正相对调节为（-1.96±1.32）D。调节反应与近视屈光度呈负相关（r=-0.34，P=0.001）；调节反应与调节灵活度、负相对调节无相关性（r=0.027，P=0.798，r=-0.140，P=0.174）；调节反应与正相对调节呈正相关（r=0.231，P=0.023）。结论 初发近视儿童已存在调节反应滞后，调节反应滞后和正相对调节的降低，可能是近视发生发展的原因。（眼科， 2014， 23: 319-322）
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| 关 键 词： | 近视 调节反应 |
| 收稿时间： | 2014-05-15 |
The association between accommodative response and refractive degree in incipient myopia children |
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| TANG Ping,FENG Yi,MENG Meng.The association between accommodative response and refractive degree in incipient myopia children[J].Ophthalmology in China,2014,23(5):319-322. |
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| Authors: | TANG Ping FENG Yi MENG Meng |
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| Affiliation: | Beijing Tongren Vision Care, Beijing Tongren Hopsital, Beijing 100730, China |
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| Abstract: | Objective To investigate the association between accommodative response and refractive degree in incipient myopia children. Design Retrospective case series. Participants The study included 96 with age 8 to 10 years old, the vision blurring within 6 months, and the cycloplegic myopic degree lower than -1.00 D. Method All participants underwent ophthalmology examination, subjective refraction, accommodative response, accommodative facility, negative relative accommodation, and positive relative accommodation examination. The degree of less myopic eye was selected for statistical analysis. Main Outcome Measures Myopic diopter, accommodative response, accommodative facility, relative accommodation. Results The mean myopic refraction of participants was -0.66±0.25 D. The value of accommodative response was 0.25±0.36 D. The value of accommodative facility was 6.31±2.54 cpm. The value of nega- tive relative accommodation was 2.20±0.40 D and the value of positive relative accommodation was -1.96±1.32 D. The accommodative response and myopic diopter were negatively correlated. The accommodative facility and accommodative response were positively correlated. The accommodative response and the negative relative accommodation were negatively correlated. The accommodative response and the positive relative accommodation were positively correlated. Conclusion The accommodative lag has been existed in the incipient myopia children. The accommodative lag and positive relative accommodation reduced might be involved in the pathogenesis of myopia. |
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| Keywords: | myopia accommodative response |
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