目的 探讨屈光矫正前后近视儿童近距融合功能的变化以及评价双眼水平位均衡状态。方法 横断面研究。检测60例近视儿童屈光矫正前后近距融合功能和双眼水平位均衡的情况,按照近视程度分为:A组,-0.50~-1.00 D 20例;B组,-1.25~-2.00 D 20例;C组,-2.25~-3.00 D 20例。另选择年龄相匹配的30例正视儿童作为对照。采用单因素方差分析比较正、负融像性集合,采用卡方检验评价双眼水平位均衡情况,分析屈光矫正对近距融合功能和双眼水平位均衡的影响。结果 近视组未矫正状态与正视组近距正融像性集合差异有统计学意义(F=85.88,P<0.01),且从A组起差异明显。而近距负融合像集合差异无统计学意义(F=1.48,P>0.05)。近视组矫正状态仅C组与正视组在近距正融像性集合方面差异有统计学意义(F=97.87,P<0.01)。近视组未矫正状态表现为近距融合范围明显变小,近距融合范围为(+12.50~-15.89 △)。近视组未矫正状态与正视组相比双眼水平位失衡率显著增高(?字2=47.27,P<0.01)。结论 看近时未矫正的近视对融合功能的影响在低度近视时就已经非常显著,尤其是对近距正融像性集合的影响;且双眼水平失衡率显著增高。
Objective To analyze the relationship between near fusional range and ametropic correction on myopic children before and after ametropic correction and to predict horizontal binocular balance. Methods This was a cross-sectional study. The near positive and negative fusional vergence and horizontal binocular balance among 60 myopic children before and after ametropic correction were measured and binocular symptoms were predicted. In addition, myopic children were classified according to refractive error: Group A,-0.50 to -1.00 D, 20 cases; Group B,-1.25 to -2.00 D, 20 cases; Group C, -2.25 to -3.00 D, 20 cases. Another 30 emmetropic children were chosen as a control group. Data were analyzed using a one-way ANOVA and chi-square test. Results There were significant differences among the refractive groups for the uncorrected near positive fusional range (F=85.88, P<0.01), but there was no significant difference in the negative fusional range in Group A(F=1.48, P>0.05). The fusional range decreased in uncorrected myopia to +12.50 to -15.89 △. The binocular vision of the uncorrected group was significantly imbalanced compared to the emmetropic children (?字2=47.27, P<0.01). Conclusion Without correction, the effects of low myopia on near fusional range are detectable, especially on near positive fusional vergence. In addition, the imbalance in binocular vision increase noticeably.
李飏,董利群. 屈光矫正对近视儿童近距融合功能及水平位均衡的影响[J]. 中华眼视光学与视觉科学杂志, 2013, 15(10): 620-623.
LI Yang,DONG Li-qun. Effects of ametropic correction on near fusional function and horizontal binocular balance in myopic children. Chinese Journal of Optometry Ophthalmology and Visual Science, 2013, 15(10): 620-623. DOI: 10.3760/cma.j.issn.1674-845X.2013.10.010
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