目的 调查浙江省盲校学生视力状况,评价屈光矫正和低视力康复效果。方法 横断面调查研究。对219例来自浙江省3所盲校的学生采用裂隙灯检查眼前节、用眼底镜检查眼底,并进行UCVA、屈光度和BCVA检查,采用4×、6×或8×的单筒望远镜进行低视力康复。采用配对t检验对康复检查结果进行分析。结果 屈光矫正前后患者视力比较差异有显著的统计学意义(3.53±0.34 vs. 3.85±0.27,t=-14.997,P<0.01),153例BCVA<3.7,66例BCVA≥3.7。盲患者配戴远用助视器前后视力比较差异有统计学意义(2.03±0.94 vs. 2.12±1.06,t=-5.537,P<0.01),低视力患者比较差异也有统计学意义(3.90±0.23 vs. 4.55±0.24,t=-28.537,P<0.01)。配戴远用助视器后脱盲率为24%,低视力患者的脱残率为80%。结论 屈光矫正和助视器验配可以有效地改善盲和低视力患者远视力,对患者进一步接受教育极其重要。
Objective To evaluate the effect of refraction and visual rehabilitation on students in schools for the blind in Zhejiang province. Methods In this cross-sectional investigation, 219 students in 3 schools for the blind in Zhejiang province were included. The students underwent eye examinations, visual acuity tests, refractive correction and low vision rehabilitation. Results were analyzed with a paired t test. Results The differences in visual acuity were significant after refraction (3.53±0.34 vs. 3.85±0.27, t=-14.997, P<0.01). The BCVA of 153 patients <3.7, and 66 patients ≥3.7. The differences in visual acuity were also significant after using a telescopic device (2.03±0.94 vs. 2.12±1.06, t=-5.537, P<0.01) for blind patients and for low vision patients (3.90±0.23 vs. 4.55±0.24, t=-28.537, P<0.01). After using a telescope, distance visual acuity was ≥3.7 in 24% of blind children and was ≥4.5 for 80% of low vision children. Conclusion Refraction and low vision aids can improve students′ visual acuity which is important to further their education.
金婉卿,江龙飞,于旭东. 浙江省盲校学生屈光矫正及低视力康复效果[J]. 中华眼视光学与视觉科学杂志, 2015, 17(2): 114-116.
Jin Wanqing,Jiang Longfei,Yu Xudong. Effect of refraction and visual rehabilitation on students in schools for the blind in Zhejiang province. Chinese Journal of Optometry Ophthalmology and Visual science, 2015, 17(2): 114-116. DOI: 10.3760/cma.j.issn.1674-845X.2015.02.013