川东北地区基于某视光门诊的非斜视性双眼视觉异常患病情况及相关因素研究

doi:10.3760/cma.j.cn115909-20201201-00461

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Abstract Objective: To investigate the prevalence and related factors of non-strabismic binocular vision dysfunction (NSBVD) in patients aged 12 to 35 years in an optometry clinic in northeastern Sichuan. Methods: In a consecutive case series study, 172 volunteers aged 12 to 35 years who sought routine visual examinations in our optometry clinic were recruited. Outcome measurements included subjective refraction, stereopsis, horizontal heterophoria, positive fusional vergence (PFV), negative fusional vergence (NFV), vergence facility (VF), near point of convergence (NPC), monocular accommodative amplitude (MAA), monocular accommodative facility (MAF), monocular estimated method retinoscopy (MEM), and a convergence insufficiency symptom survey (CISS). Based on the measurement results, the prevalence of each classification diagnosis of NSBVD was calculated; correlation analysis and logistic regression analysis were used to analyze the related factors of NSBVD. Results: NSBVD accounted for 36.1% of the sample, of which convergence insufficiency was the most common type, with a prevalence of 12.8%. Logistic regression analysis did not show significant associations between the occurrence of NSBVD and gender, age, spherical equivalent (SE), or interocular SE differences. No significant correlation was found between the binocular SE difference and any binocular vision measures. However, a significant negative correlation was found between the SE and distance PFV (r=-0.243, P=0.010), distance NFV (r=-0.247, P=0.009) and CISS score (r=-0.211, P=0.027), and a significant positive correlation was found with NPC (r=0.224, P=0.019). Conclusions: NSBVD is prevalent in people aged 12 to 35 years in the optometry clinic. Age, gender and refractive status are not risk factors for NSBVD. However, several binocular vision measures are associated with the degree of myopia. With the increase in the degree of myopia, the distance fusional vergence ranges increase, the NPC recedes, and the CISS score increases.

Key words： optometry clinic non-strabismic binocular vision dysfunction vergence accommodation prevalence

Received: 01 December 2020

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Fund: Key Project of Health Commission of Sichuan Province (18ZD022); Key Project of Nanchong City and University Cooperation (18SXHZ0492); Nanchong City and University Cooperation Project (19SXHZ0069); Project of North Sichuan Medical College (CBY20-QA-Y25)

Corresponding Authors: Changjun Lan, Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College; Department of Ophthalmology & Optometry, North Sichuan Medical College, Nanchong 637000, China (Email: lanchangjun@sina.com)

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https://www.cjoovs.com/EN/10.3760/cma.j.cn115909-20201201-00461 OR https://www.cjoovs.com/EN/Y2021/V23/I5/362

[1]	Cacho-Martínez P, García-Muñoz Á, Teresa Ruiz-Cantero M. Do we really know the prevalence of accommodative and nonstrabismic binocular dysfunctions? J Optom, 2010, 3(4): 185- 197. DOI: 10.1016/s1888-4296(10)70028-5.
[2]	Hoseini-Yazdi SH, Yekta A, Nouri H, et al. Frequency of convergence and accommodative disorders in a clinical population of Mashhad, Iran. Strabismus, 2015, 23(1): 22-29. DOI: 10.3109/09273972.2014.1002622.
[3]	García-Muñoz Á, Carbonell-Bonete S, Cantó-Cerdán M, et al. Accommodative and binocular dysfunctions: Prevalence in a randomised sample of university students. Clin Exp Optom, 2016, 99(4): 313-321. DOI: 10.1111/cxo.12376.
[4]	Atiya A, Hussaindeen JR, Kasturirangan S, et al. Frequency of undetected binocular vision anomalies among ophthalmology trainees. J Optom, 2020, 13(3): 185-190. DOI: 10.1016/j.optom. 2020.01.003.
[5]	Scheiman M, Wick B. Clinical management of binocular vision: Heterophoric, accommodative and eye movement disorders, 4th edn. Philadelphia: Lippincott Williams & Wilkins, 2014.
[6]	Hussaindeen JR, Rakshit A, Singh NK, et al. Prevalence of nonstrabismic anomalies of binocular vision in Tamil Nadu: Report 2 of BAND study. Clin Exp Optom, 2017, 100(6): 642-648. DOI: 10.1111/cxo.12496.
[7]	Lara F, Cacho P, García A, et al. General binocular disorders: prevalence in a clinic populatio. Ophthalmic Physiol Opt, 2001, 21(1): 70-74. DOI: 10.1046/j.1475-1313.2001.00540.x.
[8]	Jang JU, Park IJ. Prevalence of general binocular dysfunctions among rural schoolchildren in South Korea. Taiwan J Ophthalmol, 2015, 5(4): 177-181. DOI: 10.1016/j.tjo.2015.07.005.
[9]	Darko-Takyi C, Owusu-Ansah A, Appiah-Eduenu C, et al. Refractive and binocular vision status of optometry students, Ghana. J Med Biomed Sci, 2016, 5(2): 24-29. DOI: 10.4314/ jmbs.v5i2.4.
[10]	K?í? P. Difficult Diagnosis of Non-strabismic Binocular and Accommodative Disorders. Cesk Slov Oftalmol, Wint, 72(6): 216-222.
[11]	Magdalene D, Dutta P, Choudhury M, et al. Clinical profile of nonstrabismic binocular vision anomalies in patients with asthenopia in North-East India. TNOA J Ophthalmic Sci Res, 2017, 55(3): 182-186. DOI:10.4103/tjosr.tjosr_36_17.
[12]	Casillas Casillas E, Rosenfield M. Comparison of subjective heterophoria testing with a phoropter and trial frame. Optom Vis Sci, 2006, 83(4): 237-241. DOI: 10.1097/01.opx.0000214316. 50270.24.
[13]	王锦义, 冯雪亮. 不同立体视觉检查方法的比较. 中华眼视光学与视觉科学杂志, 2019, 21(8): 602-607. DOI: 10.3760/cma. j.issn.1674-845X.2019.08.008.
[14]	Ma MM, Long W, She Z, et al. Convergence insufficiency in Chinese high school students. Clin Exp Optom, 2019, 102(2): 166-171. DOI: 10.1111/cxo.12838.
[15]	Darko-Takyi C, Khan NE, Nirghin U. A review of the classification of nonstrabismic binocular vision anomalies. Optometry Reports, 2016, 5: 5626. DOI: 10.4081/optometry. 2016.5626.
[16]	李静姣, 吴娅莉, 周华, 等. 不同程度近视青少年儿童双眼视功能的差异. 中华眼视光学与视觉科学杂志, 2016, 18(2): 111-114, 120. DOI: 10.3760/cma.j.issn.1674-845X.2016.02.011.
[17]	Ma MM, Yeo A, Scheiman M, et al. Vergence and accommodative dysfunctions in emmetropic and myopic Chinese young adults. J Ophthalmol, 2019, 2019: 5904903. DOI: 10.1155/2019/5904903.
[18]	Wajuihian SO. Is there any association between convergence insufficiency and refractive errors? Afr Vis Eye Health, 2017, 76(1): 1-7.
[19]	Davis AL, Harvey EM, Twelker JD, et al. Convergence insufficiency, accommodative insufficiency, visual symptoms, and astigmatism in Tohono O'odham students. J Ophthalmol, 2016, 2016: 6963976. DOI: 10.1155/2016/6963976.
[20]	Hassan LI, Ibrahim SM, Abdu M, et al. Prevalence of convergence insufficiency among secondary school students in Khartoum, Sudan. Oman J Ophthalmol, 2018, 11(2): 129-133. DOI: 10.4103/ojo.OJO_170_2017.
[21]	Atowa UC, Wajuihian SO, Hansraj R. Vergence profile and prevalance of non-strabismic vergence anomalies among school children in Abia State, Nigeria. Ophthalmic Epidemiol, 2019, 26(2): 121-131. DOI: 10.1080/09286586.2018.1532523.
[22]	Majumder C, Ling TC. Non-strabismic binocular vision anomalies among students of a Malaysian private university uses visual display unit. Int J Ophthalmol, 2020, 20(6): 940-945.
[23]	Trieu LH, Lavrich JB. Current concepts in convergence insufficiency. Curr Opin Ophthalmol, 2018, 29(5): 401-406. DOI: 10.1097/ICU.0000000000000502.
[24]	Suleiman A, Lithgow BJ, Anssari N, et al. Correlation between ocular and vestibular abnormalities and convergence insufficiency in post-concussion syndrome. Neuroophthalmology, 2020, 44(3): 157-167. DOI: 10.1080/01658107.2019.1653325.
[25]	Widmer DE, Oechslin TS, Limbachia C, et al. Post-therapy functional magnetic resonance imaging in adults with symptomatic convergence insufficiency. Optom Vis Sci, 2018, 95(6): 505-514. DOI: 10.1097/OPX.0000000000001221.

[1]	. [J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2023, 25(8): 0-.