成人近视患者100例医学验光分析

目的:观察18～25岁成人近视患者验光中屈光状态的变化。方法:将100例(200眼)成人近视患者进行4分医学验光,分析比较验光后结果与患者年龄、戴镜史、优势眼等因素之间的关系。结果:①散瞳前后及复验时患者平均等效球镜度(AESLD)分别为-(4.11±1.73)D,-(3.77±1.67)D和-(3.90±1.67)D,较散瞳前差异有统计学意义(P=0.024,P=0.039);②各年龄组(18～20)岁、(20～25)岁散瞳前AESLD分别是-(4.07±1.75)D、-(4.18±1.71)D,散瞳后为-(3.78±1.73)D、-(3.66±1.62)D,复查时为-(3.91±1.72)D、-(3.87±1.60)D。每组散瞳前后(P=0.025,P=0.045)及复查时(P=0.042,P=0.049)差异均有统计学意义;③有配镜史者散瞳前后AESLD分别为-(4.89±1.52)D和-(4.53±1.48)D(P=0.039),无配镜史者为-(2.63±0.99)D和-(2.38±0.97)D(P=0.045)。两组散瞳前后AESLD差异均有统计性意义;④优势眼多见于右眼。优势眼与近视度数有一定的相关性,且对度数的改变较为敏感。结论:对18～25岁的近视患者仍需进行医学验光,尤其对优势眼的精确验配会使患者更为舒适。

Analysis of medical optometry in 100 adults with myopes

Objective To observe the diopter changes in the adults aged 18～25 years with myopia.Method For 100 cases（200 eyes） were divided into 4 groups for medical optometry,then analyzed and compared the relationships between the optometry results,ages,history of spectacles and dominant eyes.Results ①The average equivalent spherical lenses diopter（AESLD） of the patients were-（4.11±1.73） D,-（3.77±1.67） D,-（3.90±1.67） D,respectively before mydriasis;after mydriasis and reinspection,which was showing significant difference when compared with that before mydriasis（P= 0.024,P= 0.039）;②The AESLD of each age group,18～20 years,20～25 years were-（4.07±1.75） D,-（4.18 ±1.71） D before mydriasis,-（3.78 ±1.73） D,-（3.66±1.62） D after mydriasis,-（3.91±1.72） D,-（3.87±1.60） D during reinspection respectively,which was showing significant difference when compared with that before and after mydriasis（P=0.025,P=0.045） as well as reinspection（P=0.042,P=0.049）;③The AESLD of the patients with a history of glasses were-（4.89±1.52） D and-（4.53±1.48） D,respectively before and after mydriasis（P=0.039）,which was showing statistically significant difference when compared with those without history of glasses-（2.63±0.99） D and-（2.38±0.97）D（P=0.045）;④Oculus dominans were more common in the right eye which was correlated with the degree of myopia.Furthermore,it was more sensitive to the changes of degree.Conclusion The myopia aged 18～25 years still need medical optometry,particularly they will feel more comfortable if through accurate optometry on dominant eye.