复方托吡卡胺滴眼液在青少年近视患者散瞳验光中的临床客观评价

目的:了解复方托吡卡胺滴眼液在青少年散瞳验光中麻痹睫状肌的临床效果,客观地对其评价以指导临床工作。方法:随机抽取2008-12/2009-02期间的40例80眼近视患者,年龄12～18岁,利用国产复方托吡卡胺滴眼液滴眼散瞳先后对其进行散瞳3次,45min以后,对其进行检影验光,并利用综合验光仪测定其残余调节量,7h以后进行复验及试戴评估,应用SPSS15.0统计软件对结果进行统计学分析。结果:残余调节量最大值+3.00D,最小值+0.25D,平均值+1.57±0.47D,残余调节量≤1.00D仅为6眼(8%),检影验光的结果与复验结果存在统计学差异(P<0.05)。结论:临床上对于青少年近视患者的屈光检查,复方托吡卡胺滴眼液是一种有效的睫状肌麻痹剂,但因注意到其麻痹睫状肌及放松调节的有限性,应灵活结合其他放松调节的方法获取最终的配镜处方。

Clinical objective evaluation of compound tropicamide eye drops in objective opto-metry of juvenile myopes

AIM:To investigate and evaluate the clinical effects of compound tropicamide eye drops in objective optometry of juvenile myopes.·METHODS:Forty myopes(80 eyes) aged 12 to 18 from December 2008 to February 2009 underwent mydriasis three times by compound tropicamide eye drops which was made in China. 45 minutes latter,the patients were examined eyesight,and residual accommodation was measured by synthetic eye refractometer.7 hours latter,reinspection and try-in evaluation were performed,and the results were analyzed by SPSS 15.0.·RESULTS:The average residual accommodations measured at that time were +1.57±0.47D,and less than or equal to 1.00D of the residual accommodations was only in 6 eyes(8%) . There were differences between opto-metry results and reinspection results(P<0.05) .·CONCLUSION:Compound tropicamide eye drops is an efective cycloplegic agent in juvenile myope refractive examinations.But it should be combined with other adjustment methods to get the ultimate eyeglasses pres-cription because of its limited regulating and paralysis ability.