《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (10): 967-969.

• 论文 • 上一篇    下一篇

低视力儿童的屈光状态分析

朱文珲，周建华，林先轩，廖瑞端，方意昀，陈咏冲   

  1. 中山大学附属第一医院眼科，广东广州市510080
  • 收稿日期:2012-04-26 修回日期:2012-06-29 出版日期:2012-10-25 发布日期:2012-10-25
  • 通讯作者: 陈咏冲

Analysis of Refraction Status of Low Vision Children

ZHU Wen-hui, ZHOU Jian-hua, LIN Xian-xuan, et al   

  1. Department of Ophthalmology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, Guangdong, China
  • Received:2012-04-26 Revised:2012-06-29 Published:2012-10-25 Online:2012-10-25

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摘要： 目的了解4~14 岁低视力儿童的屈光状态。方法对228 例4~14 岁低视力患儿(376 眼)行睫状肌麻痹下视网膜检影验光。结果学龄前组中远视72 眼(53%)，近视56 眼(41.2%)，混合散光8 眼(5.9%)；学龄组中远视96 眼(40.0%)，近视132(55.0%)，混合散光12 眼(5.0%)。学龄前组远视发生率高于学龄组(P<0.05)，学龄组近视发生率高于学龄前组(P<0.05)。两组的屈光不正程度均以高度为主。经屈光及低视力助视器辅助下有27.4%的低视力患儿视力得到提高，裸眼视力较好儿童的视力提高人数较多(P<0.01)。结论低视力儿童屈光状态4~6 岁以远视为主，7~14 岁以近视为主。低视力儿童的屈光不正程度以高度为主，部分低视力儿童经屈光矫正后视力得到提高。

关键词: 低视力, 儿童, 屈光状态

Abstract: Objective To investigate the refraction status of low vision children aged 4~14 years old. Methods 228 children (376 eyes) with low vision aged 4~14 years old were recruited with retinoscopy optometry under ciliary muscles paralysis. Results 53% (72 eyes) of the preschool group had hyperopia, 41.2% (56 eyes) had myopia, and 6.0% (8 eyes) had mix astigmia. 40.0% (96 eyes) of the school-age group had hyperopia, 55.0% (132 eyes) had myopia, and 5.0% (12 eyes) had mix astigmia. The incidence of hyperopia was higher in the preschool group than in the school-age group (P<0.05). The majority of the refraction status in both groups were ranged in high level. After refraction correction and using visual aid device, 27.4% of the low vision children improved, and the number was higher in children who had better naked vision (P<0.01). Conclusion The refraction status of pre-school children with low vision is mainly hyperopia. For school-aged children, the refraction status shows a majority of myopia. The refraction errors of low vision children are mainly ranged in high level and partial low vision children improved after refraction correction

Key words: low vision, children, refraction status