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目的分析3~15岁屈光不正患儿的屈光不正特点及配镜处方。方法对223例(共423只眼)屈光不正且因视力降低需配镜的患儿给予阿托品眼膏或复方托吡卡胺眼水充分散瞳,对其屈光不正特点及配镜处方进行统计分析。结果 223例屈光不正配镜患儿中,自觉视力下降者99例,体检异常124例。配镜处方中,近视80只眼,占全部眼数的18.91%;远视25只眼,占全部眼数的5.91%;散光318只眼,占全部眼数的75.18%。散光318只眼中复性散光113只眼,占散光眼的35.53%;单纯性散光163只眼,占散光眼的51.26%;混合散光42只眼,占散光眼的13.21%。按照散光程度:轻度散光(≤1 D)93只眼,中度散光(13 D)53只眼。223例患儿中伴有斜视者20例,屈光参差者18例,弱视者88例。结论本次研究的屈光不正患儿,体检发现以散光多见,弱视患儿所占比重较高。
Objective To analyze the characteristics of refractive error and prescription of glasses in 3 ~ 15 years old children with refractive errors. Methods A total of 223 cases (423 eyes in total) with refractive errors and requiring visual acuity were given atropine ointment or compound tropicamide eyewash full of mydriasis, its refractive errors and prescription prescription Statistical Analysis. Results Among the 223 cases with refractive errors, there were 99 cases with decreased visual acuity and 124 cases with abnormal physical examination. Glasses prescription, 80 eyes of myopia, accounting for 18.91% of the total number of eyes; hyperopia 25 eyes, accounting for 5.91% of the total number of eyes; astigmatism 318 eyes, accounting for 75.18% of the total number of eyes. Astigmatism in 318 eyes with astigmatism in 113 eyes, accounting for 35.53% of astigmatism; 163 astigmatism astigmatism, accounting for 51.26% of astigmatism; mixed astigmatism 42 eyes, accounting for 13.21% of astigmatism. According to the degree of astigmatism: 93 eyes with mild astigmatism (≤1D), 90 eyes with moderate astigmatism (1≤D≤2), 82 eyes with severe astigmatism (2≤D≤3), high astigmatism (> 3D) 53 eyes. Totally, 223 children with strabismus were included in 20 cases, 18 eyes were in poor quality, and 88 in amblyopia. Conclusion This study of children with refractive errors, physical examination found astigmatism more common, amblyopia accounted for a higher proportion of children.