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Comparison of clinical outcome of small-incision lenticule intrastromal keratoplasty and FS-LASIK for correction of moderate and high hyperopia 认领 引用 被引量：6
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作者 Li Zhang Yue-Hua Zhou +2 位作者 Chang-Bin Zhai Jing Zhang Yan Zheng 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第5期780-785,共6页
AIM:To compare the clinical outcome of small-incision lenticule intrastromal keratoplasty(s LIKE)and femtosecond laser-assisted in situ keratomileusis(FS-LASIK)for correction of moderate and high hyperopia.METHODS:A c... AIM:To compare the clinical outcome of small-incision lenticule intrastromal keratoplasty(s LIKE)and femtosecond laser-assisted in situ keratomileusis(FS-LASIK)for correction of moderate and high hyperopia.METHODS:A case-controlled clinical study was performed.Twenty right eyes of 20 moderate and high hyperopia patients underwent s LIKE(s LIKE group)and 22 right eyes of 22 moderate and high hyperopia patients underwent FS-LASIK(FS-LASIK group)were enrolled in this study from October 2015 to October 2017.Visual acuity,refractive error,corneal thickness,and keratometry were compared between the groups before and 1 y postoperatively.RESULTS:The postoperative uncorrected near visual acuity(UNVA)and uncorrected distance visual acuity(UDVA)were improved in the two groups.The UNVA reached J1 in 15 eyes(75.0%)in the s LIKE group and 5 eyes(22.7%)in the FS-LASIK group 1 y after surgery(χ2=11.476,P=0.001).The UDVA was equal or better than the preoperative CDVA in 16 eyes(80.0%)in the s LIKE group and 8 eyes(36.4%)in the FS-LASIK group,respectively(X2=8.145,P=0.004).No eyes lost any line of best-corrected visual acuity(BCVA)in either group.The amount of postoperative residual hyperopia in the s LIKE group was significantly less than in the FS-LASIK group(Z=-2.841,P=0.004).The postoperative keratometry and corneal thickness were significantly higher in the s LIKE group than in the FS-LASIK group(t=4.411,10.279,P<0.001).The SRI and SAI of the s LIKE group were significantly higher than that in the FS-LASIK group.There was no statistically significant difference in mean decentration between the two groups.CONCLUSION:s LIKE has better visual and refractive outcome than FS-LASIK for correction of moderate and high hyperopia. 展开更多
关键词 hyperopia small-incision lenticule intrastromal keratoplasty laser in situ keratomileusis femtosecond laser
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Long-term results of clear lens extraction combined with piggyback intraocular lens implantation to correct high hyperopia 认领 引用 被引量：2
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作者 Xia Hua Xiao-Yong Yuan +1 位作者 Hui Song Xin Tang 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2013年第5期650-655,共6页
AIM:To assess the refractive outcome of clear lensectomy combined with piggyback intraocular lens implantation in highly hyperopic patients.METHODS:This case review included 19 eyes of 10 patients with high hyperopia ... AIM:To assess the refractive outcome of clear lensectomy combined with piggyback intraocular lens implantation in highly hyperopic patients.METHODS:This case review included 19 eyes of 10 patients with high hyperopia and axial length less than 21mm.Intraocular lens power was calculated for emmetropia using the Holladay II formula in 17 eyes,and SRK/T formula in 2 eyes following clear lens extraction and piggyback intraocular lens implantation.Patients were examined periodically over 24 months for visual acuity and spherical equivalent(SE).RESULTS:The mean postoperative SE at 24 months was 0.20±1.39D(range,-3.00 to 2.50D),better than preoperative 9.81±2.62D(range,+6.00 to +14.50D)(P【0.001).Five eyes had SE within±0.5D of emmetropia and 11 eyes within±1.00D at postoperative 24 months.The mean postoperative uncorrected visual acuity(UCVA) at 24 months was 0.60±0.36,significantly improved compared to preoperative 1.39±0.33(P【0.001).The mean best-corrected visual acuity(BCVA) at 24 months was 0.49±0.35,not statistically different compared to preoperative 0.38±0.30(P=0.34).Twelve eyes maintained and 1 gained 1 or more Snellen line of BCVA,4 eyes lost 1 line,and 2 eyes lost 2 lines at 24 postoperative months.Twelve eyes best-corrected near visual acuity (BCNVA) achieved J1 at postoperative 24 months compared to preoperative 7 eyes and the other 7 eyes better than J3.CONCLUSION:Clearlensextractioncombinedpiggyback intraocular lens implantation appears to be an effective procedure to correct high hyperopia but mild overcorrection and intralenticular opacification may require secondary procedure. 展开更多
关键词 piggyback intraocular lens high hyperopia
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Conductive keratoplasty: an approach for the correction of residual hyperopia in post-lasik pseudophakia 认领 引用
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作者 Pan-Pan Ye Wen Xu +4 位作者 He-Sheng Xu Zhao-Chun Li Jun-Ting Shi Feng-Ying He and Ke Yao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2012年第5期630-633,共4页
Although there are many formulae for the calculation of intraocular lens power in the eyes with previous kerato-refractive surgeries, unexpected refractive bias still exists. Hyperopic bias is particularly disliked be... Although there are many formulae for the calculation of intraocular lens power in the eyes with previous kerato-refractive surgeries, unexpected refractive bias still exists. Hyperopic bias is particularly disliked because it affects both uncorrected distance and near visual acuity. Surgical treatment of the residual hyperopia for the eyes with both laser in situ keratomileusis and cataract surgery remains to be a big problem. Conductive keratoplasty has been shown to be an effective, safe and predictable method for low and moderate hyperopia in the pseudophakic eyes or in the eyes with kerato-refractive surgeries. However, the efficacy and safety of conductive keratoplasty in the correction of residual hyperopia after both corneal and lens refractive surgeries has not been reported. Herein, we reported the surgical correction with conductive keratoplasty for cases of residual hyperopia with/without astigmatism after previous laser in situ keratomileusis for high myopia and following phacoemulsification combined with posterior intraocular lens implantation for complicated cataract. 展开更多
关键词 conductive keratoplasty hyperopia laser in situ keratomileusis pseudophakia
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Correction of extreme hyperopia: artisan iris-fixated intraocular lens implantation for pseudophakia after clear lens extraction 认领 引用
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作者 Wen Xu Pan-Pan Ye +4 位作者 Ke Yao Zhao-Chun Li Feng-Ying He Jun-Ting Shi and Jun Liu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2011年第4期454-457,共4页
A 22-year-old patient suffering from both-side extreme hyperopia with amblyopia was corrected with an Artisan iris-fixated intraocular lens (IOL) implantation followed to clear lens extraction (CLE) with posterior cha... A 22-year-old patient suffering from both-side extreme hyperopia with amblyopia was corrected with an Artisan iris-fixated intraocular lens (IOL) implantation followed to clear lens extraction (CLE) with posterior chamber (PC)-IOL implantation. The preoperative refraction values were +17.75DS -1.50DC × 168° for the right eye and +17.25DS -0.75DC × 8° for the left eye. The uncorrected visual acuity (UCVA) was 20/200 bilaterally and the spectacle-corrected visual acuity (BSCVA) was 20/50 bilaterally. One year after Artisan iris-fixated IOL implantation, bilateral BSCVA was 20/50 with a refraction of +1.25DS -0.75DC × 13° for the right eye and +1.50DS -1.00DC × 55° for the left eye. The outcomes of an Artisan iris-fixated IOL implantation followed to CLE with PC-IOL implantation were encouraging for the correction of extreme hyperopia. Long term follow-up examinations were necessary for further determination of the efficacy and safety of this combinational procedure. 展开更多
关键词 hyperopia clear lens extraction iris-fixated intraocular lens
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Relation between preoperative hyperopia and surgical outcome in infantile esotropia 认领 引用 被引量：1
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作者 Haeng Jin Lee Jeong-Ah Kim +1 位作者 Seong-Joon Kim Young Suk Yu 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2018年第12期1963-1967,共5页
AIM: To evaluate the relation between preoperative hyperopia and surgical outcomes of infantile esotropia in patients younger than 24 months of age.METHODS: Medical records of patients who underwent bilateral medial r... AIM: To evaluate the relation between preoperative hyperopia and surgical outcomes of infantile esotropia in patients younger than 24 months of age.METHODS: Medical records of patients who underwent bilateral medial rectus muscle recession for infantile esotropia between November 1, 2002 and December 1, 2011 were retrospectively reviewed. Patients were divided into two groups according to the degree of preoperative hyperopia. Group I had less than +3.0 diopter(D) of hyperopia and group II had between +3.0 and +5.0 D of hyperopia. Postoperative alignments were evaluated 1 wk, 3, 6 mo, and 1 y after surgery. Following the 1-year postoperative visit, patients were monitored yearly. Relationships between preoperative factors including hyperopia and postoperative outcomes were evaluated. RESULTS: Forty-six patients were included, with 33 patients in group I and 13 patients in group II. The preoperative mean refractive error was +0.88 D in group I and +3.45 D in group II. Surgical outcomes were not significantly different between groups at any postoperative time point examined. Cumulative probability of surgical success, prevalence of inferior oblique overaction, dissociated vertical deviation, and re-operation rate were not significantly different between groups.CONCLUSION: Preoperative moderate hyperopia(less than +5.0 D) did not affect the surgical outcome of infantile esotropia. Therefore, the surgical correction of esotropia should be considered when the angle of esodeviation is unchanged following hyperopia correction, even in children with moderate hyperopia. 展开更多
关键词 infantile esotropia hyperopia medial rectus muscle recession
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Management of Exotropia Associated with Hyperopia in Children 认领 引用
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作者 Alassane Ba Aly Mbara Ka +8 位作者 El Hadji Malick Sy Aïssatou Aw Jean Pierre Diagne Soda Mbaye Serigne Souhaibou Gaye Ousmane Ndiaga Senghor Hawo Madina Diallo Audrey Samra Papa Amadou Ndiaye 《Open Journal of Ophthalmology》 2024年第4期405-411,共7页
Introduction: exotropia is a deviation outside the visual axes. In children, an association with ametropia is often observed, however, that with hyperopia is rare. The objective of this study was to highlight the part... Introduction: exotropia is a deviation outside the visual axes. In children, an association with ametropia is often observed, however, that with hyperopia is rare. The objective of this study was to highlight the particularities of the management of exotropia associated with hyperopia in children. Subjects and Methods: this was a retrospective study over 78 months including all children aged 0 to 15 years, treated for exotropia associated with hyperopia. Results: we found 20 cases of exotropia with hyperopia, or 57.15% of exotropia. The mean age was 4.3 years and the sex ratio was 0.82. Hyperopia was mild in 30 eyes (75%), moderate in 9 eyes (22.5%) and high in 2.5% of eyes. Over a one-year follow-up, 10 children (50%) had regular follow-up, including 6 with full hyperopic correction and 4 with partial hyperopic correction. After full hyperopic correction, one child had a resolution of his exotropia;2 had a decrease in the angle of deviation and 3 had no improvement of their exotropia. Among the 4 with partial hyperopic correction children, 2 had a resolution of their exotropia. Strabismus surgery was planned in 3 children after iso-acuity. Conclusion: the association of exotropia and hyperopia poses a management problem. The total correction or not of hyperopia is discussed according to several authors. 展开更多
关键词 Exotropia Hyperopia Spectacle Correction
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ONE YEAR RESULTS OF LASER IN SITU KERATOMILEUSIS FOR CORRECTION OF HYPEROPIA 认领 引用
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作者 廉井财 叶纹 +1 位作者 周德佑 王康孙 《Journal of Shanghai Second Medical University(Foreign Language Edition)》 2001年第2期80-84,共5页
Objective: To evaluate the effectiveness, predictability and city of laser in situ keratomileusis (LASIK) for correction of hyperopia. Methods 54 eyes of 35 patients with hyperopia ranging from+1.00 to + 6. 00 diopter... Objective: To evaluate the effectiveness, predictability and city of laser in situ keratomileusis (LASIK) for correction of hyperopia. Methods 54 eyes of 35 patients with hyperopia ranging from+1.00 to + 6. 00 diopter(D) received a one-pass, multizone scanning excimer laser ablations using the Chiron Technolas Keracor 11 7C excimer laser and System ALK automated corneal shaper H-230.Data on uncorrected and hot corrected visual acuity, predictability, stability of refraction, and complications were analyzed. The average follow-up was 12 months. Results At 12 months, the average residual refraction was(+ 0. 29 ±0. 78)D. 45 eyes (83.3% ) were in the range of ±1. OD and 33 eyes(61. 1% ) were within the range of ± 0. 5D. 50 eyes (92. 6% ) had uncorrected visual acuity of 20/40 or better and 34 eyes (63. 0% ) had 20/20 or better. 1 eyes (1. 9% ) lost 2 line of the best-corrected visual acuity and 2 eyes (3. 7% ) gained 2 lines or more. 2 eyes (3. 7%) had complaint of halos and 1 eyes (1. 9% ) had glare at 12 months. Conclusion LASIK can he used to treat hyperopia from + 1. 0D to + 6. 0D with good predictability and city. Primary and second hyperopia should he treated with different nomogram. some modification of the surgical algorithms and laser nomogram will help to improve predictability and stability of outcome. 展开更多
关键词 excimer laser hyperopia in situ keratomileusis
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The Effect of Rehabilitation Training on the Refractive Structure of Children with High Hyperopia and Amblyopia 认领 引用
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作者 SHILi 《外文科技期刊数据库（文摘版）医药卫生》 2022年第4期206-209,共4页
Objective: to study the effect of rehabilitation training on the refractive structure of children with high hyperopia and amblyopia. Method: a total of 108 children with high hyperopia and amblyopia who were admitted ... Objective: to study the effect of rehabilitation training on the refractive structure of children with high hyperopia and amblyopia. Method: a total of 108 children with high hyperopia and amblyopia who were admitted to our hospital from September 2019 to September 2021 were selected and divided into a control group and an observation group, with 54 children in each group. The control group was treated with routine glasses, and the observation group was treated with glasses rehabilitation training). The refractive structures of the two groups of patients before and after treatment were compared. Result: before treatment, the refractive structures of the two groups of children were the same as each index, and the difference was not statistically significant (P＞0.05), higher than those in the control group (3.91±0.28) and (20.70±0.85), and the difference was statistically significant (P＞0.05). Conclusion: in the clinical diagnosis of children with high myopia and amblyopia, the use of conventional glasses (covering those with anisometropia) combined with professional rehabilitation training methods can promote the improvement of childrens refractive structure and improve their visual acuity, effectively correct hyperopia and improve amblyopia. 展开更多
关键词 rehabilitation training high hyperopia amblyopia refractive structure
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Twelve‑month outcomes of single‑step transepithelial photorefractive keratectomy for moderate hyperopia and hyperopic astigmatism 认领 引用 被引量：1
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作者 Mahmoud Abdel‑Radi Mahmoud Rateb +1 位作者 Mohamed G.A.Saleh Mohamed Omar M.Aly 《Eye and Vision》 SCIE CSCD 2025年第1期13-21,共9页
Background Conventional mechanical or alcohol-assisted photorefractive keratectomy(PRK)techniques for cor‑rection of hyperopia and hyperopic astigmatism were associated with inconsistent results.The aim of this study ... Background Conventional mechanical or alcohol-assisted photorefractive keratectomy(PRK)techniques for cor‑rection of hyperopia and hyperopic astigmatism were associated with inconsistent results.The aim of this study is to evaluate the 12-month visual and refractive outcomes of the relatively new single-step transepithelial photorefractive keratectomy(TE-PRK)for moderate hyperopia and hyperopic astigmatism.Methods This is a prospective interventional study.Forty-eight eyes of 30 patients with moderate hyperopia or hyperopic astigmatism with a cycloplegic spherical equivalent refraction(SEQ)between 2.0 and 4.5 diopters(D)underwent single-step StreamLight®TE-PRK using EX500 excimer laser(Alcon Laboratories,USA).The main outcome measures were recorded at 6 and 12 months postoperatively including assessment of logarithm of the minimum angle resolution(logMAR)uncorrected and corrected distance visual acuity(UDVA,CDVA),cycloplegic refraction,corneal topographic changes as well as post-PRK peripheral haze grading.Results The mean preoperative cycloplegic SEQ was signifcantly reduced from 3.21±0.61 D to 0.35±0.04 D and 0.41±0.04 D at 6 and 12 months,respectively(P<0.001).The mean preoperative UDVA signifcantly improved from 0.53±0.02 logMAR to 0.07±0.01 logMAR and 0.08±0.01 logMAR at 6 and 12 months,respectively(P<0.001)while the mean preoperative logMAR CDVA showed non-signifcant change over time throughout the study(P=0.135).At the end of the study,41 eyes(85.4%)achieved UDVA of 20/25 or better and no eye lost any lines of CDVA.Thirty-eight eyes(79.1%)had a postoperative cycloplegic cylinder of 0.5 D or less at 12 months.The mean preoperative mean keratometry showed signifcant increase at 6 and 12 months postoperatively(P<0.001)while there was no signifcant change between the two postoperative visits denoting topographic stability(P=0.058).The mean postoperative Q value at 6 and 12 months showed a signifcant prolate shift(P<0.001).No haze was observed in 62.5%and 85.4%of the enrolled eyes at 6 and 12 months,respectively.Conclusions Single-step StreamLight®TE-PRK for moderate hyperopia and hyperopic astigmatism achieved acceptable visual and refractive outcomes. 展开更多
关键词 Single-step PRK StreamLight PRK Hyperopia Hyperopic astigmatism Hyperopic PRK
Visual and refractive outcomes after implantation of two models of trifocal intraocular lenses in eyes with previous corneal ablation to treat hyperopia 认领 引用
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作者 Fernando Mayordomo-Cerdá Julio Ortega-Usobiaga +4 位作者 Julio Baviera-Sabater Rafael Bilbao-Calabuig Fernando Llovet-Osuna Vasyl Druchkiv Rosario Cobo-Soriano 《Eye and Vision》 SCIE CSCD 2025年第6期14-23,共10页
Background To assess whether a trifocal intraocular lens(IOL)with neutral spherical aberration(SA)provides better visual and refractive outcomes than a trifocal IOL with negative SA after hyperopic corneal laser ablat... Background To assess whether a trifocal intraocular lens(IOL)with neutral spherical aberration(SA)provides better visual and refractive outcomes than a trifocal IOL with negative SA after hyperopic corneal laser ablation.Methods This is a retrospective comparative study.Patients were classified according to the IOL implanted after cataract or clear lens phacoemulsification[Group 1,PhyslOL FineVision Pod-F(negative SA);Group 2,Rayner RayOne Trifocal(neutral SA)].We evaluated uncorrected distance visual acuity(UDVA),corrected distance visual acuity(CDVA)uncorrected intermediate visual acuity(UlVA),uncorrected near visual acuity(UNVA),predictability,safety,efficacy,and satisfaction.Results 198 eyes of 119 patients met the inclusion criteria.Group 1 comprised 120 eyes and Group 2 comprised 78 eyes.At completion,the refractive and predictability results were significantly better in Group 1 than in Group 2 for manifest refraction spherical equivalent(MRSE)(P0.05,all items).Conclusion In eyes previously treated with hyperopic corneal ablation,implantation of a trifocal IOL with neutral SA provided bettereffi cacy and safety outcomes but worse predictability outcomes than those obtained with a trifocal model with negative SA. 展开更多
关键词 Trifocal intraocular lens Laser corneal ablation Hyperopia Spherical aberrations
Influence of light on myopia一a review 认领 引用
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作者 Jia-Yan Bao Yu-Tong Zhang +1 位作者 An-Min Liu Jing-Yan Yao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2026年第5期995-1002,共8页
In China,the high incidence rate of myopia has become an important factor affecting children’s visual health.In the contemporary social environment,prolonged use of electronic products and reduced outdoor activities ... In China,the high incidence rate of myopia has become an important factor affecting children’s visual health.In the contemporary social environment,prolonged use of electronic products and reduced outdoor activities have become important causes of the development of myopia in children,which reflects the significant influence of light on myopia.This review was performed by searching PubMed data sets including research articles and reviews utilizing the terms“light”,“myopia”,and“hyperopia reserve”,and the review was concluded in October 2024.This article analyzes the impact of light on myopia,including light intensity,light wavelength,light frequency,light distribution,light rhythm,exposure time,and the impact of light exposure on hyperopia reserve,in order to provide new ideas for the prevention,control,and treatment of myopia,and to provide theoretical support for the development of more scientific and effective intervention measures. 展开更多
关键词 myopia light exposure time hyperopia reserve
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远视性屈光参差性弱视患者黄斑区视网膜和脉络膜血管及结构特征分析 认领 引用 被引量：1
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作者 王鸽 靳雨佳 +2 位作者 庆惠玲 吕天斌 王冬冬 《中华实验眼科杂志（中英文）》 CAS CSCD 北大核心 2026年第4期353-360,共8页
目的采用扫频源光学相干断层扫描血管成像(SS-OCTA)技术对远视性屈光参差性弱视患者的黄斑区视网膜和脉络膜血管及结构参数进行定量分析。方法采用自身对照研究,纳入2022年1月至2023年6月于河南省立眼科医院确诊的远视性屈光参差性弱视... 目的采用扫频源光学相干断层扫描血管成像(SS-OCTA)技术对远视性屈光参差性弱视患者的黄斑区视网膜和脉络膜血管及结构参数进行定量分析。方法采用自身对照研究,纳入2022年1月至2023年6月于河南省立眼科医院确诊的远视性屈光参差性弱视患者60例120眼,其中60只远视性弱视眼为远视性弱视组,60只对侧眼为对照。为深入探究不同远视度数及弱视严重程度对黄斑区视网膜和脉络膜血管及结构参数的影响,进一步将远视性屈光参差性弱视分为轻中度远视性弱视组28眼和重度远视性弱视组32眼。采用SS-OCTA测量受试眼黄斑区视网膜和脉络膜血管及结构参数,包括浅层血管网密度(SCPVD)、深层血管网密度(DCPVD)、脉络膜厚度(ChT)、脉络膜血管容积(CVV)、脉络膜血管指数(CVI)及黄斑中心凹无血管区(FAZ)面积。结果远视性弱视组黄斑区整体SCPVD、DCPVD、CVV、ChT均高于对侧眼组,CVI低于对侧眼组,差异均有统计学意义(t=8.439、7.008、14.068、29.857、-29.943,均P0.05)。重度远视性弱视组整体SCPVD、DCPVD、ChT均高于轻中度远视性弱视组,CVI低于轻中度远视性弱视组,差异均有统计学意义(t=2.213、2.166、6.115、-2.076,均P<0.05)。重度远视性弱视组外环颞侧、外环下方SCPVD、DCPVD均高于轻中度远视性弱视组,差异均有统计学意义(SCPVD:t=2.051、2.045,均P<0.05;DCPVD:t=2.212、2.264,均P<0.05)。重度远视性弱视组内环鼻侧、内环颞侧、内环下方、外环颞侧、外环下方ChT均高于轻中度远视性弱视组,差异均有统计学意义(t=2.124、2.902、3.081、2.562、2.641,均P<0.05)。结论远视性屈光参差性弱视患者弱视眼与对侧眼相比,存在黄斑区视网膜和脉络膜血管及结构异常,主要表现为血管密度和血管容积增加、ChT增厚,CVI减小,且异常程度与远视性屈光参差性弱视的严重程度有关。 展开更多
关键词 屈光参差,弱视 远视 扫频源光学相干断层扫描血管成像 黄斑区血管网密度 脉络膜厚度 脉络膜血管指数 脉络膜血管容积
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上海市杨浦区2022—2024年6~9岁学龄儿童屈光状态分析 认领 引用
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作者 朱希倩 王佳 +5 位作者 孙祖贤 冯建秀 张梦佳 赵颖 王宏 姜敏敏 《山东大学耳鼻喉眼学报》 CAS 2026年第3期102-109,共8页
目的了解上海市杨浦区2022—2024年6~9岁学龄儿童屈光状态变化特点,分析新发近视的影响因素,为相关部门精准开展近视防控提供科学依据。方法从上海市杨浦区北部、中部和南部地区各随机抽取一所小学,以3所小学2022年9月一至三年级全体学... 目的了解上海市杨浦区2022—2024年6~9岁学龄儿童屈光状态变化特点,分析新发近视的影响因素,为相关部门精准开展近视防控提供科学依据。方法从上海市杨浦区北部、中部和南部地区各随机抽取一所小学,以3所小学2022年9月一至三年级全体学生为研究对象,收集其2022—2024年屈光检查数据。屈光检查包括裸眼远视力检查、非睫状肌麻痹下电脑验光及眼轴长度(axial length,AL)测量。采用Kolmogorov-Smirnov法检验计量资料的正态性;计数资料以频数描述,组间比较采用χ2检验;采用广义估计方程分析重复测量资料的组间差异及新发近视的影响因素。结果等效球镜(spherical equivalent,SE)和AL在各随访时期及各基线年龄组的差异均有统计学意义(P<0.05)。不同时期各年龄组间远视、近视前期及近视检出率差异均有统计学意义(P<0.05)。女生(OR=1.608,95%CI:1.218~2.124)、近视前期(OR=4.447,95%CI:2.513~7.871)及基线眼轴长度(OR=1.505,95%CI:1.225~1.850)是新发近视的独立危险因素(P<0.01)。结论上海市杨浦区6~9岁学龄儿童近视率较高,远视储备不足问题突出。应前移防控关口,加强学龄前儿童屈光监测,并对近视前期儿童实施积极干预。 展开更多
关键词 学龄儿童 屈光状态 远视储备 近视前期 近视
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4~6岁儿童远视储备不足现状及影响因素分析 认领 引用
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作者 徐玲红 陈星蔚 《妇儿健康导刊》 2026年第6期177-180,共4页
目的分析4~6岁儿童远视储备不足现状及影响因素。方法采用简单随机抽样法选取2023年1月至2025年1月在临海市妇幼保健院眼科就诊的1000名4~6岁体检儿童进行屈光筛查及问卷调查,分析4~6岁儿童远视储备不足现状及影响因素。结果1000名儿童... 目的分析4~6岁儿童远视储备不足现状及影响因素。方法采用简单随机抽样法选取2023年1月至2025年1月在临海市妇幼保健院眼科就诊的1000名4~6岁体检儿童进行屈光筛查及问卷调查,分析4~6岁儿童远视储备不足现状及影响因素。结果1000名儿童中,回收有效问卷975份(有效率97.5%),远视储备不足检出率为44.0%(429/975)。远视储备不足组年龄、不良用眼姿势、用眼距离、父母屈光异常、每日近距离用眼时长≥2 h、每日户外活动时间<1 h、睡眠时间<8 h、睡眠环境过亮均高于远视储备正常组(P<0.05)。多因素分析结果显示,不良用眼姿势、年龄增长、父母屈光异常、每日近距离用眼时长≥2 h、每日户外活动时间<1 h、睡眠时间<8 h、睡眠环境过亮是4~6岁儿童远视储备不足的独立危险因素(P<0.05)。结论4~6岁儿童远视储备不足现象较普遍,其影响因素主要包括不良用眼姿势、年龄增长、父母屈光异常、每日近距离用眼时长≥2 h、每日户外活动时间<1 h、睡眠时间<8 h、睡眠环境过亮。 展开更多
关键词 学龄前儿童 远视储备 屈光筛查 影响因素 近视预防
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学龄前期儿童远视储备不足现状及影响因素分析 认领 引用 被引量：3
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作者 胡晓芳 韩燕 +3 位作者 张敏 侯佳璐 王巧倩 罗艳艳 《国际眼科杂志》 CAS 2025年第6期1026-1032,共7页
目的:分析山西省长治市学龄前期儿童远视储备不足现状及影响因素,为本区域学龄前儿童近视防控工作提供参考依据。方法:分层整群随机抽样。选取2024年1月至2024年5月长治市29所托幼机构2854例5708眼学龄前期儿童作为调查对象,进行远视储... 目的:分析山西省长治市学龄前期儿童远视储备不足现状及影响因素,为本区域学龄前儿童近视防控工作提供参考依据。方法:分层整群随机抽样。选取2024年1月至2024年5月长治市29所托幼机构2854例5708眼学龄前期儿童作为调查对象,进行远视储备检测及问卷调查,剔除34例(哭闹不配合32例;儿童不能集中精力配合检测导致反复测量无法读取数值的剔除2例),最终共纳入2820例5640眼。采用单因素分析和多因素Logistic回归分析远视储备不足影响因素。结果:共检出远视储备不足580例,远视储备不足发生率20.57%。Logistic回归分析结果显示,男性(OR=1.723,95%CI:1.419-2.093)、母亲近视(OR=2.210,95%CI:1.681-2.906)、父亲近视(OR=1.426,95%CI:1.059-1.921)、父母均有近视(OR=2.761,95%CI:2.110-3.612)、早产儿(OR=1.740,95%CI:1.294-2.342)、平均每天睡眠时长<10 h(OR=1.272,95%CI:1.024-1.579)、平均每天户外活动时间<2 h(OR=1.222,95%CI:1.005-1.485)是学龄前期儿童远视储备不足的危险因素(均P<0.05)。睡眠环境白天用窗帘遮黑,晚上关灯(OR=0.598,95%CI:0.405-0.883)是学龄前期儿童远视储备不足的保护因素(P<0.05)。结论:性别、遗传、胎龄、睡眠时长与环境、户外活动时长均与学龄前儿童远视储备不足具有潜在关联,护理人员应该重视危险因素的防控,以预防近视发生。 展开更多
关键词 学龄前期儿童 远视储备不足 现状 影响因素 横断面研究
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从证据到实践:有效预防儿童青少年近视的关键要素 认领 引用 被引量：3
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作者 何鲜桂 《中华实验眼科杂志（中英文）》 CAS CSCD 北大核心 2025年第4期301-307,共7页
儿童青少年近视防控目前已成为我国健康战略任务,预防近视发生、降低青少年近视患病率是重要目标。当前亟待推行防控并重、前移预防关口和聚焦重点人群策略。如何精准评估个体风险、匹配差异化预防需求、优化群体和个体预防技术方案实... 儿童青少年近视防控目前已成为我国健康战略任务,预防近视发生、降低青少年近视患病率是重要目标。当前亟待推行防控并重、前移预防关口和聚焦重点人群策略。如何精准评估个体风险、匹配差异化预防需求、优化群体和个体预防技术方案实现资源利用最大化等,仍是提高近视预防效果和效率亟待解决的关键问题。本文基于当前循证证据,针对预防青少年近视的关键要素进行论述,包括通过评估个体远视储备水平和抓住近视前期,早期识别高风险人群;探索简便易行的远视储备测量与屈光分类方法;结合遗传、环境和行为等多维参数,建立和优化风险预测模型工具;针对不同年龄段、风险水平制定个性化防控策略,在个体和群体水平合理、综合选择户外活动、光学干预或药物干预等明确有效手段。以期为探索近视预防的研究方向、促进个性精准近视防控实践和加快下降儿童青少年近视患病率提供参考。 展开更多
关键词 近视 儿童 青少年 预防 远视储备 个性化干预
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新疆和田县4-14岁学生睫状肌麻痹后远视储备与眼部生物学参数相关性研究 认领 引用
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作者 李宁 王雁 +5 位作者 杨磊 卜倩 阿依努·努拉厚 李小龙 赵勇 高云仙 《国际眼科杂志》 CAS 2025年第8期1371-1376,共6页
目的:探讨新疆和田县4-14岁维吾尔族学生远视储备现状与眼部生物学参数的关系,为近视预防提供科学依据。方法:采用分层随机整群抽样法选取2023年9月1日至2023年10月31日和田县6所学校的学生3264名3264眼,进行裸眼远视力、睫状肌麻痹后... 目的:探讨新疆和田县4-14岁维吾尔族学生远视储备现状与眼部生物学参数的关系,为近视预防提供科学依据。方法:采用分层随机整群抽样法选取2023年9月1日至2023年10月31日和田县6所学校的学生3264名3264眼,进行裸眼远视力、睫状肌麻痹后电脑验光及眼部生物学测量。通过多元线性回归分析非近视学生等效球镜度(SE)与眼部生物学参数的相关性。结果:最终纳入1998名1998眼非近视学生,其中1354人远视储备不足,检出率为67.77%。远视储备不足的检出率随着年龄增大而降低,从4岁的94.12%降至14岁的18.13%(P<0.001)。多元线性回归分析显示,远视储备充足组中,年龄、性别、裸眼远视力、眼轴(AL)和平均角膜曲率(K)共同解释了66.5%的SE变异;而远视储备不足组中,这些因素仅解释了28.0%的SE变异。结论:新疆4-14岁维吾尔族非近视学生中,远视储备不足的检出率为67.77%。在远视储备不足的群体中,年龄、性别、AL和平均K值仅能解释少部分的SE变异,表明该人群屈光状态可能受到更多复杂因素的影响。 展开更多
关键词 远视储备 眼部生物学参数 学生 少数民族 流行病调查
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学龄前儿童体质量指数与可疑远视储备不足的关联 认领 引用
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作者 雷军 周小燕 +1 位作者 何建勇 刘丽芳 《中国儿童保健杂志》 CAS CSCD 北大核心 2025年第10期1151-1155,共5页
目的分析学龄前儿童体质量指数(BMI)与可疑远视储备不足之间的关联,为制定儿童近视防控措施提供依据。方法于2024年5—6月,采用随机整群抽样的方法,抽取丽水城区23所幼儿园,对3353名儿童进行体格检查以及眼屈光筛查,按《0~6岁儿童眼保... 目的分析学龄前儿童体质量指数(BMI)与可疑远视储备不足之间的关联,为制定儿童近视防控措施提供依据。方法于2024年5—6月,采用随机整群抽样的方法,抽取丽水城区23所幼儿园,对3353名儿童进行体格检查以及眼屈光筛查,按《0~6岁儿童眼保健及视力检查工作规范(试行)》进行评估,分析不同BMI与学龄前儿童可疑远视储备不足的关联。结果3353名儿童中,检出可疑远视储备不足620人,检出率18.49%,男童可疑远视储备不足检出率(19.94%,352/1765)高于女童(16.88%,268/1588)差异有统计学意义(χ2=5.216,P=0.022),男女童BMI分布情况差异无统计学意义(P>0.05)。消瘦组、正常体重组、超重组和肥胖组四组儿童平均远视储备分别为+1.26±0.43D、+1.26±0.75D、+1.18±0.48D、+1.17±0.74D,差异有统计学意义(F=2.922 P=0.033);组间两两多重比较显示,正常体重组儿童远视储备均值高于超重组和肥胖组,差异具有统计学意义(P<0.001)。可疑远视储备不足组儿童的平均体重和BMI大于远视储备正常儿童(F=5.812,4.519,P<0.05);肥胖儿童可疑远视储备不足检出85人,检出率为22.49%,高于体重消瘦、正常、超重组儿童的检出率,差异有统计学意义(H=7.916,P=0.048);肥胖男童可疑远视储备不足检出60人,检出率30.15%,高于肥胖女童可疑远视储备不足的检出率(χ2=14.161,P=0.001)。结论学龄前儿童BMI与可疑远视储备不足相关,建议将儿童体重管理纳入儿童近视一级预防策略。 展开更多
关键词 体质量指数 远视储备 近视防控 学龄前儿童
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基于不同球镜度数差值的矫治处方在小儿高度远视屈光不正性弱视中的应用 认领 引用
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作者 童林利 熊永强 +2 位作者 林春堤 吕月娥 林琳 《当代医学》 2025年第4期94-97,共4页
目的探究基于不同球镜度数差值的矫治处方在小儿高度远视屈光不正性弱视中的应用价值。方法选取2019年1月至2020年4月厦门大学附属妇女儿童医院眼科收治的75例(150眼)高度远视屈光不正性弱视患儿作为研究对象,依据患儿配镜处方及睫状体... 目的探究基于不同球镜度数差值的矫治处方在小儿高度远视屈光不正性弱视中的应用价值。方法选取2019年1月至2020年4月厦门大学附属妇女儿童医院眼科收治的75例(150眼)高度远视屈光不正性弱视患儿作为研究对象,依据患儿配镜处方及睫状体肌麻痹验光结果差异分为观察组[球镜度数相差≥1.5 D,n=44(88眼)]与对照组[球镜度数相差≤0.25 D,n=31(62眼)]。比较两组临床疗效及矫正视力、屈光度。结果观察组治疗总有效率为93.18%,高于对照组的74.19%,差异有统计学意义(P<0.05);治疗后2、3年,两组屈光度均低于治疗前,且治疗后3年低于治疗后1年,差异有统计学意义(P<0.05),治疗后2、3年,观察组屈光度均低于对照组,差异有统计学意义(P<0.05);治疗后1、2、3年,两组矫正视力LogMAR值均低于前一时间点,且观察组低于对照组,差异有统计学意义(P<0.05)。结论基于不同球镜度数差值的欠矫正处方对小儿高度远视屈光不正性弱视的效果优于足矫正治疗,前者对视力、屈光度的改善效果更好。 展开更多
关键词 球镜度数差值 矫治处方 儿童 高度远视 屈光不正性弱视
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不同支撑襻人工晶状体在白内障术后眼内稳定性的比较及影响因素 认领 引用 被引量：2
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作者 王胜男 李霄 +2 位作者 迟英杰 李雅薇 郑广瑛 《中华实验眼科杂志（中英文）》 CAS CSCD 北大核心 2025年第3期256-262,共7页
目的应用扫频源光学相干断层扫描(SS-OCT)成像观察并分析不同类型支撑襻人工晶状体(IOL)在白内障术后眼内的稳定性,并分析其影响因素。方法采用队列研究设计,连续收集2021年8月至2022年8月于郑州大学第一附属医院眼科诊断为年龄相关性... 目的应用扫频源光学相干断层扫描(SS-OCT)成像观察并分析不同类型支撑襻人工晶状体(IOL)在白内障术后眼内的稳定性,并分析其影响因素。方法采用队列研究设计,连续收集2021年8月至2022年8月于郑州大学第一附属医院眼科诊断为年龄相关性白内障并行超声乳化吸除联合IOL植入术的患者130例130眼的病例资料。根据患者术中植入的IOL类型分为L襻组34例34眼、改良C襻组30例30眼、平板襻组36例36眼、四襻组30例30眼。术前采用光学生物测量仪测量患者眼轴长度、IOL屈光度,采用角膜地形图测量仪测量Kappa角和Alpha角;术后3个月采用SS-OCT采集术眼水平位置上的眼前节图像,测量IOL植入眼内后的前房深度、IOL偏心量、IOL倾斜度及IOL光学面与后囊膜之间围成的空间面积(AREAP)。计算手术前后前房深度变化和屈光度变化。采用多重线性回归分析IOL倾斜度相关影响因素。结果术后3个月,改良C襻组、L襻组、平板襻组、四襻组IOL平均偏心量和倾斜度依次呈减小趋势,但总体比较差异均无统计学意义(H=7.055,F=5.162,均P>0.05)。改良C襻组、L襻组、平板襻组、四襻组IOL植入术后前房深度、前房深度变化、屈光度变化、AREAP依次减小,差异均有统计学意义(均P<0.05)。术前Kappa角与术后3个月IOL倾斜度呈正相关(r=0.554,P<0.001);术前Alpha角与术后3个月IOL倾斜度呈正相关(r=0.469,P<0.001)。以术前Kappa角和术前Alpha角为自变量,IOL倾斜度为因变量构建的多重线性回归模型有统计学意义(F=39.526,P<0.001,R2=0.384);术前Kappa角每增加1 mm,术后倾斜度增加0.438°;术前Alpha角每增加1 mm,术后倾斜度增加0.300°。结论4种不同支撑襻IOL在白内障术后眼内均具有良好的水平位置居中稳定性;平板襻及四襻IOL在垂直位置的稳定性优于L襻和改良C襻IOL。术前Kappa角和Alpha角可以在一定程度上作为预测术后IOL倾斜度的指标。 展开更多
关键词 人工晶状体 前房深度 偏心 倾斜 远视漂移 扫频源OCT
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