Jeddi A, Ben Hadj Alouane W, Hammoud M, Malouch N, Zghal I, Ayed S, Zouari B
Service d'Ophtalmologie, Hôpital la Rabta, 1007 Jebbari, Tunis.
J Fr Ophtalmol. 2002 Mar;25(3):270-3.
To study the advantages of cycloplegia in the accurate assessment of refractive errors and to evaluate the impact of full optical correction in the course of headache.
and methods: A prospective study was carried out in 164 eyes of 82 patients with headache. Corrected visual acuity was 10/10 in all cases. Refraction was measured before and under cycloplegia by cyclopentolate with a CANON R 50 infrared autorefractometer. Full optical cycloplegic correction based on the value of refraction under cycloplegia was prescribed in all cases. Mean follow-up was 10 months. Statistical analyses were used: Student's t test, Pearson coefficient correlation, and Chi2.
Under cycloplegia, hypermetropia was significantly the most frequent ametropia (67.1%, p<10(- 9)). The difference between the spherical equivalent, before and during cycloplegia, was highly significant (p<10(- 5)) at 0.79. Optical correction eliminated headaches in 76.5% of the cases.
The authors conclude on the role of accommodation in headache onset and the need to continue cycloplegia until the age of 45. The importance of optical correction in alleviating headaches is underlined.
研究睫状肌麻痹在准确评估屈光不正中的优势，并评估完全光学矫正对头痛病程的影响。
对82例头痛患者的164只眼进行前瞻性研究。所有病例矫正视力均为10/10。使用佳能R 50红外自动验光仪，在睫状肌麻痹前及麻痹状态下用环喷托酯测量屈光不正。所有病例均根据睫状肌麻痹下的屈光不正值进行完全光学睫状肌麻痹矫正。平均随访10个月。采用的统计分析方法有：学生t检验、Pearson相关系数和卡方检验。
在睫状肌麻痹状态下，远视是最常见的屈光不正（67.1%，p<10⁻⁹）。睫状肌麻痹前后等效球镜度的差异非常显著（p<10⁻⁵），差值为0.79。光学矫正使76.5%的病例头痛消失。
作者得出结论，调节在头痛发作中的作用以及在45岁之前持续进行睫状肌麻痹的必要性。强调了光学矫正在缓解头痛方面的重要性。
