García Serrano J L, López Raya R, Mylonopoulos Caripidis T
Servicio de Oftalmología, Hospital Universitario, Granada, España.
Arch Soc Esp Oftalmol. 2002 Nov;77(11):597-604.
We carried out a prospective study based on variables related to the age of appearance of presbyopia (AAP): refraction defect, sex, iris color, profession and pupil diameter.
Our sample population was made up of 179 persons who present consecutively for the first optical correction of presbyopia as sole reason, having a refractive defect equal to 1 diopter or less.
In our series the AAP was not influenced by the small refraction defect, neither by sex or iris color. Different professions showed a significant AAP difference later in life (farmers, x = 51.76 D.E. 5.47 years) or earlier (services workers, x = 46.15 D.E. 3.55 years) (p<0.000003, ANOVA), than other professions such as housewife (48.42 D.E. 4.71 years) and construction workers (47.54 D.E. 3.93 years). We found significant differences in AAP among subjects with intense miosis (<2,5 mm, x = 51 D.E. 5.39 years) and without miosis (3 to 7 mm, x = 47.47 D.E. 4.71 years) (p<0.02 t Student).
The variables which determine a significant delay in the AAP are: profession (farmer and housewife) and miosis, a 1 mm pupilar diameter reduction, in near vision, could contribute to a delay of 1.53 years in AAP.
我们基于与老花眼出现年龄(AAP)相关的变量开展了一项前瞻性研究,这些变量包括屈光不正、性别、虹膜颜色、职业和瞳孔直径。
我们的样本群体由179人组成,他们因老花眼首次进行视力矫正而连续前来就诊,且屈光不正等于或小于1屈光度。
在我们的研究系列中,AAP不受轻微屈光不正的影响,也不受性别或虹膜颜色的影响。不同职业在晚年(农民,平均年龄51.76岁,标准差5.47岁)或早年(服务业工作者,平均年龄46.15岁,标准差3.55岁)表现出显著的AAP差异(p<0.000003,方差分析),与家庭主妇(平均年龄48.42岁,标准差4.71岁)和建筑工人(平均年龄47.54岁,标准差3.93岁)等其他职业不同。我们发现,瞳孔强烈缩小(<2.5毫米,平均年龄51岁,标准差5.39岁)的受试者与无瞳孔缩小(3至7毫米,平均年龄47.47岁,标准差4.71岁)的受试者之间的AAP存在显著差异(p<0.02,t检验)。
导致AAP显著延迟的变量包括:职业(农民和家庭主妇)和瞳孔缩小,近视力时瞳孔直径每减少1毫米,可能会使AAP延迟1.53年。