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检影验光可用于筛查婴儿弱视吗?一项关于生命第一年屈光状态的纵向研究。

Can retinoscopy be used to screen infants for amblyopia? A longitudinal study of refraction in the first year of life.

作者信息

Hopkisson B, Arnold P, Billingham B, McGarrigle M, Shribman S

机构信息

Eye Department, Northampton General Hospital, UK.

出版信息

Eye (Lond). 1992;6 ( Pt 6):607-9. doi: 10.1038/eye.1992.131.

DOI:10.1038/eye.1992.131
PMID:1289138
Abstract

One hundred normal babies were refracted by two observers in a double-masked study within 24 hours of delivery and 30 minutes after instillation of 1% cyclopentolate. The procedure was repeated at 6 weeks, 3 months, 6 months and 1 year. At birth agreement between the two refractionists to within 1 dioptre spherical equivalent was 82%, rising to 94% at 1 year. Astigmatism of greater than 1 dioptre increased from 10% at birth to 42% at 6 months but decreased to 15% at 1 year. Myopia was uncommon (4%) but 80% of eyes were hypermetropic more than +2 dioptres and 25% more than +4 dioptres at birth, although these percentages decreased to 5% and 3% at 1 year. Anisometropia of more than 1 dioptre between the two eyes was uncommon but in the two cases where it persisted in the presence of high hypermetropia, reversible amblyopia was encountered in both cases.

摘要

在一项双盲研究中,100名正常婴儿在出生后24小时内且在滴入1%环喷托酯30分钟后,由两名观察者进行验光。该程序在6周、3个月、6个月和1岁时重复进行。出生时,两名验光师之间球镜等效度在1屈光度以内的一致性为82%,1岁时升至94%。大于1屈光度的散光从出生时的10%增加到6个月时的42%,但在1岁时降至15%。近视不常见(4%),但出生时80%的眼睛远视超过+2屈光度,25%超过+4屈光度,尽管这些百分比在1岁时降至5%和3%。双眼屈光参差超过1屈光度的情况不常见,但在两例高度远视持续存在的病例中,均出现了可逆性弱视。

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引用本文的文献

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Ocular Refraction at Birth and Its Development During the First Year of Life in a Large Cohort of Babies in a Single Center in Northern Italy.意大利北部一个单一中心的大量婴儿队列中出生时的眼屈光及其在生命第一年的发展情况。
Front Pediatr. 2020 Jan 29;7:539. doi: 10.3389/fped.2019.00539. eCollection 2019.
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The evolution of refractive status in Chinese infants during the first year of life and its affected factors.中国婴儿出生后第一年屈光状态的演变及其影响因素。
Int J Ophthalmol. 2017 Aug 18;10(8):1290-1294. doi: 10.18240/ijo.2017.08.17. eCollection 2017.
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The effect of lens-induced anisometropia on accommodation and vergence during human visual development.
透镜诱导的屈光参差对人类视觉发育过程中调节和聚散的影响。
Invest Ophthalmol Vis Sci. 2011 Jun 1;52(6):3595-603. doi: 10.1167/iovs.10-6214.
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Reproducibility and accuracy of measurements with a hand held autorefractor in children.手持式自动验光仪在儿童中测量的可重复性和准确性。
Br J Ophthalmol. 1997 Nov;81(11):941-8. doi: 10.1136/bjo.81.11.941.
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Preschool visual screening.学龄前视力筛查
Br J Ophthalmol. 1995 Dec;79(12):1063-4. doi: 10.1136/bjo.79.12.1063.