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[矫正视力表现与视觉质量的研究]

[Study of corrected visual performance and vision quality].

作者信息

Qu Jia, Lü Fan, Mao Xin-Jie, Mao Chong-rong

机构信息

School of Optometry & Ophthalmology, Wenzhou Medical College, 325003 Zhejiang, China.

出版信息

Zhonghua Yan Ke Za Zhi. 2003 Jun;39(6):325-7.

Abstract

OBJECTIVE

The present study was designed to examine the visual acuity (VA) and contrast sensitivity function (CSF) under three refractive correction methods, the visual performance and vision quality under different correction methods were compared and analyzed.

METHODS

Twenty three college students with myopia (41 eyes, myopia range: -1.25 D approximately 9.25 D; astigmatism < 0.50 D) were enrolled and fully corrected by three different methods: 1) spectacles with resin lens material (SP); 2) soft contact lens (SCL); 3) rigid gas-permeable lens (RGP). The distant and near LogMar VA and CSF were examined. To avoid the subjective bias, the correction procedure was randomly selected and the VA chart and CSF chart used had the same pattern but different letters' organization or directions.

RESULTS

The best corrected distant VA was significantly higher in RGP wearing eyes than those in the Soft-CL and SP wearing eyes (P < 0.01 and P < 0.05, respectively). No statistically significant difference was detected between the SP and SCL wearing eyes. There was no significant difference in the near VA among these three conditions, although the near VA in RGP group was slightly better than that in the SCL condition. There was no significant difference in CSF value at low spatial frequencies (1.5 cpd and 3 cpd) among these three conditions. However, at middle and high spatial frequencies (6 cpd, 12 cpd and 18 cpd), the RGP curve was the highest and followed by the SCL and SP curves.

CONCLUSION

RGP correction offers the best visual acuity quality for myopia subjects. The CSF assessment can be used as an indirect method to evaluate the quality of corrected retinal image.

摘要

目的

本研究旨在检测三种屈光矫正方法下的视力(VA)和对比敏感度函数(CSF),比较并分析不同矫正方法下的视觉性能和视觉质量。

方法

招募23名近视大学生(41只眼,近视范围:-1.25D至约9.25D;散光<0.50D),并通过三种不同方法进行完全矫正:1)树脂镜片眼镜(SP);2)软性角膜接触镜(SCL);3)硬性透气性角膜接触镜(RGP)。检测远、近视力的LogMar VA和CSF。为避免主观偏差,随机选择矫正程序,所用的视力表和CSF图表图案相同,但字母排列或方向不同。

结果

佩戴RGP眼镜的眼睛最佳矫正远视力显著高于佩戴软性角膜接触镜和SP眼镜的眼睛(分别为P<0.01和P<0.05)。佩戴SP眼镜和SCL眼镜的眼睛之间未检测到统计学显著差异。这三种情况下的近视力无显著差异,尽管RGP组的近视力略优于SCL组。这三种情况下低空间频率(1.5cpd和3cpd)的CSF值无显著差异。然而,在中高空间频率(6cpd、12cpd和18cpd)时,RGP曲线最高,其次是SCL曲线和SP曲线。

结论

RGP矫正为近视患者提供了最佳的视力质量。CSF评估可作为评估矫正视网膜图像质量的间接方法。

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