Liu Yi-Chang, Xia Wen-Tao, Zhou Xing-Tao, Liu Rui-Jue, Bian Shi-Zhong, Ying Chong-Liang, Zhu Guang-You
Department of Forensic Medicine, Medical College of Soochow University, Suzhou 215123, China.
Fa Yi Xue Za Zhi. 2008 Oct;24(5):356-60.
There are irreversible eyeball structural changes in high myopic patients. These changes include axial length, corneal radius, anterior chamber depth, fundus degeneration, macula thickness, etc. There is a close relationship between the damage degree of visual function and these changes. The incidence of complications, such as vitreous opacity, posterior vitreous detachment, cataract, glaucoma, posterior staphyloma and retina detachment, is also highly related to the myopia diopter. More and more researches have indicated that the myopia diopter and the level of visual function are affected by multiple factors. It is promising to detect all of these changes by different kinds of methods, and to assess visual function through these changes. By clarifying these changes, it is also useful to distinguish traumatic damage from disease to provide evidence for forensic assessment of eye injuries.
高度近视患者存在不可逆的眼球结构改变。这些改变包括眼轴长度、角膜半径、前房深度、眼底退变、黄斑厚度等。视功能损害程度与这些改变之间存在密切关系。玻璃体混浊、玻璃体后脱离、白内障、青光眼、后巩膜葡萄肿和视网膜脱离等并发症的发生率也与近视度数高度相关。越来越多的研究表明，近视度数和视功能水平受多种因素影响。通过各种方法检测所有这些变化，并通过这些变化评估视功能是有前景的。通过阐明这些变化，区分外伤损害与疾病，为眼外伤的法医鉴定提供证据也是有用的。
