Benes P, Synek S, Petrová S, Sokolová Sidlová J, Forýtková L, Holoubková Z
Katedra optometrie a ortoptiky - Pracovistĕ nelékarských oborů, Lékarská fakulta u svaté Anny, Brno.
Cesk Slov Oftalmol. 2012 Feb;68(1):11-4, 16.
This study follows the occurrence of refractive errors in population and the possible selection of the appropriate type of corrective aids. Objective measurement and subsequent determination of the subjective refraction of the eye is on essential act in opotmetric practice. The file represented by 615 patients (1230 eyes) is divided according to the refractive error of myopia, hyperopia and as a control group are listed emetropic clients. The results of objective and subjective values of refraction are compared and statistically processed.
The study included 615 respondents. To determine the objective refraction the autorefraktokeratometer with Placido disc was used and the values of spherical and astigmatic correction components, including the axis were recorded. These measurements were subsequently verified and tested subjectively using the trial lenses and the projection optotype to the normal investigative distance of 5 meters. After this the appropriate corrective aids were then recommended.
Group I consists of 123 men and 195 women with myopia (n = 635) of clients with an average age 39 +/- 18,9 years. Objective refraction - sphere: -2,57 +/- 2,46 D, cylinder: -1,1 +/- 1,01 D, axis of: 100 degrees +/- 53,16 degrees. Subjective results are as follows--the value of sphere: -2,28 +/- 2,33 D, cylinder -0,63 +/- 0,80 D, axis of: 99,8 degrees +/- 56,64 degrees. Group II is represented hyperopic clients and consists of 67 men and 107 women (n = 348). The average age is 58,84 +/- 16,73 years. Objective refraction has values - sphere: +2,81 +/- 2,21 D, cylinder: -1,0 +/- 0,94 D; axis 95 degree +/- 45,4 degrees. Subsequent determination of subjective refraction has the following results - sphere: +2,28 +/- 2,06 D; cylinder: -0,49 +/- 0,85 D, axis of: 95,9 degrees +/- 46,4 degrees. Group III consists from emetropes whose final minimum viasual acuity was Vmin = 1,0 (5/5) or better. Overall, this control group is represented 52 males and 71 females (n = 247). The average age was 43 +/- 18,73 years. Objective refraction - sphere: +0,32 +/- 0,45 D; cylinder: -0,51 +/- 0,28 D, axis of: 94,7 degrees +/- 57,5 degrees.
Values of objective refraction take higher values than the subsequent execution of the subjective examination of the refractive error and recommendation of the appropriate type of corrective aids. This all is in examined groups and in the individual components of refractive errors. It also confirmed the hypothesis that the population outweighs with-the-rule astigmatism, the deployment of resources according to the literature ranges from 90 degrees +/- 10 degrees.
The values observed correction of refractive errors are then derived also offer the most common prescription ranges and products for the correction of given ametropia. In the selection and design corrective aids, we are often limited. Our task is then to manufacture high quality, functional and aesthetic corrective aids, you need to connect knowledge from the fields of optics, optometry and ophthalmology. Faster visual rehabilitation simplifies clients' rapid return to everyday life.
本研究追踪人群中屈光不正的发生情况以及合适的矫正辅助器具类型的可能选择。客观测量并随后确定眼睛的主观验光在验光实践中是一项基本操作。由615名患者(1230只眼)组成的档案根据近视、远视的屈光不正情况进行划分,作为对照组列出正视眼患者。对验光的客观和主观值结果进行比较并进行统计学处理。
该研究纳入615名受访者。为确定客观验光,使用带有普拉西多盘的自动验光角膜曲率计,并记录球镜和散光矫正分量的值,包括轴位。随后使用试验镜片并将投影视标置于5米的正常检查距离进行主观验证和测试。在此之后,推荐合适的矫正辅助器具。
第一组由123名男性和195名女性组成,患有近视(n = 635),患者平均年龄39±18.9岁。客观验光——球镜:-2.57±2.46D,柱镜:-1.1±1.01D,轴位:100度±53.16度。主观结果如下——球镜值:-2.28±2.33D,柱镜-0.63±0.80D,轴位:99.8度±56.64度。第二组为远视患者,由67名男性和107名女性组成(n = 348)。平均年龄为58.84±16.73岁。客观验光值——球镜:+2.81±2.21D,柱镜:-1.0±0.94D;轴位95度±45.4度。随后主观验光的结果如下——球镜:+2.28±2.06D;柱镜:-0.49±0.85D,轴位:95.9度±46.4度。第三组由正视眼组成,其最终最小视力Vmin = 1.0(5/5)或更好。总体而言,该对照组有52名男性和71名女性(n = 247)。平均年龄为43±18.73岁。客观验光——球镜:+0.32±0.45D;柱镜:-0.51±0.28D,轴位:94.7度±57.5度。
客观验光值高于随后进行的屈光不正主观检查以及合适矫正辅助器具类型推荐的值。这在所有检查组以及屈光不正的各个分量中均如此。这也证实了人群中顺规散光占优势的假设,根据文献,其分布范围为90度±10度。
观察到的屈光不正矫正值也给出了矫正给定屈光不正最常见的处方范围和产品。在选择和设计矫正辅助器具时,我们常常受到限制。那么我们的任务就是制造高质量、功能性和美观的矫正辅助器具,这需要结合光学、验光和眼科领域的知识。更快的视力康复可简化患者快速回归日常生活的过程。