Orr Janis B, Seidel Dirk, Day Mhairi, Gray Lyle S
*PhD Department of Life and Health Sciences, Aston University, Birmingham, United Kingdom (JBO); and Department of Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom (DS, MD, LSG).
Optom Vis Sci. 2015 Jul;92(7):834-40. doi: 10.1097/OPX.0000000000000627.
PURPOSE: To investigate the relationship between pupil diameter and refractive error and how refractive correction, target luminance, and accommodation modulate this relationship. METHODS: Sixty emmetropic, myopic, and hyperopic subjects (age range, 18 to 35 years) viewed an illuminated target (luminance: 10, 100, 200, 400, 1000, 2000, and 4100 cd/m) within a Badal optical system, at 0 diopters (D) and -3 D vergence, with and without refractive correction. Refractive error was corrected using daily disposable contact lenses. Pupil diameter and accommodation were recorded continuously using a commercially available photorefractor. RESULTS: No significant difference in pupil diameter was found between the refractive groups at 0 D or -3 D target vergence, in the corrected or uncorrected conditions. As expected, pupil diameter decreased with increasing luminance. Target vergence had no significant influence on pupil diameter. In the corrected condition, at 0 D target vergence, the accommodation response was similar in all refractive groups. At -3 D target vergence, the emmetropic and myopic groups accommodated significantly more than the hyperopic group at all luminance levels. There was no correlation between accommodation response and pupil diameter or refractive error in any refractive group. In the uncorrected condition, the accommodation response was significantly greater in the hyperopic group than in the myopic group at all luminance levels, particularly for near viewing. In the hyperopic group, the accommodation response was significantly correlated with refractive error but not pupil diameter. In the myopic group, accommodation response level was not correlated with refractive error or pupil diameter. CONCLUSIONS: Refractive error has no influence on pupil diameter, irrespective of refractive correction or accommodative demand. This suggests that the pupil is controlled by the pupillary light reflex and is not driven by retinal blur.
目的:研究瞳孔直径与屈光不正之间的关系,以及屈光矫正、目标亮度和调节如何调节这种关系。 方法:60名正视、近视和远视受试者(年龄范围18至35岁)在巴德尔光学系统内,于0屈光度(D)和-3 D聚散度下,在有和无屈光矫正的情况下,观察一个照明目标(亮度:10、100、200、400、1000、2000和4100 cd/m²)。使用日抛型隐形眼镜矫正屈光不正。使用市售的 photorefractor连续记录瞳孔直径和调节。 结果:在0 D或-3 D目标聚散度下,无论矫正与否,屈光组之间的瞳孔直径均无显著差异。正如预期的那样,瞳孔直径随亮度增加而减小。目标聚散度对瞳孔直径没有显著影响。在矫正状态下,在0 D目标聚散度时,所有屈光组的调节反应相似。在-3 D目标聚散度时,表示、近视组在所有亮度水平下的调节均明显多于远视组。在任何屈光组中,调节反应与瞳孔直径或屈光不正之间均无相关性。在未矫正状态下,远视组在所有亮度水平下的调节反应均明显大于近视组,尤其是在近视力观察时。在远视组中,调节反应与屈光不正显著相关,但与瞳孔直径无关。在近视组中,调节反应水平与屈光不正或瞳孔直径无关。 结论:屈光不正对瞳孔直径没有影响,无论屈光矫正或调节需求如何。这表明瞳孔受瞳孔光反射控制,而非由视网膜模糊驱动。
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