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[儿童门诊护理期间视觉功能潜在障碍的检测]

[Detection of latent disorders of visual function during ambulatory care of children].

作者信息

Puchkovskaia N A, Serdiuchenko V I, Seniakina A S, Balezina T V, Boĭchuk I M

出版信息

Oftalmol Zh. 1989(1):10-3.

PMID:2733960
Abstract

For the purpose to select tests for diagnosis of latent disturbances of visual functions, dynamic observation was conducted over 88 healthy school children within 5 years (from the 3d to the 8th form). Once a year, the children underwent examination of visual acuity for far and near, the state of binocular vision on a synoptophore and a color test, the volume of relative and absolute accommodation, muscular balance of eyes for far and near, contrast sensibility, the time of perception of the negative successive contrast, refraction. For the period of 5 years, 7 children developed myopia of low degree, 32 showed transitory or lasting reduction of visual acuity due to spasm of accommodation. The authors believe that the most rapid and informative tests for diagnosis of latent disturbances in accommodation-convergence system are visual acuity for near, the volume of absolute accommodation, the threshold of remote vision, muscular balance of eyes for near. It is recommended to use these tests widely when conducting ophthalmologic thorough prophylactic examinations of children.

摘要

为了选择用于诊断潜在视觉功能障碍的测试,对88名健康学童进行了为期5年(从三年级到八年级)的动态观察。孩子们每年接受一次远视力和近视力检查、使用同视机检查双眼视觉状态和颜色测试、相对和绝对调节量、远近眼肌平衡、对比敏感度、负性连续对比感知时间、屈光检查。在5年期间,7名儿童出现低度近视,32名儿童因调节痉挛出现暂时或持续的视力下降。作者认为,用于诊断调节-集合系统潜在障碍的最快速且信息丰富的测试是近视力、绝对调节量、远视力阈值、近眼肌平衡。建议在对儿童进行眼科全面预防性检查时广泛使用这些测试。

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