Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea.
Department of Ophthalmology, Armed Forces Capital Hospital, Seongnam, Korea.
Eye (Lond). 2019 Jul;33(7):1145-1151. doi: 10.1038/s41433-019-0376-4. Epub 2019 Mar 5.
PURPOSE: To determine the range of eye movement in normal human subjects and to investigate the effect of age and gaze direction on eye movement. PATIENTS AND METHODS: A prospective observational study. We enrolled 261 healthy subjects, 5-91 years of age. Photographs were obtained in the cardinal gaze positions and processed using Photoshop. The processed images were analyzed using the Image J program to measure the angle of eye movement. The angle of eye movement was quantified using a modified limbus test. We measured the angle of eye movement in adduction, abduction, elevation, and depression. RESULTS: The ranges of eye movement were 44.9 ± 7.2° in adduction, 44.2 ± 6.8° in adduction, 27.9 ± 7.6° in elevation, and 47.1 ± 8.0° in depression. The ranges of eye movement in the younger group were higher than that in the older group in adduction, abduction, and elevation (P < 0.001, P = 0.013, and P < 0.001, respectively), except in depression (P = 0.790). There were significant negative correlations between the angles of horizontal and upward gazes and age (R = -0.294 in adduction, R = -0.355 in abduction, and R = -0.506 in elevation, all P < 0.001). However, the angle of downward gaze was not significantly correlated with age (R = 0.017, P = 0.722). CONCLUSIONS: The angle of upward gaze most rapidly decreased with age than the angle of other gaze. Unlike the age-related decline of range in horizontal and upward gazes, only downward gaze was not impaired by increasing age. Differences in eye movement range based on gaze direction and their associated aging mechanisms should be considered when assessing eye movements.
目的:确定正常人眼的运动范围,并研究年龄和注视方向对眼运动的影响。
方法:前瞻性观察研究。我们纳入了 261 名年龄在 5-91 岁的健康受试者。在主视位拍摄照片,并使用 Photoshop 进行处理。使用 Image J 程序分析处理后的图像,以测量眼运动的角度。使用改良的周边试验量化眼运动的角度。我们测量了内收、外展、上转和下转的眼运动角度。
结果:内收时眼运动的范围为 44.9±7.2°,外展时为 44.2±6.8°,上转时为 27.9±7.6°,下转时为 47.1±8.0°。在年轻组中,内收、外展和上转的眼运动范围高于年长组(P<0.001,P=0.013 和 P<0.001),但在下转时无差异(P=0.790)。水平和向上注视的角度与年龄呈显著负相关(内收时 R=-0.294,外展时 R=-0.355,上转时 R=-0.506,均 P<0.001)。然而,向下注视的角度与年龄无显著相关性(R=0.017,P=0.722)。
结论:与其他注视方向相比,向上注视的角度随年龄下降最快。与水平和向上注视的范围随年龄下降不同,只有向下注视不受年龄增长的影响。在评估眼运动时,应考虑注视方向的眼运动范围差异及其相关的老化机制。
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