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动态环境光照和瞳孔大小是否影响眼睛的调节?

Is Ocular Accommodation Influenced by Dynamic Ambient Illumination and Pupil Size?

机构信息

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China.

Huizhou Third People's Hospital, Guangzhou Medical University, Huizhou 516000, China.

出版信息

Int J Environ Res Public Health. 2022 Aug 23;19(17):10490. doi: 10.3390/ijerph191710490.


DOI:10.3390/ijerph191710490
PMID:36078207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9518590/
Abstract

PURPOSE: We investigated ocular accommodative responses and pupil diameters under different light intensities in order to explore whether changes in light intensity aid effective accommodation function training. METHODS: A total of 29 emmetropic and myopic subjects (age range: 12-18 years) viewed a target in dynamic ambient light (luminance: 5, 100, 200, 500, 1000, 2000 and 3000 lux) and static ambient light (luminance: 1000 lux) at a 40 cm distance with refractive correction. Accommodation and pupil diameter were recorded using an open-field infrared autorefractor and an ultrasound biological microscope, respectively. RESULTS: The changes in the amplitude of accommodative response and pupil diameter under dynamic lighting were 1.01 ± 0.53 D and 2.80 ± 0.75 mm, respectively, whereas in static lighting, those values were 0.43 ± 0.24 D and 0.77 ± 0.27 mm, respectively. The amplitude of accommodation and pupil diameter change in dynamic lighting (t = 6.097, < 0.001) was significantly larger than that under static lighting (t = 16.115, < 0.001).The effects of light level on both accommodation and pupil diameter were significant ( < 0.001). CONCLUSION: Accommodation was positively correlated with light intensity. The difference was about 1.0 D in the range of 0-3000 lux, which may lay the foundation for accommodative training through light intervention.

摘要

目的:为了探索光照强度变化是否有助于有效调节功能训练,我们研究了不同光照强度下的眼动调节反应和瞳孔直径。

方法:共有 29 名正视和近视受试者(年龄范围:12-18 岁)在 40 cm 距离处使用矫正屈光不正,观看动态环境光(亮度:5、100、200、500、1000、2000 和 3000 lux)和静态环境光(亮度:1000 lux)下的目标。使用开放式红外自动折射仪和超声生物显微镜分别记录调节和瞳孔直径。

结果:动态照明下调节反应幅度和瞳孔直径的变化分别为 1.01 ± 0.53 D 和 2.80 ± 0.75 mm,而在静态照明下,这些值分别为 0.43 ± 0.24 D 和 0.77 ± 0.27 mm。动态照明下的调节幅度和瞳孔直径变化(t = 6.097,< 0.001)明显大于静态照明下的变化(t = 16.115,< 0.001)。光照水平对调节和瞳孔直径的影响均有统计学意义(< 0.001)。

结论:调节与光照强度呈正相关。在 0-3000 lux 的范围内,差异约为 1.0 D,这可能为通过光照干预进行调节训练奠定基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/b5ea47190a51/ijerph-19-10490-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/b6713a2cb054/ijerph-19-10490-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/824313975a06/ijerph-19-10490-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/af8a9e466a29/ijerph-19-10490-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/b5ea47190a51/ijerph-19-10490-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/b6713a2cb054/ijerph-19-10490-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/824313975a06/ijerph-19-10490-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/af8a9e466a29/ijerph-19-10490-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a6/9518590/b5ea47190a51/ijerph-19-10490-g004.jpg

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Ocular Accommodative and Pupillary Responses During Fixation on Augmented Reality With a Maxwellian Display.

Invest Ophthalmol Vis Sci. 2024-9-3

本文引用的文献

[1]
Commentary: Impact of the COVID-19 pandemic on digital eye strain in children.

Indian J Ophthalmol. 2020-11

[2]
Spasm of Near Reflex: Objective Assessment of the Near-Triad.

Invest Ophthalmol Vis Sci. 2020-7-1

[3]
Effect of Pupil Size and Binocular Viewing on Accommodative Gain in Emmetropia and Myopia.

J Binocul Vis Ocul Motil. 2020

[4]
The Complications of Myopia: A Review and Meta-Analysis.

Invest Ophthalmol Vis Sci. 2020-4-9

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Clin Exp Optom. 2019-9

[6]
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BMJ Open Ophthalmol. 2018-4-16

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Accommodation and pupil behaviour of binocularly viewing early presbyopes.

Ophthalmic Physiol Opt. 2017-3

[8]
Is Pupil Diameter Influenced by Refractive Error?

Optom Vis Sci. 2015-7

[9]
Changes in the objective amplitude of accommodation with pupil size.

Optom Vis Sci. 2014-10

[10]
Influences of luminance and accommodation stimuli on pupil size and pupil center location.

Invest Ophthalmol Vis Sci. 2014-4-7

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