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1型糖尿病对双眼视觉的影响:来自一项比较分析的证据。

Impact of type 1 diabetes on binocular vision: Evidence from a comparative analysis.

作者信息

Silva-Viguera María-Carmen, Sánchez-González María Carmen, Ponce-García Víctor, De-Hita-Cantalejo Concepción, Sánchez-González José-María, Bautista-Llamas María-José

机构信息

Vision Research Group (CIVIUS), Department of Physics of Condensed Matter, Optics Area, University of Seville, Seville, Spain.

出版信息

Ann N Y Acad Sci. 2025 Jul;1549(1):208-218. doi: 10.1111/nyas.15381. Epub 2025 Jun 14.

Abstract

Binocular vision function was assessed in individuals with type 1 diabetes (T1D) without retinopathy and compared to a control group to identify potential nonstrabismic binocular vision disorders. This cross-sectional study included 80 participants (40 T1D, 40 controls) without systemic or ocular diseases, visual impairments, medications, or prior ocular surgery. Highly repeatable tests evaluated heterophoria, the accommodative convergence/accommodation (AC/A) ratio, near point of convergence (NPC), fusional vergences, vergence facility, and stereoacuity. Diagnosed dysfunctions included convergence insufficiency, divergence insufficiency, basic exophoria, basic esophoria, fusional vergence dysfunction, convergence excess, and divergence excess. Individuals with T1D showed significantly farther NPC (break: 5.50 vs. 3.80 cm, p = 0.005; recovery: 8.32 vs. 5.69 cm, p < 0.001), lower near positive fusional vergence (break: 20.70 Δ vs. 24.25 Δ; recovery: 11.50 Δ vs. 14.75 Δ, p = 0.02 and 0.01, respectively), reduced vergence facility (5.10 vs. 7.15 cpm, p = 0.003), and a lower AC/A ratio (3.30 vs. 4.00, p = 0.01). More participants with T1D had binocular vision parameters outside the normal range, with a higher prevalence of binocular vision disorders (p = 0.048). These findings highlight the impact of T1D on binocular vision and emphasize the need for optometric evaluations for early detection and management.

摘要

对无视网膜病变的1型糖尿病(T1D)患者的双眼视觉功能进行评估,并与对照组进行比较,以确定潜在的非斜视性双眼视觉障碍。这项横断面研究纳入了80名参与者(40名T1D患者,40名对照者),他们均无全身性或眼部疾病、视力障碍、药物治疗史或既往眼部手术史。通过高度可重复的测试评估隐斜视、调节性集合/调节(AC/A)比值、集合近点(NPC)、融合性聚散、聚散灵活度和立体视锐度。诊断出的功能障碍包括集合不足、散开不足、基本外隐斜、基本内隐斜、融合性聚散功能障碍、集合过度和散开过度。T1D患者的NPC明显更远(破裂点:5.50 vs. 3.80 cm,p = 0.005;恢复点:8.32 vs. 5.69 cm,p < 0.001),近正融合性聚散较低(破裂点:20.70Δ vs. 24.25Δ;恢复点:11.50Δ vs. 14.75Δ,p分别为0.02和0.01),聚散灵活度降低(5.10 vs. 7.15 cpm,p = 0.003),AC/A比值较低(3.30 vs. 4.00,p = 0.01)。更多T1D患者的双眼视觉参数超出正常范围,双眼视觉障碍的患病率更高(p = 0.048)。这些发现突出了T1D对双眼视觉的影响,并强调了进行验光评估以早期发现和管理的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/335f/12309440/2e0c77800551/NYAS-1549-208-g001.jpg

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