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[近视与正常眼睛角膜形状的差异]

[The differences in corneal shape between myopic and normal eyes].

作者信息

Liu Z, Chen J, Li S

机构信息

Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou.

出版信息

Zhonghua Yan Ke Za Zhi. 1995 Jul;31(4):282-4.

PMID:8745524
Abstract

The corneal shapes of 35 eyes with moderate and mild degrees of myopia compared with those of 35 normal eyes were studied by a computerized video keratoscope (TMS-1). The results show that the surface regularity index (SRI), the refractive power at central optical zone, the simulated keratoscopic reading (Simk), the average corneal power of zones 3mm, 5mm, 7mm in diameter centered at the corneal center of the eyes with moderate and mild degrees of myopia are greater than those of the normal eyes (P < 0.05). However, the surface asymmetry index (SAI), the differences of corneal powers between the first and the 15th ring and between the first and the 25th ring in both groups are of no statistical significant differences (P > 0.05). It is suggested that the corneal refractive power of myopic eye be much higher than that of the normal eye. The authors propose the first time that the pathogenesis of some eyes with moderate and mild myopia may be the increase of corneal refractive power which results from traction of sclera near the limbus due to accommodation and discuss it in detail.

摘要

采用电脑化视频角膜曲率计(TMS-1)研究了35只中轻度近视眼睛与35只正常眼睛的角膜形态。结果显示,中轻度近视眼睛的表面规则性指数(SRI)、中央光学区屈光力、模拟角膜镜读数(Simk)、以角膜中心为圆心直径3mm、5mm、7mm区域的平均角膜屈光力均大于正常眼睛(P<0.05)。然而,两组的表面不对称指数(SAI)、第一环与第15环以及第一环与第25环之间的角膜屈光力差异均无统计学意义(P>0.05)。提示近视眼的角膜屈光力明显高于正常眼。作者首次提出部分中轻度近视眼的发病机制可能是由于调节导致角膜缘附近巩膜牵拉引起角膜屈光力增加,并对此进行了详细讨论。

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