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目的 探讨阿托品和双星明在青少年散瞳验光中的应用价值。方法 对82例青少年屈光不正患者,按年龄分为5岁～12岁及12岁～18岁两组,均行阿托品和双星明双重散瞳前後电脑验光,对其进行对比分析。结果(1)球镜值:散瞳前後电脑验光,两种药物、两组病人之间均有显著差别;阿托品与双星明之间又有显著差别,P值均小于0.05。(2)柱镜值:散瞳前後电脑验光,两种药物、两组病人之间,阿托品与双星明之间均无显著差别,P>0.1。(3)柱镜轴:散瞳前後或使用不同药物,散光值<1.50D的患者,电脑验光检测,柱镜轴均有较大差别;散光值≥1.50D的患者,电脑检测其轴位则较准确。结论对于患有远视或近视的青少年,仍以阿托品散瞳验光较为准确。对于单纯散光患者,则无需散瞳。
Objective To investigate the value of atropine and Shuangxing Ming in the mydriatic optometry of adolescents. Methods A total of 82 adolescent patients with ametropia were divided into two groups according to their ages: 5 years old to 12 years old and 12 years old to 18 years old. All patients underwent atropine and Shuang Xingming double mydriasis before and after the computerized optometry. Results (1) Spherical lens values: computerized optometry before and after mydriasis, two drugs, there was a significant difference between the two groups of patients; there was a significant difference between atropine and Shuangxing Ming, P values ?? were less than 0.05. (2) Lenticular value: before and after mydriasis computer optometry, two drugs, no significant difference between the two groups of patients, atropine and Shuangxing Ming, P> 0.1. (3) cylinder axis: before or after mydriasis or use different drugs, patients with astigmatism <1.50D, computer optometry, cylinder axis are significant differences; astigmatism ≥ 1.50D patients, the computer test its axial More accurate. Conclusion For children with myopia or myopia, still atropine mydriasis optometry is more accurate. For simple astigmatism patients, you do not need mydriasis.