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不同程度弱视儿童双眼视差信息的变化

林楠  卢炜  孙阿莉  阎丽  张灵阁  刘俊  吴殿鹏   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室(林楠、卢炜、孙阿莉);510500广东省中山市,国家医疗保健器具工程技术研究中心(阎丽、张灵阁、刘俊、吴殿鹏)
  • 收稿日期:2015-05-21 出版日期:2015-11-25 发布日期:2015-12-03
  • 通讯作者: 林楠, Email: l_nan72@sina.com E-mail: l_nan72@sina.com

Change of binocular disparity information in children with amblyopia

LIN Nan1, LU Wei1, SUN A-li1, YAN Li2, ZHANG Ling-ge2, LIU Jun2, WU Dian-peng2   

  1. 1. Beijing Tongren Eye Center, Beijing Key Laboratory of  Ophthalmology and Visual Science, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China; 2. National Engineering Research Center for Healthcare Devices, Zhongshan Guangdong 510500, China
  • Received:2015-05-21 Online:2015-11-25 Published:2015-12-03
  • Contact: LIN Nan, Email: l_nan72@sina.com E-mail: l_nan72@sina.com

摘要:

目的 评估弱视儿童的双眼视差信息改变。设计 前瞻性病例系列。研究对象 眼位正常的轻度、中度、重度弱视儿童,各30例。方法 应用基于计算机平台的视感知觉检查方法对弱视儿童的双眼视差信息进行量化检测。分别测定随机点0阶视差、线条0阶视差、2阶视差、随机点动态1阶视差。主要指标 视差测量值或通过百分比。结果 轻度、中度、重度弱视儿童随机点0阶视差达100"的比例分别为43.3%、16.7%、0%(χ2=25.550,P=0.000);线条0阶视差达100"的比例分别为83.3%、50.0%、13.3%(χ2=30.835,P=0.000),2阶视差正确率达100"的比例分别为86.7%、80.0%、40.0%(χ2=22.144,P=0.000),随机点动态1阶视差低速通过者的比例分别为80.0%、50.0%、13.3%(χ2=27.379,P=0.000)。结论 眼位正位的弱视儿童其双眼视差信息均存在异常,弱视程度越深,异常越严重。

关键词: 弱视, 双眼视差

Abstract:

Objective To explore the change of binocular disparity information in children with amblyopia. Design Prospective case series. Participants 90 mild, moderate, severe amblyopic children (with 30 cases in each group) with normal eye position. Method The main test method was the computer based visual perceptual test software. Each amblyopic child must take the random dot zero-order disparity, line zero-order disparity, 2nd-order disparity and random dot dynamic 1st-order disparity. Main Outcome Measures The measured value and the pass rate of each disparity. Results In mild, moderate, severe amblyopic children, the proportion of reaching 100"in random dot zero-order disparity was 43.3%, 16.7%, 0% respectively(χ2=25.550,P=0.000); the proportion of reaching 100"in line zero-order disparity was 83.3%,  50.0%, 13.3% respectively (χ2=30.835,P=0.000); the proportion of passing the 2nd-order disparity was 86.7%, 80.0%, 40.0% respectively (χ2=22.144,P=0.000)and the proportion of passing the random dot dynamic 1st-order disparity in a low speed was 80.0%, 50.0%, 13.3% respectively (χ2=27.379,P=0.000). Conclusion The binocular disparity information  in the amblyopic children with normal eye position was abnormal. The more severe the degree of amblyopia, the more serious the binocular disparity abnormality.

Key words: amblyopia, binocular disparity