摘要
目的 :了解老年前期出现的显性远视的特点及其误诊对心身健康的影响。方法 :对年轻时视力≥1.0而 45岁后视力明显下降并被诊断为“早期白内障”者 ,先行裂隙灯显微镜及眼底检查 ,若未见异常 ,再行主观验光。若加上适合的凸透镜片视力可矫正到 1.0者 ,即为调查对象 ,并了解其误诊后的感受及视力矫正一段时间后的感受。结果 :92例裸眼视力分布在 0 .3～ 0 .8,其中 0 .5、0 .6者占 5 1.6 %。视力在 0 .6以下者 ,均有明显的负性心理。显性远视的屈光度为 +0 .5 0 D～ +1.5 0 D,其中 +0 .75 D和 +1.0 0 D者占 6 8.8%。结论 :老年前期显性远视的误诊 ,不仅影响视功能 ,还可引起负性心理负担 ;
Objective:To investigate the clinical features of pre-presbyopic manifest hyperopia and the negative influences of its misdiagnosis on the physical and mental health of patients.Methods:Patients whose visual acuity was>1.0 in youth but decreased after 45 years of age with the diagnosis of 'early cataract' were chosen for refraction. Those whose visual acuity could be corrected to normal with convex lenses were enrolled as subjects. Subjective responses before and after visual correction were assessed.Results:The visual acuity of uncorrected eyes in 92 cases ranged from 0.3D to 0.8D. Of these, 51.6% had a visual acuity between 0.50D and 0.6D. Subjects whose visual acuity was less than <0.6D suffered somewhat from psychological depression. Refractive errors were 0.50D to 1.5D in these manifest hyperopia cases.Conclusion:The misdiagnosis of pre-presbyopic manifest hyperopia not only affects visual performance but also causes psychological depression in patients. A normal refractive examination is the effective way of avoiding this misdiagnosis.
出处
《眼视光学杂志》
2000年第2期106-107,共2页
Chinese Journal of Optometry & Ophthalmology
关键词
老年前期
显性远视
诊断
误诊
pre-presbyopia
manifest hyperopia
senile/diagnosis
cataract
misdiagnosis
