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題名:REFRACTIVE STATUS OF TEENAGERS IN A TAIPEI MUNICIPAL JUNIOR HIGH SCHOOL     (18點)
台北市某公立國中青少年屈光狀態的研究
著者:Hen-Shen Lin(林恒生) ;Li-Ju Chen(陳麗如) ;Jy-Haw Yu(尤之浩)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Myopia ; Refractive status ; Teenager ; Optical low-coherence reflectometer
刊名:中華民國眼科醫學會雜誌
卷期:51卷1期(2012.4)
頁碼:41-49
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:在台灣,以學校為基礎的國中生屈光狀態及眼球生物學測量的研究並不多。在這個年齡層,驗光檢查時是否要使用睫狀肌麻痺劑一直是一個重要的議題。本文報告國中學校學生睫狀肌麻痺劑作用前與後的屈光狀態和眼壓變化的初步資料。眼球生物學測量是藉由可靠的非接觸式光學干涉儀(Lenstar LS900)進行。 方法:本研究共有64位學生,平均年齡14.2歲。他們在睫狀肌麻痺劑作用前接受全自動電腦驗光機,氣壓式眼壓計和Lenstar眼球生物學測量。睫狀肌麻痺劑是用1% cyclopentolate。在睫狀肌麻痺劑作用後,再接受全自動電腦驗光機及氣壓式眼壓計測量。屈光狀態是以球面當量分析檢查。 結果:總共有30名男性學生和34名女性學生。這些學生平均散瞳前屈光度右眼為-3.15±2.28D,左眼為-3.02±2.46D;散瞳後屈光度右眼為-2.48±2.48D,左眼為-2.60±2.50D。平均眼壓在散瞳前右眼為17.40±3.12mmHg,左眼為16.26±3.23mmHg;散瞳後右眼為15.70±3.30mmHg,左眼為15.38±3.15mmHg。平均眼軸長度測量,右眼和左眼分別為24.58±1.22mm和24.60±1.21mm。 結論:當國中族群做屈光度數篩檢或配鏡時,本研究強烈建議使用睫狀肌麻痺劑可獲得較好的準確度。Cyclopentolate並不會引起青少年立即顯著的眼壓上升,可以安全地被使用。Lenstar可作為學校學生檢查眼球生物學測量時,兼顧衛生又合乎要求的儀器。
Purpose: Published school-based data on refraction and ocular biometry, particularly for teenagers in Taiwan are limited. The use of cycloplegic agents in refractive error screening of this age group is an important issue. We report preliminary data on changes in refractive status and intraocular pressure (IOP) before and after cycloplegia in students of a junior high school. The ocular biometry was measured by a reliable optical low-coherence reflectometer (Lenstar LS900) in a non-contact fashion. Method: Sixty-four students with an average age of 14.2 years were included. They were examined by an automated refractometer, a pneumatonometer with and without cycloplegia and Lenstar. Cyclopentolate 1% was instilled into the students' eyes and measurements were taken. Refraction was analyzed as spherical equivalent (S.E.). Result: There were 30 male and 34 female students. The mean S.E. was -3.15±2.280 in right eyes and -3.02±2.460 in left eyes without cycloplegia; and -2.48±2.480 in right eyes and -2.60±2.500 in left eyes with cycloplegia. The S.E. became statistically less minus with a mean difference of -0.670 in right eyes and -0.420 in left eyes after cyclopentolate application. The mean IOP was 17.40±3.12mmHg in right eyes and 16.26±3.23mmHg in left eyes without cycloplegia; and 15.70±3.30mmHg in right eyes and 15.38±3.15mmHg in left eyes with cycloplegia. A significant decrease in mean IOP, 1.69mmHg in right eyes and 0.86mmHg in left eyes, was detected. The mean axial length measurements of right and left eyes were 24.58±1.22mm and 24.60±1.21mm, respectively. Conclusion: Use of cycloplegic agent for the accuracy of refractive error screening or for prescription of glasses in junior high school students is highly recommended. Our results suggest that cyclopentolate could be safely used for mydriatic examination on teenagers without immediate significant increase in IOP. Lenstar may be serve as a clean and satisfactory instrument for obtaining biometric parameters on school screening basis.


    

本卷期目次
中華民國眼科醫學會雜誌 51卷1期 (2012.4)
前老年期白內障病患之兩眼不等視/ 李建興侯鈞賀林耕國
ANTERIOR UVEITIS INDUCED BY RETAINED METALLIC FOREIGN BODY IN THE CHAMBER ANGLE AFTER MAGNETIC RESONANCE IMAGING--A CASE REPORT/ Jyh-Cheng LiouMei-Lin PengKuo-Hua Juan
INTRAVITREAL BEVACIZUMAB INJECTIONS IN CASES OF CENTRAL RETINAL VEIN OCCLUSION WITH MACULAR EDEMA-CASE SERIES/ Yung-Ray HsuJen-Shang Huang
PHOTODYNAMIC THERAPY AS PRIMARY TREATMENT FOR CHOROIDAL MELANOMA--CASE REPORT/ Chien-Chi TsengSan-Ni ChenJiunn-Feng HwangChun-Ju Lin
ACCOMMODATION AND MYOPIA/ Patrick Joi-Tsang Shum
DELAYED ORBITAL APEX SYNDROME CAUSED BY A WOODEN CHOPSTICK/ Yi-Ching ShaoMei-Ling Peng
INTRAVITREAL INJECTION BEVACIZUMAB FOR VOGT-KOYANAGI-HARADA DISEASE COMPLICATED WITH MACULAR CHOROIDAL NEOVASCULIZATION--A CASE REPORT/ Shih-Hao WangYung-Jen Chen
使用中文化眼科臨床演練評量評估學習者臨床診療行為之信度分析-初報/ 林信瓊詹社紅李建興孫銘輝馬惠康林耕國王正儀李石增
MANAGEMENT OF A COMPLICATED CASE OF MYCOBACTERIUM ABSCESSUS KERATITIS AFTER LASIK/ Jerry Chien-Chieh HuangKuan-Jen ChenMing-Hui SunJui-Yang LaiChi-Chin Sun
ANALYSIS OF OPHTHALMOLOGY INPATIENT CONSULTATION IN A REGIONAL TEACHING HOSPITAL/ Chau-Yi TanChao-Wei ChuangKuo-Pin ChangPo-Min YangChong-Bin Tsai
TREATMENT OF REFRACTORY BILATERAL IDIOPATHIC ORBITAL INFLAMMATION WITH ADJUNCTIVE RADIOTHERAPY/ Yu-Hao LinSang-Hue YenChieh-Chih TsaiShu-Ching KaoShui-Mei Lee
PATIENT SATISFACTION WITH PHACOEMULSIFICATION CATARACT SURGERY: CORRELATIONS WITH EFFECTIVE PHACO TIME, SURGICAL METHODS, AND GENERAL HEALTH STATUS IN A TERTIARY REFERRAL HOSPITAL IN SOUTHERN TAIWAN/ Yu-Hung LaiHsin-Tien HsuHwei-Zu WangShun-Jen ChangKwou-Yeung Wu
INTRAVITREAL BEVACIZUMAB THERAPY FOR THE TREATMENT OF CHOROIDAL NEOVASCULARIZATION SECONDARY TO ANGIOID STREAKS: A CASE REPORT/ I-Ting SunChih-Hsin Chen
CANALICULAR STENOSIS SECONDARY TO WEEKLY DOCETAXEL/ Chih-Heng HungI-Hua WangShun-Ling LinI-Chia LiangYu-Ying Chang
REFRACTIVE STATUS OF TEENAGERS IN A TAIPEI MUNICIPAL JUNIOR HIGH SCHOOL/ Hen-Shen LinLi-Ju ChenJy-Haw Yu
ENDOGENOUS AEROMONAS HYDROPHILA ENDOPHTHALMITIS/ Siu-Fung ChauYu-Chen ChenHin-Yeung Choi
玻璃體內注射腫瘤壞死因子對大鼠視網膜神經節細胞存活之影響/ 張志揚林堯泓葉明功江樵熹呂大文
COMBINED ENDOGENOUS ENDOPHTHALMITIS AND MENINGITIS SECONDARY TO INFECTIOUS ENDOCARDITIS--A CASE REPORT/ Jiun-Yo LinYa-Hsin KungMay-Ching HongShwu-Jiuan Sheu
PATIENT SATISFACTION WITH PHACOEMULSIFICATION CATARACT SURGERY: CORRELATIONS WITH EFFECTIVE PHACO TIME, SURGICAL METHODS, AND GENERAL HEALTH STATUS IN A TERTIARY REFERRAL HOSPITAL IN SOUTHERN TAIWAN/ Yu-Hung LaiHsin-Tien HsuHwei-Zu WangShun-Jen ChangKwou-Yeung Wu
ACCOMMODATION AND MYOPIA/ Patrick Joi-Tsang Shum
ANTERIOR UVEITIS INDUCED BY RETAINED METALLIC FOREIGN BODY IN THE CHAMBER ANGLE AFTER MAGNETIC RESONANCE IMAGING--A CASE REPORT/ Jyh-Cheng LiouMei-Lin PengKuo-Hua Juan
MANAGEMENT OF A COMPLICATED CASE OF MYCOBACTERIUM ABSCESSUS KERATITIS AFTER LASIK/ Jerry Chien-Chieh HuangKuan-Jen ChenMing-Hui SunJui-Yang LaiChi-Chin Sun
CANALICULAR STENOSIS SECONDARY TO WEEKLY DOCETAXEL/ Chih-Heng HungI-Hua WangShun-Ling LinI-Chia LiangYu-Ying Chang
INTRAVITREAL INJECTION BEVACIZUMAB FOR VOGT-KOYANAGI-HARADA DISEASE COMPLICATED WITH MACULAR CHOROIDAL NEOVASCULIZATION--A CASE REPORT/ Shih-Hao WangYung-Jen Chen
INTRAVITREAL BEVACIZUMAB INJECTIONS IN CASES OF CENTRAL RETINAL VEIN OCCLUSION WITH MACULAR EDEMA-CASE SERIES/ Yung-Ray HsuJen-Shang Huang
玻璃體內注射腫瘤壞死因子對大鼠視網膜神經節細胞存活之影響/ 張志揚林堯泓葉明功江樵熹呂大文
ANALYSIS OF OPHTHALMOLOGY INPATIENT CONSULTATION IN A REGIONAL TEACHING HOSPITAL/ Chau-Yi TanChao-Wei ChuangKuo-Pin ChangPo-Min YangChong-Bin Tsai
REFRACTIVE STATUS OF TEENAGERS IN A TAIPEI MUNICIPAL JUNIOR HIGH SCHOOL/ Hen-Shen LinLi-Ju ChenJy-Haw Yu
前老年期白內障病患之兩眼不等視/ 李建興侯鈞賀林耕國
使用中文化眼科臨床演練評量評估學習者臨床診療行為之信度分析-初報/ 林信瓊詹社紅李建興孫銘輝馬惠康林耕國王正儀李石增
INTRAVITREAL BEVACIZUMAB THERAPY FOR THE TREATMENT OF CHOROIDAL NEOVASCULARIZATION SECONDARY TO ANGIOID STREAKS: A CASE REPORT/ I-Ting SunChih-Hsin Chen
DELAYED ORBITAL APEX SYNDROME CAUSED BY A WOODEN CHOPSTICK/ Yi-Ching ShaoMei-Ling Peng
PHOTODYNAMIC THERAPY AS PRIMARY TREATMENT FOR CHOROIDAL MELANOMA--CASE REPORT/ Chien-Chi TsengSan-Ni ChenJiunn-Feng HwangChun-Ju Lin
COMBINED ENDOGENOUS ENDOPHTHALMITIS AND MENINGITIS SECONDARY TO INFECTIOUS ENDOCARDITIS--A CASE REPORT/ Jiun-Yo LinYa-Hsin KungMay-Ching HongShwu-Jiuan Sheu
TREATMENT OF REFRACTORY BILATERAL IDIOPATHIC ORBITAL INFLAMMATION WITH ADJUNCTIVE RADIOTHERAPY/ Yu-Hao LinSang-Hue YenChieh-Chih TsaiShu-Ching KaoShui-Mei Lee
ENDOGENOUS AEROMONAS HYDROPHILA ENDOPHTHALMITIS/ Siu-Fung ChauYu-Chen ChenHin-Yeung Choi
 
   
 
   

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